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Development and Validation of an Observational Rating System for Individual Tailoring in Family-Based Pediatric Obesity Interventions

Award Number: F31HL160534
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 12/01/2021
PERIOD OF PERFORMANCE END DATE: 06/30/2023

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Development and Validation of an Observational Rating System for Individual Tailoring in Family-Based Pediatric Obesity Interventions - Project Summary/Abstract Pediatric obesity is a public health crisis associated with costly cardiovascular and chronic diseases and decreased quality of life. A disproportionate number of children with obesity, defined as a body mass index (BMI)≥95th percentile for age and gender, are racial/ethnic minorities or socioeconomically disadvantaged. Family-based treatments for childhood obesity have demonstrated effectiveness but struggle with high participant drop-out and inconsistent attendance, limiting opportunities for intervention effects and improving health outcomes. Caregivers frequently drop out due to a program overloading irrelevant information or not meeting their expectations. Due to the complexity of pediatric obesity, contributors to children's weight gain can greatly vary from family to family. Individually tailored family-based programs use rigorous assessment to develop individualized treatment plans that address a family's unique needs and treatment priorities. The Family Check-Up 4 Health (FCU4Health) is an assessment-driven individually tailored family-based pediatric obesity program that targets parenting skills and health behaviors and has had high rates of participation and retention among a low-income predominantly ethnic minority sample. Despite the promise of individual tailoring, tools to quantify the process of individual tailoring are understudied, hindering the ability to evaluate individual tailoring and analyze the theory that tailoring affects program engagement and outcomes. The proposed study will develop and validate an observational rating system to measure the process and degree of individual tailoring in family-based pediatric obesity interventions. Videorecorded sessions, transcripts and multimethod data from a completed trial of the FCU4Health, the Raising Healthy Children (RHC) project, will be used to develop the observational rating system. Next, a second trial of the FCU4Health, the Healthy Communities 4 Healthy Students (HC4HS) project, will be used to validate the new rating system. Finally, scores from the new rating system will be used to test the relationship between individual tailoring, program engagement and changes in health behaviors and anthropometric outcomes using a combined RHC and HC4HS sample. This novel research will employ video observation coding, psychometrics, structural equation modeling, and implementation science methods. The new tool will advance the field of pediatric obesity research by providing a rating system to guide the design, implementation, and evaluation of pediatric obesity interventions with an individual tailoring component. Quantifying individual tailoring will elucidate its relationship with program engagement and outcomes to inform adaptations for evidence-based interventions. The enhanced interventions will accommodate participants' needs, facilitate health behavior change and ultimately prevent and manage pediatric obesity and reduce risk for associated diseases.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$20,499 )
2024	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	001	2	6/24/2024	NON-COMPETING CONTINUATION	-$1,747
2024	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	2	3/12/2024	NON-COMPETING CONTINUATION	-$18,752
														Subtotal = -$20,499

Issue Date FY: 2023 ( Subtotal = $43,315 )
2023	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	002	2	9/23/2023	NON-COMPETING CONTINUATION	$0
2023	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	2	11/9/2022	NON-COMPETING CONTINUATION	$42,373
2023	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	001	2	4/22/2023	NON-COMPETING CONTINUATION	$942
														Subtotal = $43,315

Issue Date FY: 2021 ( Subtotal = $41,657 )
2021	2021	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	001	1	9/20/2021	NEW	$0
2021	2021	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	1	9/20/2021	NEW	$41,657
														Subtotal = $41,657

Grand Total All Awards = $64,473

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Development and Validation of an Observational Rating System for Individual Tailoring in Family-Based Pediatric Obesity Interventions

Award Number: F31HL160534

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 12/01/2021

PERIOD OF PERFORMANCE END DATE: 06/30/2023

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