title: A pilot randomized controlled trial of a behavioral family-based intervention with and without home visits to decrease obesity in preschoolers.
abstract: OBJECTIVE
  Tested two family-based behavioral treatments for obesity in preschool children, one meeting the Expert Committee guidelines for Stage 3 obesity intervention criteria (LAUNCH-clinic) and one exceeding Stage 3 (LAUNCH with home visit [LAUNCH-HV]), compared with a Stage 1 intervention, pediatrician counseling (PC).
  
  
  METHODS
  In all, 42 children aged 2-5 years with a body mass index (BMI) percentile of ≥95th were randomized. A total of 33 met intent-to-treat criteria. Assessments were conducted at baseline, Month 6 (posttreatment), and Month 12 (6-month follow-up).
  
  
  RESULTS
  LAUNCH-HV demonstrated a significantly greater decrease on the primary outcome of change in BMI z-score (BMIz) pre- to posttreatment compared with PC (p = .007), whereas LAUNCH-clinic was not significantly different from PC (p = .08). Similar results were found for secondary outcomes.
  
  
  CONCLUSIONS
  LAUNCH-HV, but not LAUNCH-clinic, significantly reduced BMIz compared with PC by posttreatment, indicating the need for intensive behavioral intervention, including home visitation, to address weight management in obese preschool children.
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital lori.stark@cchmc.org.
authors: Lori J
authors: LJ
authors: Stark
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Lisa M
authors: LM
authors: Clifford
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Elizabeth K
authors: EK
authors: Towner
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Stephanie S
authors: SS
authors: Filigno
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Cindy
authors: C
authors: Zion
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Christopher
authors: C
authors: Bolling
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Clinical and Health Psychology, University of Florida, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, and Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Hospital.
authors: Joseph
authors: J
authors: Rausch
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D015992:Body Mass Index; D002675:Child, Preschool; D003376:Counseling / Q000379:methods*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006792:House Calls; D006801:Humans; D008297:Male; D015146:Midwestern United States; D063766:Pediatric Obesity / Q000517:prevention & control* / Q000628:therapy; D015397:Program Evaluation / Q000706:statistics & numerical data*
keywords: home visits; obesity; preschoolers; treatment