Evidence map›Paper›PMID 40037550›Full record

Trial reportPediatrics2025

Home-Delivered Pediatric Weight Management for Low-Income Families: A Randomized Controlled Trial.

Bradley M Appelhans, Simone A French, Molly A Martin, Karen J Lui, Lauren E Bradley, Tricia J Johnson, Heng Wang, Imke Janssen, Sumihiro Suzuki

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bradley M AppelhansDepartment of Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois.
Simone A FrenchDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
Molly A MartinDepartment of Pediatrics, University of Illinois Chicago, Chicago, Illinois.
Karen J LuiDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois.
Lauren E BradleyDepartment of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois.
Tricia J JohnsonDepartment of Health Systems Management, Rush University Medical Center, Chicago, Illinois.
Heng WangDepartment of Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois.
Imke JanssenDepartment of Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois.
Sumihiro SuzukiDepartment of Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois.

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S., LYNCH, ELIZABETH B · 2021 to 2025
$24.3M
Value and mechanisms of home visitation in obesity interventions for low-income childrenR01DK111358 · NIDDK · RUSH UNIVERSITY MEDICAL CENTER · PI APPELHANS, BRADLEY M. · 2017 to 2021
$3.3M
NIDDK NIH HHS R01 DK111358NIMHD NIH HHS P50 MD017349
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChildren from lower-income households lose less weight in family-based weight management interventions, likely due to barriers to treatment attendance and adherence. The CHECK randomized controlled trial tested whether delivering pediatric weight management interventions in the home improves weight loss outcomes relative to clinic-delivered intervention.

methodsEnrolled families included 269 children (137 boys) who were aged 6 to 12 years, had overweight/obesity, and lived in lower-income English- or Spanish-speaking households in Chicago, Illinois (2017-2022). All families received a 12-month pediatric weight management intervention with 18 planned in-person sessions and 12 planned telephone contacts. The sole difference between arms was the location (home vs clinic) of in-person intervention sessions. Intention-to-treat analyses compared treatment arms on 12-month change in BMI z-score (zBMI), intervention session attendance and contact time, and secondary clinical outcomes.

resultsTwelve-month zBMI change did not differ (P = .58) between the home-delivered (n = 133; -0.031, SD = 0.26) and clinic-delivered arms (n = 136; -0.002, SD = 0.30). Across both arms, session attendance and total contact time predicted larger decreases in zBMI. Both variables were higher in the home-delivered arm (median = 11 sessions, 500 minutes) than the clinic-delivered arm (median = 6.5 sessions, 315.5 minutes; P values < .001). Post hoc analyses indicated that home-delivered (vs clinic-delivered) intervention led to 0.03 (SE = 0.008, P = .0004) greater zBMI reductions across time points prior to the COVID-19 pandemic, but not after.

conclusionsHome delivery did not improve overall 12-month weight loss outcomes. Home-delivered intervention did increase session attendance and contact time and may have had beneficial weight loss effects prior to the COVID-19 pandemic.

Indexed as

Home Care ServicesPediatric ObesityPovertyWeight Reduction ProgramsChicagoChildFemaleHumansMaleWeight Loss

Identifiers

PMID40037550
PMCPMC11957921

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.