{"id":38842,"date":"2011-04-01T00:00:00","date_gmt":"2018-12-04T00:44:00","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/randomized-controlled-trial-to-improve-primary-care-to-prevent\/"},"modified":"2018-12-04T01:44:00","modified_gmt":"2018-12-04T00:44:00","slug":"randomized-controlled-trial-to-improve-primary-care-to-prevent","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/randomized-controlled-trial-to-improve-primary-care-to-prevent\/","title":{"rendered":"Randomized controlled trial to improve primary care to prevent and manage childhood obesity: the high five for kids study"},"content":{"rendered":"<p>OBJECTIVE: To examine the effectiveness of a primary care-based obesity intervention over the first year (6 intervention contacts) of a planned 2-year study.<\/p>\n<p>DESIGN: Cluster randomized controlled trial.<\/p>\n<p>SETTING: Ten pediatric practices, 5 intervention and 5 usual care.<\/p>\n<p>PARTICIPANTS: Four hundred seventy-five children aged 2 to 6 years with body mass index (BMI) in the 95th percentile or higher or 85th to less than 95th percentile if at least 1 parent was overweight; 445 (93%) had 1-year outcomes. Intervention  Intervention practices received primary care restructuring, and families received motivational interviewing by clinicians and educational modules targeting television viewing and fast food and sugar-sweetened beverage intake.<\/p>\n<p>OUTCOME MEASURES: Change in BMI and obesity-related behaviors from baseline to 1 year.<\/p>\n<p>RESULTS: Compared with usual care, intervention participants had a smaller, nonsignificant change in BMI (-0.21; 95% confidence interval [CI], -0.50 to 0.07; P = .15), greater decreases in television viewing (-0.36 h\/d; 95% CI, -0.64 to -0.09; P = .01), and slightly greater decreases in fast food (-0.16 serving\/wk; 95% CI, -0.33 to 0.01; P = .07) and sugar-sweetened beverage (-0.22 serving\/d; 95% CI, -0.52 to 0.08; P = .15) intake. In post hoc analyses, we observed significant effects on BMI among girls (-0.38; 95% CI, -0.73 to -0.03; P = .03) but not boys (0.04; 95% CI, -0.55 to 0.63; P = .89) and among participants in households with annual incomes of $50 000 or less (-0.93; 95% CI, -1.60 to -0.25; P = .01) but not in higher-income households (0.02; 95% CI, -0.30 to 0.33; P = .92).<\/p>\n<p>CONCLUSION: After 1 year, the High Five for Kids intervention was effective in reducing television viewing but did not significantly reduce BMI. Trial Registration  clinicaltrials.gov Identifier: NCT00377767<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-38842","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Ave, Sixth Floor, Boston, MA 02215. elsie_taveras@harvardpilgrim.org","annee":"2011","mois":"4","numero":"","page":"","auteurs":[{"ID":8475,"post_author":"0","post_date":"2018-12-03 18:00:38","post_date_gmt":"2018-12-03 17:00:38","post_content":"","post_title":"Elsie M Taveras","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"elsie-m-taveras","to_ping":"","pinged":"","post_modified":"2018-12-03 18:00:38","post_modified_gmt":"2018-12-03 17:00:38","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/elsie-m-taveras\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2898,"post_author":"0","post_date":"2018-12-03 17:00:14","post_date_gmt":"2018-12-03 16:00:14","post_content":"","post_title":"Steven L Gortmaker","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"steven-l-gortmaker","to_ping":"","pinged":"","post_modified":"2018-12-03 17:00:14","post_modified_gmt":"2018-12-03 16:00:14","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/steven-l-gortmaker\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":38841,"post_author":"0","post_date":"2018-12-04 01:43:59","post_date_gmt":"2018-12-04 00:43:59","post_content":"","post_title":"Hohman","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"hohman","to_ping":"","pinged":"","post_modified":"2018-12-04 01:43:59","post_modified_gmt":"2018-12-04 00:43:59","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/hohman\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":36162,"post_author":"0","post_date":"2018-12-04 00:55:31","post_date_gmt":"2018-12-03 23:55:31","post_content":"","post_title":"ARCH PEDIATR ADOLESC MED","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"arch-pediatr-adolesc-med","to_ping":"","pinged":"","post_modified":"2018-12-04 00:55:31","post_modified_gmt":"2018-12-03 23:55:31","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/arch-pediatr-adolesc-med\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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