Family-Based Behavioral Treatment for Childhood Obesity Adapted to Align with the MOHealthNet Medicaid Benefit: Results of the Missouri Childhood Obesity Research Demonstration Study.
Background: This study leveraged a novel Missouri Medicaid (MOHealthNet) benefit to adapt and implement evidence-based family-based behavioral treatment (FBT) within health care settings in alignment with policy requirements. Methods: In a nonrandomized matched-comparison trial, 108 parent–child dya...
| Publicado en: | Childhood Obesity Vol. 22; no. 4; pp. 211 - 223 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194801649&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194801649 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21532168 BCLB jtl: Childhood Obesity issn: 21532168 maglogo: N pubinfo: dt: Jun2026 vid: 22 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 194801649 194801649 194801649 10.1177/21532176261450310 194801649 ppf: 211 ppct: 12 formats: tig: atl: Family-Based Behavioral Treatment for Childhood Obesity Adapted to Align with the MOHealthNet Medicaid Benefit: Results of the Missouri Childhood Obesity Research Demonstration Study. aug: au: Dreyer Gillette, Meredith L. Button, Alyssa M. Staiano, Amanda E. Nelson, Lisa C. Carlson, Jordan A. Dean, Kelsey M. Bullard, Sarah E. Monocello, Lawrence T. Beyl, Robbie Welch, R. Robinson Hampl, Sarah E. Wilfley, Denise E. affil: Center for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA. sug: subj: Pediatric Obesity Therapy Behavior Therapy Family Centered Care Adaptation, Psychological Medicaid Program Implementation Treatment Outcomes Implementation Science Health Policy Funding Source Missouri Human Male Female Child Pilot Studies Comparative Studies Social Workers Dietitians Nutritionists Telehealth Body Mass Index Linear Regression Logistic Regression Chi Square Test Dose-Response Relationship Data Analysis Software Descriptive Statistics Scales Checklists Questionnaires Coping Quality of Life Habits Child: 6-12 years Male Female ab: Background: This study leveraged a novel Missouri Medicaid (MOHealthNet) benefit to adapt and implement evidence-based family-based behavioral treatment (FBT) within health care settings in alignment with policy requirements. Methods: In a nonrandomized matched-comparison trial, 108 parent–child dyads participated in FBT, and 92 dyads attended at least one session. Licensed Clinical Social Workers or Registered Dietitian Nutritionists offered 26–33 FBT hours delivered virtually over 6–12 months to Medicaid-insured patients in an urban and rural pediatric health system in Missouri. The matched-comparison group included 186 participants. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework (RE-AIM) framework was used to evaluate effectiveness (primary) and reach (secondary) and explore adoption, implementation, and maintenance. Results: Children in the FBT group reduced their percent over median body mass index (BMI) compared with the matched comparison group (mean reduction: −3.9 ± 1.4, d = −0.42). Within the FBT group, participants also demonstrated improvements in coping with teasing, health-related quality of life, and family health habits (all p < 0.05). Families rated the program as highly acceptable. Reach data indicated enrolled patients had similar BMI, sex, and ethnic backgrounds compared with eligible but non-enrolled patients (p s > 0.301). Conclusions: Data demonstrate the feasibility of adopting and implementing FBT within health care systems and inform efforts to support maintenance. FBT reached a diverse population of families receiving Medicaid in pediatric primary care settings and was associated with greater improvements in youth weight outcomes compared with a matched comparison group. Adaptations made to align with the benefit may have reduced the magnitude of effects; however, this policy provides an opportunity to deliver FBT within primary care settings and expand access. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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