FIT Families Multicomponent Obesity Intervention for African American Adolescents
Clinical Trial of the Fit Families Multicomponent Obesity Intervention for African American Adolescents and Their Caregivers: Next Step From the ORBIT Initiative
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Phillippe B Cunningham, Ph.D.
- Phone Number: 843-876-1800
- Email: cunninpb@musc.edu
Study Locations
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South Carolina
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Charleston, South Carolina, United States, 29407
- Division of Global and Community Health
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 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).
Exclusion Criteria:
- 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)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: FIT Families
1. 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.
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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.
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Active Comparator: Home-Based Family Support
2. 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.
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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.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Height
Time Frame: Baseline
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Height in meters will be obtained using a portable stadiometer.
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Baseline
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Height
Time Frame: 3-month mid-treatment
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Height in meters will be obtained using a portable stadiometer.
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3-month mid-treatment
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Height
Time Frame: 6-month end of treatment
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Height in meters will be obtained using a portable stadiometer.
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6-month end of treatment
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Height
Time Frame: 12-month follow-up
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Height in meters will be obtained using a portable stadiometer.
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12-month follow-up
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Weight
Time Frame: Baseline
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Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.
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Baseline
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Weight
Time Frame: 3-month mid-treatment
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Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.
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3-month mid-treatment
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Weight
Time Frame: 6-month mid-treatment
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Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.
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6-month mid-treatment
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Weight
Time Frame: 12-month follow-up
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Weight in kilograms will be assessed using a portable digital scale with the capacity to reliably obtain weights up to 600 pounds.
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12-month follow-up
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Percent of body fat
Time Frame: Baseline
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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
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Baseline
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Percent of body fat
Time Frame: 3-month mid-treatment
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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
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3-month mid-treatment
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Percent of body fat
Time Frame: 6-month end of treatment
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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
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6-month end of treatment
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Percent of body fat
Time Frame: 12-month follow-up
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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
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12-month follow-up
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent overweight
Time Frame: Baseline
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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.
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Baseline
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Percent overweight
Time Frame: 3 month mid-treatment
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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.
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3 month mid-treatment
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Percent overweight
Time Frame: 6 month end of treatment
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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.
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6 month end of treatment
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Percent overweight
Time Frame: 12 month follow-up
|
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.
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12 month follow-up
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Physical activity
Time Frame: baseline
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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
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baseline
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Physical activity
Time Frame: 3-month mid-treatment
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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
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3-month mid-treatment
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Physical activity
Time Frame: 6-month end of treatment
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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
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6-month end of treatment
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Physical activity
Time Frame: 12-month follow-up
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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
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12-month follow-up
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Self-monitoring of physical activity (PA)
Time Frame: Daily for six months during treatment
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Self-Monitoring of PA is assessed using daily diary logbooks completed on line
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Daily for six months during treatment
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Self-monitoring of Dietary Intake
Time Frame: Daily for six months during treatment
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Self-Monitoring of Dietary Intake is assessed using daily diary logbooks completed on line
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Daily for six months during treatment
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Symptoms of Metabolic Syndrome
Time Frame: Baseline
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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.
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Baseline
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Symptoms of Metabolic Syndrome
Time Frame: Baseline
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Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.
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Baseline
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Symptoms of Metabolic Syndrome
Time Frame: 3-month mid-treatment
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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.
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3-month mid-treatment
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Symptoms of Metabolic Syndrome
Time Frame: 3-month mid-treatment
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Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.
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3-month mid-treatment
|
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Symptoms of Metabolic Syndrome
Time Frame: 6-month end of treatment
|
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.
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6-month end of treatment
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Symptoms of Metabolic Syndrome
Time Frame: 6-month end of treatment
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Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.
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6-month end of treatment
|
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Symptoms of Metabolic Syndrome
Time Frame: 12-month follow-up
|
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.
|
12-month follow-up
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Symptoms of Metabolic Syndrome
Time Frame: 12-month follow-up
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Blood pressure is measured with a sphygmomanometer 3 times, with the second and third measurement averaged for analysis.
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12-month follow-up
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Hemoglobin A1c (HbA1c)
Time Frame: Baseline
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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.
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Baseline
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Hemoglobin A1c (HbA1c)
Time Frame: 3-month mid-treatment
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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.
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3-month mid-treatment
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Hemoglobin A1c (HbA1c)
Time Frame: 6-month end of treatment
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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.
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6-month end of treatment
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Hemoglobin A1c (HbA1c)
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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Flanker task
Time Frame: Baseline
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Objective sub tests measuring attention and executive functioning.
Scores range from 0 to 30, and the total score is used as an outcome.
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Baseline
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Flanker task
Time Frame: 6-month end of treatment
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Objective sub tests measuring attention and executive functioning.
Scores range from 0 to 30, and the total score is used as an outcome.
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6-month end of treatment
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Flanker task
Time Frame: 12-month follow-up
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Objective sub tests measuring attention and executive functioning.
Scores range from 0 to 30, and the total score is used as an outcome.
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12-month follow-up
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List Sorting test
Time Frame: Baseline
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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).
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Baseline
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List Sorting test
Time Frame: 6-month end of treatment
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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).
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6-month end of treatment
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List Sorting test
Time Frame: 12-month follow-up
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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).
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12-month follow-up
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Delayed Reward Discounting Task
Time Frame: Baseline
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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.
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Baseline
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Delayed Reward Discounting Task
Time Frame: 6-month end of treatment
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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.
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6-month end of treatment
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Delayed Reward Discounting Task
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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NEURO-QOL
Time Frame: Baseline
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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.
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Baseline
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NEURO-QOL
Time Frame: 6-month end of treatment
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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.
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6-month end of treatment
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NEURO-QOL
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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Brief Symptom Inventory
Time Frame: Baseline
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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.
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Baseline
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Brief Symptom Inventory
Time Frame: 6-month mid-treatment
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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.
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6-month mid-treatment
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Brief Symptom Inventory
Time Frame: 12-month end of treatment
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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.
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12-month end of treatment
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PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms
Time Frame: Baseline
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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.
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Baseline
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PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms
Time Frame: 6-month mid-treatment
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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.
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6-month mid-treatment
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PROMIS - Pediatric Short Form v1.0 - Depressive Symptoms
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms
Time Frame: Baseline
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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.
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Baseline
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PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms
Time Frame: 6-month end of treatment
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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.
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6-month end of treatment
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PROMIS - Pediatric Short Form v1.0 - Anxiety Symptoms
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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Working Alliance Inventory
Time Frame: Monthly during the six months of treatment.
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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.
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Monthly during the six months of treatment.
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Service Utilization Questionnaire
Time Frame: Baseline
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Other services the youth may receive besides treatment conditions
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Baseline
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Service Utilization Questionnaire
Time Frame: 3-month mid-treatment
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Other services the youth may receive besides treatment conditions
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3-month mid-treatment
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Service Utilization Questionnaire
Time Frame: 6-month end of treatment
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Other services the youth may receive besides treatment conditions
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6-month end of treatment
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Service Utilization Questionnaire
Time Frame: 12-month follow-up
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Other services the youth may receive besides treatment conditions
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12-month follow-up
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Parent Adolescent Relationship Questionnaire (PARQ)
Time Frame: Baseline
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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.
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Baseline
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Parent Adolescent Relationship Questionnaire (PARQ)
Time Frame: 6-month end of treatment
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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.
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6-month end of treatment
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Parent Adolescent Relationship Questionnaire (PARQ)
Time Frame: 12-month follow-up
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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.
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12-month follow-up
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Mohan Madisetti, Ph.D., Medical University of South Carolina
- Principal Investigator: Phillippe B Cunningham, PhD, UTHealth
Publications and helpful links
General 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.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 00106021
- 161HL155793-01 (Other Grant/Funding Number: National Heart, Lung, and Blood Institute (NHLBI))
- 4R33HL155793-02 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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