Identify 0,4,12 month assessment outcomes. Description: Lifestyle approach to obesity prevention using a 14 week, 6-session, 2-hour program with continuing at-home activities for cooking, eating and playing together. Evaluation: Physical assessments and surveys, including program evaluation, were conducted using R v3.1.1. Conclusions and Implications: Throughout the study, over 30% of youth and 60% of adults were overweight/ obese (n¼220 dyads; youth mean age¼9.8AE0.6 years). Treatment youth increased program evaluation scores from baseline to 4 months (P¼0.001), maintained at 12 months (P¼0.001) and differed from controls at 4 months (p¼0.003).

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