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Obesity, ChildhoodNCT04974554

FIT Families Multicomponent Obesity Intervention for African American Adolescents

A study testing FIT and Home-Based Family Support in people with Obesity, Childhood and Metabolic Syndrome, run by Medical University of South Carolina at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

Obesity is one of the most prevalent medical problems facing children and adolescents today, particularly among African American adolescents where the rate is alarmingly high. This study will test the effectiveness of FIT Families, a multicomponent family-based behavioral intervention that is culturally tailored to… Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Obesity, Childhood, Metabolic Syndrome
What is being tested?
FIT and Home-Based Family Support
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
1 siteUnited States
Study dates
1 May 2021to 30 Nov 2026
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • adolescents (ages 12-17) self-identifying as AA,
  • BMI≥95th percentile for age and gender
  • primary caregiver who is either overweight (BMI 25.0 to 29.9) or obese (BMI≥30) and willing to participate in treatment
  • adolescent residing primarily with the primary caregiver within 30 miles of the MUSC, and 5) adolescent and caregiver obtain PA clearance from a health care provider (see Protection of Human Subjects).

Who cannot join

  • obesity secondary to medication use for another medical condition (e.g., steroids, antipsychotics);
  • secondary to a chronic condition (e.g., Down syndrome, Prader-Willi syndrome, Cushing's syndrome).
  • Exclusion criteria that apply to both adolescents and caregivers are:
  • pregnancy,
  • thought disorder (e.g., schizophrenia or other psychosis), suicidal, or homicidal
  • serious cognitive impairment (e.g., inability to complete questionnaires)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Division of Global and Community Health

    Charleston, South Carolina, 29407

Other trials in United States

About this study

Official title: Clinical Trial of the Fit Families Multicomponent Obesity Intervention for African American Adolescents and Their Caregivers: Next Step From the ORBIT Initiative

Obesity is one of the most prevalent medical problems facing children and adolescents today, particularly among African American adolescents where the rate is alarmingly high. This study will test the effectiveness of FIT Families, a multicomponent family-based behavioral intervention that is culturally tailored to meet the unique needs of African American adolescents with obesity and their caregivers, against a credible attention control condition. This study has considerable public health relevance because it is delivered by Community Health Workers, maximizing the potential for the intervention to be sustained, and may reduce obesity-related health problems for a vulnerable population of adolescents.

Read the detailed description

The alarming rates of obesity among children and adults, particularly among ethnic minorities, has been identified by the National Institutes of Health as one of the most serious public health challenges facing our nation in the 21st century. South Carolina (SC), part of the "Stroke Belt," has the 3rd highest obesity rate among US children at 39.2% and the 12th highest obesity rate among US adults at 32.3%. Unfortunately, African Americans in SC are disproportionately more likely to be overweight or obese (75.7% of adults, 40% of children), which places them at considerable high-risk for obesity-related diseases such as asthma, Type 2 diabetes, cardiovascular disease, hypertension, stroke, and some forms of cancer. This public health challenge is compounded by the lack of available intervention strategies specially tailored to meet the unique needs of ethnic minorities. This R01 randomized clinical trial, informed by the results from a recently completed NHLBI/NICHD center grant ("FIT Families Project," U01HL097889; PI-Naar) that followed the National Heart, Lung, and Blood Institute, Obesity Related Behavioral Intervention Trials (ORBIT) model for developing behavioral interventions, will examine the efficacy of FIT Families compared to a credible attention control condition. Each of four evidence-based behavioral components of FIT Families (home-based services, contingency management, motivational interviewing, cognitive behavioral skills training) were culturally tailored and optimized through a proof of concept sequential multiple randomized trial that produced weight loss among African American adolescents, a large and understudied population. One hundred and eighty obese African American adolescents aged 12-17 and their primary caregiver will be randomly assigned to one of two treatment conditions: 1) FIT Families or 2) Home-Based Family Support (HBFS) attention control condition. It is predicted that FIT Families will lead to greater reductions in adolescent and caregiver percent overweight, and increases in physical activity and the use of evidence-based weight management behaviors (self-monitoring of diet and exercise). If effective, FIT Families, which was carefully developed and adapted through successive Phases of ORBIT, has the potential to reduce disparities in obesity-related diseases (cardiovascular and metabolic) by addressing multiple risk factors among African American families and their adolescent children. Thus, this project has high significance in terms of potential public health impact and reduction in obesity related healthcare costs.

Being tested
FIT, Home-Based Family Support
Keywords
obesity, African American adolescents
Medical subject headings
Pediatric Obesity, Metabolic Syndrome, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FITBehavioural

    FIT Families is a home-based intervention that works with youth and caregivers to lose weight and improve their health. The intervention lasts 6 months. Sessions are held twice a week for the first 3 months and then once a week for the second 3 months. These sessions will take place in home with a community health worker. In addition, participants will have the opportunity to earn prizes for completing certain intervention related tasks.

  • Home-Based Family SupportBehavioural

    Home-Based Family Support Group will receive six months of weekly family counseling in the home. The weekly visits have 3 goals: 1) provide basic education in nutrition and physical recommendations for adolescent and adult obesity; 2) assess and monitor weight, physical activity, and diet via logs; and 3) offer opportunities to discuss barriers they identify to adherence to weight loss recommendations. The HBFS CHW will also address non-weight related problems such as peer or family relationship problems during the visits.

Study groups in NCT04974554
Study groupRoleWhat they receive
FIT FamiliesExperimental1. FIT Families is a 6 month comprehensive multicomponent family-based behavioral intervention delivered by Community Health Workers (CHWs). FIT Families integrates home-based service delivery, Motivational Interviewing (MI; intrinsic motivation), Cognitive Behavior Skills Treatment (CBST; skills acquisition), supervised physical activity (PA), and Contingency Management (CM; extrinsic motivation). Sessions occur twice weekly for the first three months, and weekly for the second three months.
Receives: Behavioral: FIT
Home-Based Family SupportActive comparator2. Home-based Family Support (HBFS). Adolescents and their primary caregiver randomly assigned to HBFS will receive 6 months of weekly, home-based, client-centered, non-directive supportive family counseling.
Receives: Behavioral: Home-Based Family Support

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent of body fat

    Percent of body fat is measured using bioelectrical impedance analysis (BIA). In BIA measurement, a very weak electronic current is passed through the body by means of four electrodes placed on the dorsal surface of the hand and foot

    Measured: Baseline

  2. Percent of body fat

    Percent of body fat is measured using bioelectrical impedance analysis (BIA). In BIA measurement, a very weak electronic current is passed through the body by means of four electrodes placed on the dorsal surface of the hand and foot

    Measured: 3-month mid-treatment

  3. Percent of body fat

    Percent of body fat is measured using bioelectrical impedance analysis (BIA). In BIA measurement, a very weak electronic current is passed through the body by means of four electrodes placed on the dorsal surface of the hand and foot

    Measured: 6-month end of treatment

  4. Percent of body fat

    Percent of body fat is measured using bioelectrical impedance analysis (BIA). In BIA measurement, a very weak electronic current is passed through the body by means of four electrodes placed on the dorsal surface of the hand and foot

    Measured: 12-month follow-up

  5. Height

    Height in meters will be obtained using a portable stadiometer.

    Measured: Baseline

  6. Height

    Height in meters will be obtained using a portable stadiometer.

    Measured: 3-month mid-treatment

  7. Height

    Height in meters will be obtained using a portable stadiometer.

    Measured: 6-month end of treatment

  8. Height

    Height in meters will be obtained using a portable stadiometer.

    Measured: 12-month follow-up

  9. Weight

    Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.

    Measured: Baseline

  10. Weight

    Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.

    Measured: 3-month mid-treatment

  11. Weight

    Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.

    Measured: 6-month mid-treatment

  12. Weight

    Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.

    Measured: 12-month follow-up

Secondary outcomes (51)
  1. Percent overweight

    Percent Overweight will be calculated as the percentage BMI above the Centers for Disease Control's (CDC's) median BMI for age and gender. Body Mass Index (BMI) in kg/m2 will subsequently be calculated and converted to BMI percentile using age and gender norms from the CDC. Body Mass Index (BMI) in kg/m2 will be calculated from in home weight and height measurements. Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds. Height in meters will be obtained using a portable stadiometer.

    Measured: Baseline

  2. Percent overweight

    Percent Overweight will be calculated as the percentage BMI above the Centers for Disease Control's (CDC's) median BMI for age and gender. Body Mass Index (BMI) in kg/m2 will subsequently be calculated and converted to BMI percentile using age and gender norms from the CDC. Body Mass Index (BMI) in kg/m2 will be calculated from in home weight and height measurements. Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds. Height in meters will be obtained using a portable stadiometer.

    Measured: 3 month mid-treatment

  3. Percent overweight

    Percent Overweight will be calculated as the percentage BMI above the Centers for Disease Control's (CDC's) median BMI for age and gender. Body Mass Index (BMI) in kg/m2 will subsequently be calculated and converted to BMI percentile using age and gender norms from the CDC. Body Mass Index (BMI) in kg/m2 will be calculated from in home weight and height measurements. Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds. Height in meters will be obtained using a portable stadiometer.

    Measured: 6 month end of treatment

  4. Percent overweight

    Percent Overweight will be calculated as the percentage BMI above the Centers for Disease Control's (CDC's) median BMI for age and gender. Body Mass Index (BMI) in kg/m2 will subsequently be calculated and converted to BMI percentile using age and gender norms from the CDC. Body Mass Index (BMI) in kg/m2 will be calculated from in home weight and height measurements. Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds. Height in meters will be obtained using a portable stadiometer.

    Measured: 12 month follow-up

  5. Physical activity

    Physical activity is assessed using the compact FitBit Flex2 accelerometer, which utilizes a tri-axial accelerometer and digital filtering proprietary machine-learning algorithms to analyze and estimate human movement patterns

    Measured: baseline

  6. Physical activity

    Physical activity is assessed using the compact FitBit Flex2 accelerometer, which utilizes a tri-axial accelerometer and digital filtering proprietary machine-learning algorithms to analyze and estimate human movement patterns

    Measured: 3-month mid-treatment

  7. Physical activity

    Physical activity is assessed using the compact FitBit Flex2 accelerometer, which utilizes a tri-axial accelerometer and digital filtering proprietary machine-learning algorithms to analyze and estimate human movement patterns

    Measured: 6-month end of treatment

  8. Physical activity

    Physical activity is assessed using the compact FitBit Flex2 accelerometer, which utilizes a tri-axial accelerometer and digital filtering proprietary machine-learning algorithms to analyze and estimate human movement patterns

    Measured: 12-month follow-up

  9. Self-monitoring of physical activity (PA)

    Self-Monitoring of PA is assessed using daily diary logbooks completed on line

    Measured: Daily for six months during treatment

  10. Self-monitoring of Dietary Intake

    Self-Monitoring of Dietary Intake is assessed using daily diary logbooks completed on line

    Measured: Daily for six months during treatment

  11. Symptoms of Metabolic Syndrome

    Blood samples are obtained after a 10-12 hour fast for measurement of plasma glucose, high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. Blood glucose and lipid levels are measured using the Alere Cholestech LDX, a psychometrically sound point of care analyzer that requires only one drop of whole blood.

    Measured: Baseline

  12. Symptoms of Metabolic Syndrome

    Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.

    Measured: Baseline

  13. Symptoms of Metabolic Syndrome

    Blood samples are obtained after a 10-12 hour fast for measurement of plasma glucose, high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. Blood glucose and lipid levels are measured using the Alere Cholestech LDX, a psychometrically sound point of care analyzer that requires only one drop of whole blood.

    Measured: 3-month mid-treatment

  14. Symptoms of Metabolic Syndrome

    Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.

    Measured: 3-month mid-treatment

  15. Symptoms of Metabolic Syndrome

    Blood samples are obtained after a 10-12 hour fast for measurement of plasma glucose, high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. Blood glucose and lipid levels are measured using the Alere Cholestech LDX, a psychometrically sound point of care analyzer that requires only one drop of whole blood.

    Measured: 6-month end of treatment

  16. Symptoms of Metabolic Syndrome

    Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.

    Measured: 6-month end of treatment

  17. Symptoms of Metabolic Syndrome

    Blood samples are obtained after a 10-12 hour fast for measurement of plasma glucose, high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. Blood glucose and lipid levels are measured using the Alere Cholestech LDX, a psychometrically sound point of care analyzer that requires only one drop of whole blood.

    Measured: 12-month follow-up

  18. Symptoms of Metabolic Syndrome

    Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.

    Measured: 12-month follow-up

  19. Hemoglobin A1c (HbA1c)

    HbA1c is obtained using the Accubase A1c test kit,102 and FDA approved test that uses a capillary tube blood collection method instead of venipuncture.

    Measured: Baseline

  20. Hemoglobin A1c (HbA1c)

    HbA1c is obtained using the Accubase A1c test kit,102 and FDA approved test that uses a capillary tube blood collection method instead of venipuncture.

    Measured: 3-month mid-treatment

  21. Hemoglobin A1c (HbA1c)

    HbA1c is obtained using the Accubase A1c test kit,102 and FDA approved test that uses a capillary tube blood collection method instead of venipuncture.

    Measured: 6-month end of treatment

  22. Hemoglobin A1c (HbA1c)

    HbA1c is obtained using the Accubase A1c test kit,102 and FDA approved test that uses a capillary tube blood collection method instead of venipuncture.

    Measured: 12-month follow-up

  23. Flanker task

    Objective sub tests measuring attention and executive functioning. Scores range from 0 to 30, and the total score is used as an outcome.

    Measured: Baseline

  24. Flanker task

    Objective sub tests measuring attention and executive functioning. Scores range from 0 to 30, and the total score is used as an outcome.

    Measured: 6-month end of treatment

  25. Flanker task

    Objective sub tests measuring attention and executive functioning. Scores range from 0 to 30, and the total score is used as an outcome.

    Measured: 12-month follow-up

  26. List Sorting test

    Measures working memory. List Sorting scores are based upon a sum of the total correct across both lists which comprise the List Sorting Total Score. The raw sum score is then transformed to a standardized t-metric (mean=50, 50 and SD=10).

    Measured: Baseline

  27. List Sorting test

    Measures working memory. List Sorting scores are based upon a sum of the total correct across both lists which comprise the List Sorting Total Score. The raw sum score is then transformed to a standardized t-metric (mean=50, 50 and SD=10).

    Measured: 6-month end of treatment

  28. List Sorting test

    Measures working memory. List Sorting scores are based upon a sum of the total correct across both lists which comprise the List Sorting Total Score. The raw sum score is then transformed to a standardized t-metric (mean=50, 50 and SD=10).

    Measured: 12-month follow-up

  29. Delayed Reward Discounting Task

    Assess degree of preference for immediate over delayed rewards. The protocol is scored by by calculating where the respondent's answers place him/her amid reference discounting curves, where placement amid steeper curves indicates higher levels of impulsivity.

    Measured: Baseline

  30. NEURO-QOL

    self-report about concerns about cognitive functioning over the previous week; quality of life. Neuro-QOL uses a T score which has a mean of 50 and the standard deviation of 10, based on the norming sample used. All Neuro-QOL banks and scales are scored such that a high score reflects more of what is being measured.

    Measured: 6-month end of treatment

  31. Delayed Reward Discounting Task

    Assess degree of preference for immediate over delayed rewards. The protocol is scored by by calculating where the respondent's answers place him/her amid reference discounting curves, where placement amid steeper curves indicates higher levels of impulsivity.

    Measured: 6-month end of treatment

  32. Delayed Reward Discounting Task

    Assess degree of preference for immediate over delayed rewards. The protocol is scored by by calculating where the respondent's answers place him/her amid reference discounting curves, where placement amid steeper curves indicates higher levels of impulsivity.

    Measured: 12-month follow-up

  33. NEURO-QOL

    self-report about concerns about cognitive functioning over the previous week; quality of life. Neuro-QOL uses a T score which has a mean of 50 and the standard deviation of 10, based on the norming sample used. All Neuro-QOL banks and scales are scored such that a high score reflects more of what is being measured.

    Measured: Baseline

  34. NEURO-QOL

    self-report about concerns about cognitive functioning over the previous week; quality of life. Neuro-QOL uses a T score which has a mean of 50 and the standard deviation of 10, based on the norming sample used. All Neuro-QOL banks and scales are scored such that a high score reflects more of what is being measured.

    Measured: 12-month follow-up

  35. Brief Symptom Inventory

    Caregiver psychological symptoms. Each item of individual psychological stress is answered on a 5-point scale, ranging from 0 = not at all to 4 = extremely, with higher scores indicating more distress.

    Measured: Baseline

  36. Brief Symptom Inventory

    Caregiver psychological symptoms. Each item of individual psychological stress is answered on a 5-point scale, ranging from 0 = not at all to 4 = extremely, with higher scores indicating more distress.

    Measured: 6-month mid-treatment

  37. Brief Symptom Inventory

    Caregiver psychological symptoms. Each item of individual psychological stress is answered on a 5-point scale, ranging from 0 = not at all to 4 = extremely, with higher scores indicating more distress.

    Measured: 12-month end of treatment

  38. PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms

    Adolescent depressive symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more depression.

    Measured: Baseline

  39. PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms

    Adolescent depressive symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more depression.

    Measured: 6-month mid-treatment

  40. PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms

    Adolescent depressive symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more depression.

    Measured: 12-month follow-up

  41. PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms

    Adolescent anxiety symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more anxiety.

    Measured: Baseline

  42. PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms

    Adolescent anxiety symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more anxiety.

    Measured: 6-month end of treatment

  43. PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms

    Adolescent anxiety symptoms. The final score is represented by the T -score, that has a mean of 50 and a standard deviation of 10. With higher scores indicating more anxiety.

    Measured: 12-month follow-up

  44. Working Alliance Inventory

    Quality of the therapeutic relationship. The WAI is scored on a 7-point Likert-type scale ranging from 1 (never) to 7 (always. Subscales can range from 12-83 and can be summed to obtain a total score-which range from 36-252. Higher scores reflect more positive ratings of the working alliance.

    Measured: Monthly during the six months of treatment.

  45. Service Utilization Questionnaire

    Other services the youth may receive besides treatment conditions

    Measured: Baseline

  46. Service Utilization Questionnaire

    Other services the youth may receive besides treatment conditions

    Measured: 3-month mid-treatment

  47. Service Utilization Questionnaire

    Other services the youth may receive besides treatment conditions

    Measured: 6-month end of treatment

  48. Service Utilization Questionnaire

    Other services the youth may receive besides treatment conditions

    Measured: 12-month follow-up

  49. Parent Adolescent Relationship Questionnaire (PARQ)

    The PARQ is a psychometrically sound family functioning measure that is based on behavioral family systems therapy, and has been used in effectiveness research. Respondents are asked indicate if a statement that describes thoughts, feelings, and beliefs about their family is true or false. The PARQ items are summed to obtain a total score, with higher scores reflect more positive aspects of the parent-adolescent relationship.

    Measured: Baseline

  50. Parent Adolescent Relationship Questionnaire (PARQ)

    The PARQ is a psychometrically sound family functioning measure that is based on behavioral family systems therapy, and has been used in effectiveness research. Respondents are asked indicate if a statement that describes thoughts, feelings, and beliefs about their family is true or false. The PARQ items are summed to obtain a total score, with higher scores reflect more positive aspects of the parent-adolescent relationship.

    Measured: 6-month end of treatment

  51. Parent Adolescent Relationship Questionnaire (PARQ)

    The PARQ is a psychometrically sound family functioning measure that is based on behavioral family systems therapy, and has been used in effectiveness research. Respondents are asked indicate if a statement that describes thoughts, feelings, and beliefs about their family is true or false. The PARQ items are summed to obtain a total score, with higher scores reflect more positive aspects of the parent-adolescent relationship.

    Measured: 12-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jul 2021
  2. Study start1 May 2021
  3. Primary completion30 Nov 2026 (estimated)
  4. Study completion30 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The proposed study follows a 2 (condition: FIT Families \[FIT\], and HBFS x 4 (time: baseline \[T1\], 3-month mid-treatment \[T2\], 6-month end of treatment \[T3\], and 12-months follow-up \[T4\]), with random assignment of 180 caregivers/youths to one of the two treatment conditions. Repeated measures of caregiver and youth percent overweight (primary outcome) and physical activity (secondary outcome) will be collected at baseline (T1), and each of the 3 post-randomization time points (T2-T4).
Masking
Single blind
Who is masked
Participant
Enrolment
360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04974554
Sponsor's protocol ID
00106021
Other IDs
161HL155793-01, 4R33HL155793-02
Status last verified
Oct 2026
First submitted
22 Jun 2021
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: At the expiration of the study locked data files and variable and scale dictionaries will be made available to the NIH for archiving and sharing with other researchers, in accordance with NIH policies. The Contact PI (Cunningham) will ensure that all datasets provided will be prepared in accordance with NHLBI requirements for data repository and associated documentation for submission to the Biological Specimen and Data Repository Information Coordinating Center; NHLBI Policy for Data Sharing from Clinical Trials and Epidemiological Studies; and NHLBI Guidelines for Data Set Preparation. Results from the proposed study will be presented in required reports to NIH. Additionally, results will be presented to clinical researchers, clinical treatment organizations, and state and national legislative bodies as requested. Within one year of completion of the study and publication of the main study findings we will make available the datasets publicly.

Publications

  • Cunningham PB, Naar S, Roberts JR, Powell J, Ledgerwood DM, Randall J, Lozano BE, Halliday CA, Madisetti M, Ghosh S. Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative. BMJ Open. 2024 Feb 13;14(2):e074552. doi: 10.1136/bmjopen-2023-074552.

    PubMed 38355187
  • Cunningham PB, Gilmore J, Naar S, Preston SD, Eubanks CF, Hubig NC, McClendon J, Ghosh S, Ryan-Pettes S. Opening the Black Box of Family-Based Treatments: An Artificial Intelligence Framework to Examine Therapeutic Alliance and Therapist Empathy. Clin Child Fam Psychol Rev. 2023 Dec;26(4):975-993. doi: 10.1007/s10567-023-00451-6. Epub 2023 Sep 7.

    PubMed 37676364

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