Parents in peer delivery of family‐based behavioral pediatric weight management: the SHIFT randomized noninferiority trial
Authors' conclusion
This study informs new strategies for sustaining the delivery of pediatric obesity interventions by involving trained parents.
Study context
- Population
- Children aged 7 to 11 years with BMI > 85th percentile for age and sex and at least one parent with BMI > 25 kg/m²
- Participants
- 127 children
- Comparison
- Peer-delivered FBT vs professional-delivered FBT
- Primary endpoint
- Child BMI z score change (noninferiority margin 0.072)
- Follow-up
- treatment end and 12-month follow-up
Methodological detailsnoninferiority
- Noninferiority
Primary result
As reported in the abstract
Child BMI z score change
- Peer FBT delivery noninferior to professional FBT delivery (margin of 0.072 in child BMI z score change)
- Superiority testing suggested professional FBT delivery resulted in better child BMI z score change
- Non-inferiority margin 0.072
Further findings
Child quality of life and parental BMI
- No differential changes by FBT delivery mode
Delivery content
- Peer-delivered FBT well received; peers gave personal examples of behavior change success but less skills-focused content
Cost
- Peer FBT delivery about one-quarter the cost of professional FBT delivery
Original publication
Parents in peer delivery of family‐based behavioral pediatric weight management: the SHIFT randomized noninferiority trial. Obesity (Silver Spring). Published 13 February 2025. doi:10.
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