{"doi":"10.3390/ijerph18168744","title":"The Families and Schools for Health Project: A Longitudinal Cluster Randomized Controlled Trial Targeting Children with Overweight and Obesity","abstract":"This cluster randomized controlled trial aimed at overweight and obese children compared three treatments. Two psychoeducation interventions for parents and children were conducted: Family Lifestyle (FL) focused on food and physical activity; Family Dynamics (FD) added parenting and healthy emotion management. A third Peer Group (PG) intervention taught social acceptance to children. Crossing interventions yielded four conditions: FL, FL + PG, FL + FD, and FL + FD + PG—compared with the control. Longitudinal BMI data were collected to determine if family- and peer-based psychosocial components enhanced the Family Lifestyle approach. Participants were 1st graders with BMI%ile >75 (n = 538: 278 boys, 260 girls). Schools were randomly assigned to condition after stratifying for community size and percent American Indian. Anthropometric data were collected pre- and post-intervention in 1st grade and annually through 4th grade. Using a two-level random intercept growth model, intervention status predicted differences in growth in BMI or BMI-M% over three years. Children with obesity who received the FL + FD + PG intervention had lower BMI gains compared to controls for both raw BMI (B = −0.05) and BMI-M% (B = −2.36). Interventions to simultaneously improve parent, child, and peer-group behaviors related to physical and socioemotional health offer promise for long-term positive impact on child obesity.","journal":"International Journal of Environmental Research and Public Health","year":2021,"id":198579,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9444,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":546126,"name":"Isaac J. Washburn","orcid":"0000-0002-6188-5194","position":1,"is_corresponding":false},{"id":642582,"name":"Laura Hubbs‐Tait","orcid":"0000-0003-0105-0635","position":2,"is_corresponding":false},{"id":774411,"name":"Tay Kennedy","orcid":null,"position":3,"is_corresponding":false},{"id":446391,"name":"Julie M. Rutledge","orcid":null,"position":4,"is_corresponding":false},{"id":773830,"name":"Melanie C. Page","orcid":"0000-0001-7081-5174","position":5,"is_corresponding":false},{"id":445417,"name":"Taren Swindle","orcid":"0000-0001-7231-6002","position":6,"is_corresponding":false},{"id":266587,"name":"Lenka H. Shriver","orcid":"0000-0002-3125-333X","position":7,"is_corresponding":false},{"id":773831,"name":"Amanda W. Harrist","orcid":"0000-0002-1423-7004","position":8,"is_corresponding":false},{"id":773829,"name":"Glade Topham","orcid":"0000-0001-6908-225X","position":0,"is_corresponding":true}],"reference_count":36,"raw_metadata":null,"created_at":"2026-07-18T23:50:31.857233Z","pmid":"34444492","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}