Table 2 Comparison of inclusion criteria, structure and components of community-adapted iChoose program and Bright Bodies
| Â | Bright Bodies | iChoose |
|---|---|---|
Inclusion Criteria | • Child BMI ≥ 95th percentile • 8 to 16 years old • English-speaking • Participants have a caregiver willing to participate in the educational component | • Child BMI ≥ 85th percentile • 8 to 12 years old • English-speaking • Participants have a caregiver willing to participate in the educational component |
Exclusion Criteria | • Diabetes, psychiatric disorder, or other serious medical condition • Taking medications that potentially cause significant weight gain • Taking medications for weight loss • Involved in a coexisting weight management program. | • Disabilities or conditions the exclude participation in physical activity • Non-English speaking |
Duration of Program | • 12-Month Program | • 3-Month Program |
Program structure | Program components included: • 80 min family sessions that would occur weekly over the first 6 months program and then biweekly for the final 6 months • Each 80-min session was divided into a nutrition lesson and a behavioral skills training • 2–50-min exercise sessions per week. All classes were child and parent together except the behavior modification topics Smart Moves Workbook supported the family session topics. | Program components included: • 90 min family sessions that would occur every other Saturday for 3 months • Each 90-min session included a nutrition lesson, behavioral skills training and exercise time • 20–25 min telephone support calls to set goals, resolve barriers, and reinforce content using 5 A’s, teach-back and teach-to-goal strategies on weeks between family sessions • 2–60-min exercise sessions per week. All classes were child and parent together except the behavior modification topics iChoose Workbook reinforced and supplemented optics from the family class. |
Nutrition Component | • Delivered by registered dietitians. • Nondiet approach emphasizing low-fat, nutrient-dense foods and moderate portion sizes. | • Delivered by registered nurses and/or physical activity specialists. • Nondiet approach emphasizing nutrient-dense foods, sometimes foods and moderate portion size. |
Physical Activity Component | • 2, 50-min Exercise Sessions per week facilitated by exercise physiologists • Each class consist of a warm-up, high-intensity aerobic exercise, and a cool-down • 100 min per week (two 50-min sessions) for the first 6 months 100 min twice per month for the last 6 months | • During the family class weeks: 1, 30-min moderate to vigorous workouts during the family class and 1 60-min moderate to vigorous workout during the week. Children and parents were encouraged to participate. • In between family classes: 2, 60-min moderate to vigorous exercise sessions per week facilitated by exercise specialists in community setting • Each class consists of a warm-up, high-intensity aerobic exercise, and a cool-down |
Behavioral Modification Component | • 40-min each week for the first 6 months, every other week for 1 year facilitated by RDs or social workers • Separate classes for children and parent(s) | • 30-min every other week during the 3-month program period facilitated by RNs or physical activity specialist • Separate classes for children and parents(s) |
Motivational tools | • Point system targeting regular attendance (e.g. game in which accumulated points for each exercise class or activity attended) | • Incentives/give-a-ways at each session to promote attendance • Examples included water bottles, measuring cups or t-shirts |
Maintenance | • Monthly maintenance support groups for 1 year | • (none) |