Contingency management adapted for African-American adolescents with obesity enhances youth weight loss with caregiver participation: a multiple baseline pilot study

ObjectiveTo improve the quality and consistency of intervention development reporting in health research.DesignThis was a consensus exercise consisting of two simultaneous and identical three-round e-Delphi studies (one with experts in intervention development and one with wider stakeholders including funders, journal editors and public involvement members), followed by a consensus workshop. Delphi items were systematically derived from two preceding systematic reviews and a qualitative interview study.ParticipantsIntervention developers (n=26) and wider stakeholders (n=18) from the UK, North America and Europe participated in separate e-Delphi studies. Intervention developers (n=13) and wider stakeholders (n=13) participated in a 1-day consensus workshop.Resultse-Delphi participants achieved consensus on 15 reporting items. Following feedback from the consensus meeting, the final inclusion and wording of 14 items with description and explanations for each item were agreed. Items focus on context, purpose, target population, approaches, evidence, theory, guiding principles, stakeholder contribution, changes in content or format during the development process, required changes for subgroups, continuing uncertainties, and open access publication. They form the GUIDED (GUIDance for the rEporting of intervention Development) checklist, which contains a description and explanation of each item, alongside examples of good reporting.ConclusionsConsensus-based reporting guidance for intervention development in health research is now available for publishers and researchers to use. GUIDED has the potential to lead to greater transparency, and enhance quality and improve learning about intervention development research and practice.

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“…It was hypothesized that greater caregiver involvement in treatment would be associated with greater weight loss . 30…”

Section: Resultsmentioning

confidence: 99%

Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study

et al. 2020

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“…A 2015 review of the influence of parental participation on weight outcomes in African American adolescent females also concluded that strong parental involvement in obesity related interventions can facilitate weight loss and promote improved dietary intake and increased physical activity [26]. Furthermore, the incorporation of extrinsic motivation strategies [Contingency Management] benefits from parental involvement [19]. However, there was a subset of families that found the experience challenging at times, especially when there was minimal or no weight loss.…”

Section: Issn: 2469-4185mentioning

confidence: 99%

“…Motivational interviewing focuses on the compassionate elicitation and strengthening of intrinsic motivation for behavior change [16]. In addition, some families were randomized to receive Contingency Management [CM], extrinsic motivational content using operant conditioning principles to encourage completion of behavioral goals to address motivational barriers to weight loss [17][18][19]. At baseline families were randomized to receive MI-CBS either in the home or the office.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Evidence-Based Weight Loss Trial for Urban African American Adolescents and Caregivers

2017

J Nutr Health

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Rates of obesity are among the highest for African American adolescents in the US. However, African American adolescents benefit the least from evidence-based weight loss interventions, often experiencing poor treatment retention and low motivation. Participant evaluations provide key information for future development of familybased weight loss interventions able to address these barriers. The purpose of this study was to examine the experiences of African American adolescent and caregivers participating in the FIT Families trial for program satisfaction and content palatability. Content analysis was used to analyze semi-structured exit interviews from 136 African American adolescents [median age 14 years, 69% female] and caregiver pairs [primarily mothers] participating in a family-based 6-month behavioral weight loss intervention that was delivered either in the home or in an office setting. Participants reported most program practices [location, parent involvement, interpersonal relationship with weight loss counselors] and intervention content [cognitive behavioral skills training, motivational interviewing, contingency management] were helpful. Many adolescents [49%] and their caregivers [47%] reported that the program was acceptable overall, however noted that areas for refinement did exist. Participants reported that managing the logistics of weekly sessions was hard. Families expressed a desire for more engaging skills-based learning and the inclusion of exercise sessions and additional tailoring to needs and interests. Individualization, active learning, and support around parenting continues to be beneficial when designing interventions.

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“…Consistent with those findings, both Petry et al 31 and Riaff and Dallery 32 conducted pilot tests of clinic-based incentives for SMBG, without any additional counseling or parent-led CM, and also found improvements in SMBG and glycemic control. Last, Hartlieb et al 33 conducted a pilot test of CM combined with behavioral skills training (BST) to enhance adolescent weight loss, and found that parent-involved CM, but not adolescent-only CM, enhanced the effect of BST on youth weight loss.…”

Section: Targeting Other Health Behaviors In Adolescentsmentioning

confidence: 99%

Advances in Research on Contingency Management for Adolescent Substance Use

Stanger

Lansing

Budney

2016

Child and Adolescent Psychiatric Clinics of North America

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Multiple interventions for treating adolescents with substance use disorders have demonstrated efficacy, but the majority of teens do not show an enduring positive response to these treatments. Contingency-management (CM) based strategies provide a promising alternative, and clinical research focused on the development and testing of innovative CM models continues to grow. This article provides an updated review on the progress made in this area since we last commented on the published literature in 20101. Areas covered include: controlled trials of treatment for adolescents referred to substance use treatment, innovative applications of CM to tobacco cessation among youth, analyses of moderators and mechanisms of CM treatment outcomes, the emerging literature on dissemination and implementation, and other literature suggesting a growing acceptance of CM as viable and effective intervention. The literature in this area continues to progress at a moderate pace, with many indicators of budding interest in the application of CM, and in finding cost effective models to enhance dissemination and implementation. As with other types of substance use disorder treatments, we need to continue to search for more effective models, focus on post-treatment maintenance (reduce relapse), and strive for high levels of integrity and fidelity during dissemination efforts to optimize outcomes.

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Contingency management adapted for African-American adolescents with obesity enhances youth weight loss with caregiver participation: a multiple baseline pilot study

Cited by 15 publications

References 25 publications

Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study

Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study

Evaluation of an Evidence-Based Weight Loss Trial for Urban African American Adolescents and Caregivers

Advances in Research on Contingency Management for Adolescent Substance Use

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