The purpose of this study is to assess the efficacy of a family-based digital (web and mobile phone-based) program known as Healthy Together ("Juntos") in preventing increases in body mass index and improving moderate-to-vigorous physical activity, diet quality, and percentage body fat among Hispanic adolescents.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
750
Parent-adolescent dyads will log in to a secured website for six months. The intervention will be delivered primarily through smartphones and will include didactic content on healthy lifestyle behaviors (for parents/adolescents), family behavior change content for setting weekly goals and self-monitoring health behaviors (for parents/adolescents), and positive parenting content (for parents only), all of which were developed in accordance with participant feedback based on formative intervention development work. In addition, and to increase participant compliance/reduce attrition often observed in digital health interventions, human support ("supportive accountability") will be provided. Specifically, each family will be assigned a "coach" who will use video conferencing software to engage in approximately weekly (during the first 3 months), and monthly (during the following 3 months) 20-30-minute sessions regarding the family's progress throughout the intervention period.
University of Miami
Miami, Florida, United States
RECRUITINGChange in Body Mass Index (BMI) in adolescents
Will be measured in kg/m\^2
Time frame: Baseline and up to 12 months
Change in Moderate-to-Vigorous Physical Activity (MVPA) in adolescents
Will be measured using an Actigraph (counts/seconds (Moderate=757-1111 counts/15-seconds and vigorous\>1200 counts/15-seconds))
Time frame: Baseline and up to 12 months
Change in Diet Quality in adolescents measured by National Cancer Institute (NCI) Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool
Healthy Eating Index scores range from 0-100, higher scores indicate a higher quality diet
Time frame: Baseline and up to 12 months
Change in Percentage of Body Fat in adolescents
Measured in percentage
Time frame: Baseline and up to 12 months
Change in Body Mass Index (BMI) in parents
Will be measured in kg/m\^2
Time frame: Baseline and up to 12 months
Change in Moderate-to-Vigorous Physical Activity (MVPA) in parents
Will be measured using an Actigraph (in counts/minutes (Moderate=2690-6166 - counts/minute; vigorous≥6167 counts/min))
Time frame: Baseline and up to 12 months
Change in Diet Quality in parents measured by National Cancer Institute (NCI) Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool
Healthy Eating Index scores range from 0-100, higher scores indicate a higher quality diet
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Time frame: Baseline and up to 12 months
Change in Percentage of Body Fat in parents
Measured in percentage
Time frame: Baseline and up to 12 months
Change in Parenting Practices measured by the Parental involvement Scale
Measured by parental involvement subscale of the Parenting Practices measure (4-point Likert scale, higher scores indicate higher parental involvement; parent and adolescent report)
Time frame: Baseline and up to 12 months
Change in Communication measured by Parent Adolescent Communication Scale
Measured by the Parent-Adolescent Communication Scale (5-point Likert scale, higher scores indicate more positive communication; parent and adolescent report)
Time frame: Baseline and up to 12 months
Change in Health-related Positive Parenting Practices measured by the Parenting Strategies for Eating and Activity Scale
Measured by the Parenting Strategies for Eating and Activity Scale (5-point Likert scale, higher scores indicate more use of parent strategies for heathy eating and activity; parent and adolescent report)
Time frame: Baseline and up to 12 months