Randomized Controlled Trial

. 2015 Dec 15:12:154.

doi: 10.1186/s12966-015-0320-3.

Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial

Affiliations

¹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. fulke001@umn.edu.
² School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. adki0032@umn.edu.
³ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. flatt081@umn.edu.
⁴ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. horn0199@umn.edu.
⁵ Department of Family Medicine & Community Health, University of Minnesota, Minneapolis, Minnesota, USA. parke511@umn.edu.
⁶ Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota, USA. neuma011@umn.edu.
⁷ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. ogurvich@umn.edu.
⁸ Community & Family Medicine and Global Health, Duke University, Durham, North Carolina, USA. mary.story@duke.edu.
⁹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. garwi001@umn.edu.
¹⁰ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. kubik002@umn.edu.

PMID: 26667110
PMCID: PMC4678662
DOI: 10.1186/s12966-015-0320-3

Randomized Controlled Trial

Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial

Jayne A Fulkerson et al. Int J Behav Nutr Phys Act. 2015.

. 2015 Dec 15:12:154.

doi: 10.1186/s12966-015-0320-3.

Authors

Affiliations

¹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. fulke001@umn.edu.
² School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. adki0032@umn.edu.
³ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. flatt081@umn.edu.
⁴ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. horn0199@umn.edu.
⁵ Department of Family Medicine & Community Health, University of Minnesota, Minneapolis, Minnesota, USA. parke511@umn.edu.
⁶ Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota, USA. neuma011@umn.edu.
⁷ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. ogurvich@umn.edu.
⁸ Community & Family Medicine and Global Health, Duke University, Durham, North Carolina, USA. mary.story@duke.edu.
⁹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. garwi001@umn.edu.
¹⁰ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA. kubik002@umn.edu.

PMID: 26667110
PMCID: PMC4678662
DOI: 10.1186/s12966-015-0320-3

Abstract

Background: Family meal frequency has been shown to be strongly associated with better dietary intake; however, associations with weight status have been mixed. Family meals-focused randomized controlled trials with weight outcomes have not been previously conducted. Therefore, this study purpose was to describe weight-related outcomes of the HOME Plus study, the first family meals-focused randomized controlled trial to prevent excess weight gain among youth.

Methods: Families (n = 160 8-12-year-old children and their parents/guardians) were randomized to intervention (n = 81) or control (n = 79) groups. Data were collected at baseline (2011-2012), post-intervention (12-months post-baseline) and follow-up (21-months post-baseline). The intervention included ten monthly group sessions (nutrition education; hands-on meal and snack planning, preparation, and skill development; screen time reductions) and five motivational, goal-setting phone calls. The main outcome was child body mass index (BMI) z-score.

Results: General linear models, adjusted for baseline values and demographics, showed no significant treatment group differences in BMI z-scores at post-intervention or follow-up; however, a promising reduction in excess weight gain was observed. Post-hoc stratification by pubertal onset indicated prepubescent children in the intervention group had significantly lower BMI z-scores than their control group counterparts.

Conclusions: The study used a strong theoretical framework, rigorous design, quality measurement and a program with high fidelity to test a family meals-focused obesity prevention intervention. It showed a modest decrease in excess weight gain. The significant intervention effect among prepubescent children suggests the intervention may be more efficacious among relatively young children, although more research with appropriately powered samples are needed to replicate this finding.

Trial registration: This study is registered at www.clinicaltrials.gov NCT01538615. Registered 01/17/2012.

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Figures

**Fig. 1**
Consort diagram for HOME Plus study

See this image and copyright information in PMC

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Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial

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Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial

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