Black 2010.
Study characteristics | ||
Methods | Study design: RCT Intervention period: 12 weeks Follow‐up period (post‐intervention): 21 months Differences in baseline characteristics: reported Reliable outcomes: reported Protection against contamination: NR Unit of allocation: individual Unit of analysis: individual |
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Participants | N (controls baseline) = 114 N (controls follow‐up) = 93 (1st follow‐up); 90 final N (interventions baseline) = 121 N (interventions follow‐up) = 91 (1st follow‐up); 89 final Setting (and number by study group): home‐ and community‐based Recruitment: 2 samples:
Geographic region: resident in low‐income communities surrounding a mid‐Atlantic urban, university medical centre Percentage of eligible population enrolled: NR Mean age: intervention + control: 13.3 (11‐16) Sex: intervention + control: 49% female |
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Interventions | To evaluate a 12‐session, home‐ and community‐based health promotion/obesity prevention programme. A manualised 12‐session (12‐week) intervention based on SCT, developed with a board of African American adolescents, and a rap music video promoting healthy eating and PA. Principles of mentorship (role modelling and support), participatory learning, and goal‐setting were central to the intervention. Participants were paired with race‐ and gender‐matched college‐enrolled (age 19‐25 years) mentor. Mentoring took place in both the home and the community (mentors accompanied the adolescents to neighbourhood convenience stores and playgrounds to promote healthy dietary choices and PA). In addition to setting dietary and PA goals, tracking and evaluating progress and revising goals as necessary, intervention adolescents made and tasted healthy snacks and engaged in PA. Diet and PA combined intervention vs control |
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Outcomes | Outcome measures
Process evaluation: reported (fidelity) |
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Implementation‐related factors | Theoretical basis: SCT and MI Resources for intervention implementation: NR Who delivered the intervention: reported PROGRESS categories assessed at baseline: child: gender, race/ethnicity; parent: education, SES, social status PROGRESS categories analysed at outcome: child: gender Outcomes relating to harms/unintended effects: NR Intervention included strategies to address diversity or disadvantage: NR Economic evaluation: NR |
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Notes | Funding: this research was supported by grant R40MC00241 from the Maternal and Child Health Research Program, US Department of Health and Human Services to Maureen Black, Ph.D., and the University of Maryland General Clinical Research Center grant M01 RR16500, General Clinical Research Centers Program, National Center for Research Resources (NCRR), NIH Mentors received approximately 40 h of training, including MI and had weekly supervision during the intervention |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomly stratified by growth history, weight status, gender and age, no further details |
Allocation concealment (selection bias) | Unclear risk | NR |
Blinding (performance bias and detection bias) All outcomes | Low risk | Research assistants were unaware of participants' intervention status or baseline data re collection of anthropometric measures |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Loss is overall < 30% and ITT analyses were conducted |
Selective reporting (reporting bias) | Low risk | Trial registration document checked. All outcomes reported |
Other bias | Low risk | No additional threats to validity |