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Table 4 Outcome results for interventions that included an evaluative component (n = 33)

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

  1. Legend: + indicates an improvement in the outcome; - indicates a deterioration in the outcome; = indicates the absence of a change in the outcome; vs. BL indicates comparisons were made with intervention baseline measures; vs. CI indicates comparisons were made with a control intervention; vs. WLC indicates comparisons were made with a waitlist control group; vs. UC indicates comparisons were made with the usual care
  2. Abbreviations: BL baseline, CBT cognitive behavioural therapy, CI control intervention, DBP diastolic blood pressure, HR heart rate, PA physical activity, QOL quality of life, SBP systolic blood pressure, UC usual care, n/a not applicable (outcome was not measured/reported)
  3. a In the Family Connections study, there were the 3 interventions arms which were informed by FST but were delivered using different formats