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. 2019 Jul 23;2019(7):CD001871. doi: 10.1002/14651858.CD001871.pub4

Beech 2003.

Study characteristics
Methods Study design: RCT
Intervention period: 12 weeks
Follow‐up period (post‐intervention): nil
Differences in baseline characteristics: reported
Reliable outcomes: reported
Protection against contamination: NR
Unit of allocation: child
Unit of analysis: child
Participants Pre‐adolescent African‐American girls
N (controls baseline) 18
N (controls follow‐up) = 18
N (interventions baseline) = child programme 21 + 21 = 42
N (interventions follow‐up) =parent programme 21 + 21 = 42
Setting: unclear if at houses or at university centres
Recruitment: girls and their families were recruited through public service announcements on several local African‐American radio stations, participation of GEMS investigators in live radio talk shows, and flyers distributed at local elementary schools.
Geographic region: Memphis, USA
Percentage of eligible population enrolled:
Mean age overall: 8.9 (0.8); range 8‐10 years; intervention age: child‐targeted group 8.7 (0.8); parent‐targeted group 9.1 (0.7); control: 8.9 (0.8)
Sex: girls only
Ethnicity: African‐American only
Interventions Intervention: the active interventions involved highly interactive weekly group sessions for 12 weeks with either girls (child‐targeted programme) or parents/caregivers (parent‐targeted programme). Content focused on knowledge and behaviour‐change skills to promote healthy eating and increased PA.
Control: the comparison intervention focused on global self‐esteem. The participants attended 3 monthly, 90‐min sessions over the 12‐week pilot study
Outcomes
  • BMI

  • Waist circumference

  • Physical maturation

  • DEXA for % body fat

  • Blood samples for insulin

  • PA:

    • accelerometer CSA

    • modified SAPAC

    • GEMS Activity Questionnaire (GAQ) computerised

  • Dietary intake measured by two 24‐h recalls using NDS‐R

  • Psychological variables:

    • body image using modified (Stunkard 1983) body silhouettes

    • weight control behaviours using McKnight Risk Factor Survey

    • parental food preparation practices

    • Self‐Perception Profile for Children

    • Healthy Growth Study for physical activity expectations

    • a self‐efficacy measure


Process evaluation: reported
Implementation‐related factors  
Notes Funding: NR
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Authors refer to randomisation but do not specify a procedure.
Allocation concealment (selection bias) Unclear risk NR
Blinding (performance bias and detection bias)
All outcomes Unclear risk NR
Quote: "interview sessions were held in conjunction with the post‐test assessment sessions and were conducted by a study investigator who was not involved in the direct delivery of the interventions."
Incomplete outcome data (attrition bias)
All outcomes Low risk No missing outcome data
Quote: "Complete data were collected at follow up for 100% of the study population"
Selective reporting (reporting bias) Unclear risk Protocol/trial registration document were unavailable
Other bias Low risk No further bias identified