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Research ArticleOriginal Research

The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention

Bonnie T. Jortberg, Raquel Rosen, Sarah Roth, Luke Casias, L. Miriam Dickinson, Letoynia Coombs, Nida S. Awadallah, Meaghann K. Bernardy and W. Perry Dickinson
The Journal of the American Board of Family Medicine July 2016, 29 (4) 434-443; DOI: https://doi.org/10.3122/jabfm.2016.04.150238
Bonnie T. Jortberg
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).
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Raquel Rosen
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).
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Sarah Roth
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).
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Luke Casias
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).
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L. Miriam Dickinson
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).
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Letoynia Coombs
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).
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Nida S. Awadallah
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).
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Meaghann K. Bernardy
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).
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W. Perry Dickinson
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).
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Article Figures & Data

Figures

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    Figure 1.

    Fit Family Challenge (FFC) flow diagram. BMI, body mass index; BP, blood pressure; CM, care manager; HSK, HeartSmartKids.

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    Figure 2.

    Body mass index (BMI) percentile (top) and z-score (bottom), by duration in the program.

Tables

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    Table 1.

    Fit Family Challenge Participant Characteristics

    IndicatorParticipants, n (%)
    Female146 (50)
    Male144 (50)
    English as first language208 (71)
    Spanish as first language82 (28)
    • View popup
    Table 2.

    Clinical Outcomes

    OutcomeBaseline Visits (n = 264)Change per 3 MonthsOverall P Value
    BMI percentile2.92+0.35<.0001
    BMI z-score1.62−0.03.1925
    • BMI, body mass index.

    • View popup
    Table 3.

    BMI Percentile and BMI z-Score Changes

    OutcomeLast Follow-up TimeOriginal Samplemultiple imputation
    Change per 3 Months, Coefficient (SE)P ValueChange per 3 Months, Coefficient (SE)P Value
    BMI percentileBaseline————
    3–6 Months−0.64 (0.50).2023−0.33 (0.29).2722
    6–9 Months−0.92 (0.37).0137−0.30 (0.37).4202
    9–15 Months−0.49 (0.24).0391−0.45 (0.17).0094
    BMI z-scoreBaseline————
    3–6 Months−0.006 (0.030).8546−0.007 (0.040).8652
    6–9 Months−0.024 (0.021).2413−0.036 (0.052).5097
    9–15 Months−0.030 (0.013).0217−0.048 (0.023).0329
    • BMI, body mass index; SE, standard error.

    • View popup
    Table 4.

    Lifestyle Outcomes

    HeartSmartKids QuestionBaseline (n = 290)Change per 3 Months*Overall P Value
    Fruit and vegetable intake (servings/day)2.92+0.35<.0001
    Milk type: decrease fat content (high is worse)1.62−0.03.1925
    Physical activity, at least 60 minutes/day (days/week)3.81+0.45<.0001
    Family activity (times/week)2.41+0.21.0051
    Hours/day of screen time2.28−0.11.0147
    Sugar-sweetened beverage intake (servings/day)1.56−0.15<.0001
    Eating out weekly (times/week)1.45−0.11.0006
    • ↵* Averaged across all participants with any follow-up.

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The Journal of the American Board of Family     Medicine: 29 (4)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 4
July-August 2016
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The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention
Bonnie T. Jortberg, Raquel Rosen, Sarah Roth, Luke Casias, L. Miriam Dickinson, Letoynia Coombs, Nida S. Awadallah, Meaghann K. Bernardy, W. Perry Dickinson
The Journal of the American Board of Family Medicine Jul 2016, 29 (4) 434-443; DOI: 10.3122/jabfm.2016.04.150238

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The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention
Bonnie T. Jortberg, Raquel Rosen, Sarah Roth, Luke Casias, L. Miriam Dickinson, Letoynia Coombs, Nida S. Awadallah, Meaghann K. Bernardy, W. Perry Dickinson
The Journal of the American Board of Family Medicine Jul 2016, 29 (4) 434-443; DOI: 10.3122/jabfm.2016.04.150238
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Keywords

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  • Family Practice
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  • Outcome Assessment (Health Care)
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