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Cited by 78Obesity, Physical Activity, DietObesity and Health PracticesPhysical Activity and Health

Growing Right Onto Wellness (GROW): A family-centered, community-based obesity prevention randomized controlled trial for preschool child–parent pairs

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Po'e, Eli K., Heerman, William J., Mistry, Rishi S., Barkin, Shari L.·2013·Contemporary Clinical Trials
DOI 10.1016/j.cct.2013.08.013PMC PMC3886237
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Abstract

Growing Right Onto Wellness (GROW) is a randomized controlled trial that tests the efficacy of a family-centered, community-based, behavioral intervention to prevent childhood obesity among preschool-aged children. Focusing on parent-child pairs, GROW utilizes a multi-level framework, which accounts for macro (i.e., built-environment) and micro (i.e., genetics) level systems that contribute to the childhood obesity epidemic. Six hundred parent-child pairs will be randomized to a 3-year healthy lifestyle intervention or a 3-year school readiness program. Eligible children are enrolled between ages 3 and 5, are from minority communities, and are not obese. The principal site for the GROW intervention is local community recreation centers and libraries. The primary outcome is childhood body mass index (BMI) trajectory at the end of the three-year study period. In addition to other anthropometric measurements, mediators and moderators of growth are considered, including genetics, accelerometry, and diet recall. GROW is a staged intensity intervention, consisting of intensive, maintenance, and sustainability phases. Throughout the study, parents build skills in nutrition, physical activity, and parenting, concurrently forming new social networks. Participants are taught goal-setting, self-monitoring, and problem solving techniques to facilitate sustainable behavior change. The GROW curriculum uses low health literacy communication and social media to communicate key health messages. The control arm is administered to both control and intervention participants. By conducting this trial in public community centers, and by implementing a family-centered approach to sustainable healthy childhood growth, we aim to develop an exportable community-based intervention to address the expanding public health crisis of pediatric obesity.

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  • BCTTv1 has been used to code interventions across a variety of behavioural domains, including physical activity and dietary behaviours, oral hygiene, hazardous and harmful drinking, sexual health, blood pressure control/management, antibiotic-prescribing and diabetes preventative behaviours.

    “BCTTv1 has been used to code interventions across a variety of behavioural domains, including physical activity and dietary behaviours [31, 32], oral hygiene behaviours [33], hazardous and harmful drinking [34], sexual health behaviours [35–37], blood pressure control/management behaviours [38], antibiotic-prescribing [39, 40] and diabetes preventative behaviours [41].”

    From From Theory-Inspired to Theory-Based Interventions: A Protocol for Developing and Testing a Methodology for Linking Behaviour Change Techniques to Theoretical Mechanisms of Action (2018) · cites this paper as [32]

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Research works printed but not linked: 2

  1. [13]Institute of Medicine Committee on Progress in Preventing Childhood Obesity: Progress in Preventing Childhood Obesity: How do we measure up Obesity CoPiPC The National Academies Press 9 2006
  2. [43]Working Group Report on Future Research Directions in Childhood Obesity Prevention and Treatment [ http://www.nhlbi.nih.gov/meetings/workshops/child-obesity/index.htm]

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Authors
Po'e, E. K., Heerman, W. J., Mistry, R. S., & Barkin, S. L.
Affiliations
Vanderbilt University Medical Center (US)
Corresponding author
Barkin, Shari L.
ORCID
Venue
Contemporary Clinical Trials
Publisher
Elsevier BV
Published
2013-11
Volume
36
Issue
2
Pages
436-449
ISSN
1551-7144 (ISSN-L)
DOI
10.1016/j.cct.2013.08.013
PMC
PMC3886237
OpenAlex
W2060917232
Cited by
78
References
85
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 8 · 2022: 4 · 2021: 7 · 2020: 14 · 2019: 8 · 2018: 10 · 2017: 5 · 2016: 10 · 2015: 5 · 2014: 1 · 2013: 1
FWCI
5.78
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Contemporary Clinical Trials (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Heart, Lung, and Blood Institute (U01 HL103620)
  • Eunice Kennedy Shriver National Institute of Child Health and Development
  • Office of Behavioral and Social Sciences Research
  • NCATS/NIH (UL1 TR000445)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
childhood obesity prevention, preschool children, parent-child intervention, family-centered intervention, community-based intervention, healthy lifestyle intervention, body mass index trajectories, school readiness, community recreation centers, libraries, physical activity, nutrition education, parenting skills, goal setting, self-monitoring, health literacy, social media health communication, minority groups, multi-level framework
MeSH terms
Child, Preschool, Clinical Protocols, Community Health Services, Family Therapy, Humans, Parent-Child Relations, Health Behavior, Single-Blind Method, Treatment Outcome, Health Literacy, Pediatric Obesity

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