A Coordinated Parent/Child Dyad Weight Loss Intervention: Dyad Plus (Feasibility)
A Coordinated Parent/Child Dyad Weight Loss Intervention: Dyad Plus (Feasibility)
The purpose of this research is to develop a coordinated program (Dyad Plus) that would help
 to facilitate self-monitoring, positive communication, joint problem solving, and social
 support to increase physical activity, healthy eating, and weight loss. Participants of the
 Brenner FIT (Families In Training) pediatric weight management program and their
 parent/guardian will co-enroll in weight loss programs. Parents/guardians will receive the
 components of By Design Essentials.
Participation in this study will involve participation in six, one-hour sessions in addition
 to those required by your weight loss program. These sessions will work to facilitate an
 increase in self-monitoring, positive communication, problem solving, and social support to
 increase healthy physical activity and eating behaviors to increase the effectiveness of the
 weight loss programs. Joint goal setting and tracking will be enabled by commercially
 available devices and apps. Each caregiver and child will receive an activity monitor,
 activity app, and a food app (digital food diary) that allows self-monitoring of consumption
 and "social accountability," which will allow caregivers and the Brenner FIT team to monitor
 and encourage. Furthermore, two home visits will be conducted to evaluation the home food and
 activity environments to inform tailored feedback to families.

 Brenner FIT is a family-based pediatric weight management clinic for youth 2-18 years old
 referred by a physician for overweight or obesity.11-14 By Design is an adult (>18yrs) weight
 loss clinic that includes tailored dietary and physical activity behavioral counseling. The
 preliminary data suggest that most adolescent youth who enroll in Brenner FIT have at least
 one adult caregiver who is eligible and would benefit from enrollment in By Design
 Essentials.
Inclusion Criteria:

 -  Eligible for enrollment in Brenner FIT and/or By Design Essentials

 -  Caregiver who lives in the house with a BMI > 30

 -  No contraindication for physical activity or caloric restriction

 -  Must be able to read and write English

 Exclusion Criteria:

 -  Over the age of 65

 -  BMI < 30

 -  Contraindication for physical activity or caloric restriction

 -  Cannot read or write English