Table 1.

Comparison of lifestyle treatment in Wellness Coaching for Kids and Families (WC4K) program and usual care and the roles of pediatricians and lifestyle coaches.

Roles	WC4K	Usual care
Previsit questionnaires	AAPa Bright Futures–consistent assessment for well-child visits Wellness screener to assess key target behaviors	AAP Bright Futures–consistent assessment for well-child visits
Pediatricians	Initiate discussion about LTb during well-child visits Use key MIc strategies (explore, guide, and choose) to obtain buy-ins for referral to MI-based lifestyle coaching Enter referral to health coaches Provide educational materials and self-monitoring logs to parents	Initiate discussion about LT during well-child visits Usual communication style, mostly directive Enter referral to LT classes or self-study videos Provide educational materials and inform families about KP.org materials
Health behavior and lifestyle treatment mode	MI-based lifestyle coaching Intake appointment (45 min); 5-9 follow-up visits (20 min) over 24 months	Online group class with a trainer or coach: 16 sessions (75 min); abbreviated version available (4×60 min) On-demand self-study videos about a healthy diet and lifestyle (3×20 min)
Target behaviors	Fruits and vegetable intake, exercise, sedentary time, sugar-sweetened beverages, and snack foods, consistent with AAP Bright Futures guidelines	Fruit and vegetable intake, exercise, sedentary time, sugar-sweetened beverages, and snack foods, consistent with AAP Bright Futures guidelines

^aAAP: American Academy of Pediatrics.

^bLT: lifestyle treatment.

^cMI: motivational interviewing.