From: Family systems approaches in pediatric obesity management: a scoping review
FST-informed Interventions | References | Comparison Group(s) | FST Outcomes | Mental Health Outcomes | BMI / zBMI Outcomes | Physical Activity Outcomes | Sedentary Behaviour Outcomes | Diet Outcomes | Other Outcomes |
---|---|---|---|---|---|---|---|---|---|
ENTREN-F | Rojo, 2022 [31] | - CI (CBT) - CI (Behav. monitoring) | n/a | n/a | n/a | n/a | n/a | n/a | Attendance rate |
Exergaming for Health | Christison, 2016 [32] | - UC (Classroom curriculum) | n/a | Self-esteem = (vs. BL) Self-worth + (vs. BL) | = (vs. UC) | = (vs. UC) | = (vs. UC) | = (vs. BL) | Blood pressure, heart rate, cardio-vascular fitness |
Familias Unidas (United Families for Health and Wellness-FUHW) | Prado, 2020 [33] | - UC (Community practice) | Family communication + (vs. UC) Parent in-volvement + (vs. UC) | n/a | = (vs. UC) | = (vs. UC) | n/a | = (vs. BL) | Parental BMI and parental diet |
Perrino, 2022 [34] | - UC (Community practice) | n/a | n/a | n/a | n/a | + (vs. BL) | n/a | n/a | |
Family Connections (FC) | Estabrooks, 2009 [44]a | - CI (Group based) - CI (workbook) - CI (phone based)a | n/a | Eating disorder behavior = (vs. BL) for all 3 intervention groups | + (vs. BL) for all 3 intervention groups | + (vs. BL) only for phone based CI | n/a | = (vs. BL) for all 3 intervention groups | n/a |
Zoellner, 2022 [46] | - CI (Behavioral modification) | n/a | QOL= (vs. BL and CI) | = (vs. BL and CI) | = (vs. BL and CI) | n/a | = (vs. BL and CI) | Engagement in intervention, BP (child and parent), waist circumference (parent) | |
Family Weight School Model | Nowicka, 2008 [47] | - WLC | n/a | n/a | + (vs. WLC) | n/a | n/a | n/a | n/a |
Fit Kids / Fit Families (FKFF) | Joosse, 2008 [48] | n/a | n/a | Self-esteem + (vs. BL) | + (vs. BL) | + (vs. BL) | + (vs. BL) | n/a | Body circumference |
Lighter Living Program (LiLi) | Orban, 2014 [51] | n/a | n/a | n/a | = (vs. BL) | n/a | n/a | n/a | n/a |
Mind, Exercise, Nutrition, Do it! (MEND) | Law, 2014 [54] | n/a | n/a | Self-esteem + (vs. BL) | + (vs. BL) | n/a | n/a | n/a | n/a |
Sacher, 2010 [55] | - WLC | n/a | Self-esteem + (vs. WLC) | + (vs. WLC) | + (vs. WLC) | + (vs. WLC) | n/a | Waist circumference, BP, heart rate | |
Wilson, 2019 [53] | n/a | + (vs. BL) | n/a | n/a | n/a | n/a | + (vs. BL) | n/a | |
Motivational + Family Weight loss Intervention (M+FWL) | Kitzman-Ulrich, 2011 [56] | - UC (Health education) | = (vs. BL) | n/a | + (vs. UC) | + (vs. UC) | n/a | + (vs. UC) | n/a |
Multi-disciplinary Treatment Program | Bocca, 2014 [58] | - UC (Health education and pediatrician follow up) | n/a | Health-related QOL + (vs. UC) Mental health - (vs. UC and BL) | + (vs. UC) | + (vs. UC) | n/a | n/a | Waist circumference, % of body fat |
Bocca, 2018 [59] | - UC (Health education and pediatrician follow up) | n/a | n/a | + (vs. UC) | n/a | n/a | = (vs. UC) | n/a | |
Multifamily Therapy + Psycho-education | Kitzman-Ulrich, 2009 [60] | - CI (Psycho-education) -WLC | Conflict - (vs. CI and WLC) | n/a | = (vs. CI and BL) | n/a | n/a | - (vs. CI and BL) | n/a |
Multi-systemic Therapy | Naar-King, 2009 [62] | - CI (Group weight-loss intervention) | n/a | n/a | + (vs. CI) | n/a | n/a | n/a | % overweight, % body fat |
Ellis, 2010 [61] | - CI (Group weight-loss intervention) | + (vs. CI) | n/a | + (vs. CI) | n/a | n/a | + (vs. CI) | % overweight, % body fat | |
No Name | Flodmark, 1993 [64] | - UC (Dietary counseling) | n/a | n/a | + (vs. UC) | + (vs. UC) | n/a | n/a | Skinfold thickness |
Parents as Agents of Change (PAC) | Spence, 2017 [65] | n/a | n/a | n/a | n/a | n/a | n/a | n/a | Improved retention in program |
Spence, 2023 [68] | - CI (Psycho-education) | Functioning of family system= (vs. CI at 4, 10, and 16 mths) | n/a | = (vs. CI at 4, 10, and 16 months) | = (vs. CI at 4, 10, and 16 mths) | Screen time = (vs. CI at 4, 10, and 16 mths | = (vs. CI at 4, 10, and 16 mths) | Sleep, and parental stress | |
Positively Fit | Steele, 2011 [69] | n/a | n/a | Health- related QOL + (vs. BL) | + (vs. BL) | n/a | n/a | n/a | n/a |
SHINE (Supporting Health Interactively through Nutrition and Exercise) | St George, 2013 [71] | - CI (Health education) | + (vs. CI) | n/a | n/a | + (vs. CI and BL) | n/a | n/a | n/a |
St George, 2018 [70] | n/a | n/a | n/a | n/a | n/a | n/a | n/a | Parental PA | |
Solution-focused Family Therapy | Nowicka, 2007 [72] | n/a | + (vs. BL) | Self-esteem + (vs. BL) | + (vs. BL) | n/a | n/a | n/a | n/a |
Standard Behavioral Treatment + Enhanced Parenting (SBT+EP) | Hadley, 2015 [73] | - CI (Behavioral modification) | = (vs. CI) | n/a | + (vs. BL) | n/a | n/a | n/a | n/a |
Jelalian, 2015 [74] | - CI (Behavioral modification) | - (vs. CI) | n/a | - (vs. CI) | n/a | n/a | n/a | n/a | |
T.A.F.F. (Telephone-based adiposity prevention for Families) | Herget, 2015 [75] | n/a | n/a | Body dissatisfaction & self-efficacy + (vs. BL) | n/a | n/a | n/a | n/a | n/a |
Markert, 2014 [76] | - No details on control group | n/a | Health-related QOL + (vs. BL) | + (vs. control) | = (vs. BL) | = (vs. BL) | = (vs. BL) | n/a | |
FIT (Families Improving Together) | Wilson, 2022 [38] | - CI (Health education) | n/a | n/a | = (vs. CI and BL) | = (vs. CI) | n/a | = (vs. CI) | Parental light physical activity |
Wilson, 2021 [39] | n/a | n/a | n/a | n/a | n/a | n/a | n/a | Family mealtime | |
Wilson, 2018 [40] | n/a | n/a | n/a | n/a | n/a | n/a | n/a | Retention in program | |
Diabetes Prevention Program among Latino Youths | Peña, 2022 [50] | - UC (Behavioral modification) | n/a | 6-month Weight-related QOL + (vs. BL) and = (vs. UC) 12-month Weight-related QOL + (vs. BL and UC) | = (vs. BL and UC) at 6 months + (vs. BL) and = (vs. UC) at 12 months | n/a | n/a | n/a | Glucose tolerance, insulin sensitivity, insulin secretion, beta-cell function, fat mass, lean mass, HR, SBP, DBP |