Skip to main content

Table 2 Comparison of inclusion criteria, structure and components of community-adapted iChoose program and Bright Bodies

From: Participatory development and pilot testing of iChoose: an adaptation of an evidence-based paediatric weight management program for community implementation

  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)