title: The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention.
abstract: Childhood obesity has increased dramatically over several decades, and the American Academy of Pediatrics has recommended primary care practices as ideal sites for the identification, education, and implementation of therapeutic interventions. The objective of this study was to describe the implementation and results for the Fit Family Challenge (FFC), a primary care-based childhood obesity intervention.
  
  
  
  A single-intervention pilot project that trains primary care practices on childhood obesity guidelines and implementation of a family-focused behavior modification curriculum. A total of 29 family medicine and pediatric community practices in Colorado participated. Participants included 290 patients, aged 6 to 12 years, with a body mass index (BMI) above the 85th percentile. The main outcome measure included the feasibility of implementation of a childhood obesity program in primary care; secondary outcomes were changes in BMI percentile, BMI z-scores, blood pressure, and changes in lifestyle factors related to childhood obesity.
  
  
  
  Implementation of FFC is feasible, statically significant changes were seen for decreases in BMI percentile and BMI z-scores for participants who completed 9 to 15 months of follow-up; lifestyle factors related to childhood obesity in proved Spanish-speaking families and food insecurity were associated with less follow-up time (P < .01).
  
  
  
  A primary care-based childhood obesity intervention may result in significant clinical and lifestyle changes.
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB). bonnie.jortberg@ucdenver.edu.
authors.forename: Bonnie T
authors.initials: BT
authors.lastname: Jortberg
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Raquel
authors.initials: R
authors.lastname: Rosen
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Sarah
authors.initials: S
authors.lastname: Roth
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Luke
authors.initials: L
authors.lastname: Casias
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: L Miriam
authors.initials: LM
authors.lastname: Dickinson
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Letoynia
authors.initials: L
authors.lastname: Coombs
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Nida S
authors.initials: NS
authors.lastname: Awadallah
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: Meaghann K
authors.initials: MK
authors.lastname: Bernardy
authors.affiliation: From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB).
authors.forename: W Perry
authors.initials: WP
authors.lastname: Dickinson
mesh_terms: D032763:Behavior Control / Q000523:psychology; D001794:Blood Pressure; D015992:Body Mass Index; D002648:Child; D003120:Colorado; D003153:Community Health Services / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology; D005190:Family / Q000523:psychology*; D005194:Family Practice / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D008019:Life Style; D063766:Pediatric Obesity / Q000628:therapy*; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods*
keywords: Behavior Therapy; Blood Pressure; Body Mass Index; Child; Colorado; Curriculum; Family Practice; Follow-Up Studies; Food Supply; Life Style; Outcome Assessment (Health Care); Pediatric Obesity; Pediatrics; Pilot Projects; Primary Health Care; United States