About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Lives with participating biological parent or legal guardian;
Self-identifies as Hispanic;
Is between the ages of 12-15years old;
Has access to a smartphone;
Disqualifiers
Has BMI <5th (underweight) or ≥95th percentile (obesity);
Has a parent-reported chronic medical condition (e.g., type 2 diabetes) that requires more intensive intervention;
Has parent-reported responses on a physical activity readiness questionnaire (PAR-Q) that indicates a serious health issue, and a physician does not approve participation;
Has a parent-reported cognitive or developmental delay (e.g., Down Syndrome) that may interfere with understanding program materials.
Trial design
Parallel
Treatments tested in this trial
Healthy Together ("Juntos")
BehavioralParent-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.
Treatment groups
Trial outcomes
Primary outcomes
Change in Body Mass Index (BMI) in adolescents
Will be measured in kg/m\^2
Secondary outcomes
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))
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
Change in Percentage of Body Fat in adolescents
Measured in percentage
Change in Body Mass Index (BMI) in parents
Will be measured in kg/m\^2
Sponsors and contacts
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University of Miami
Lead sponsor
National Cancer Institute (NCI)
Collaborator