About this trial
The proposed project aims to implement and evaluate a novel, family-based lifestyle medicine intervention integrating group Shared Medical Appointments (SMAs) for parents and adolescents with a twelve-month medically tailored groceries (MTG) and six-month culinary medicine Food is Medicine program. The intervention provides adolescent weight wellness treatment through a holistic, community engaged approach leveraging family connection, clinical care, and nutrition support. Monthly SMAs will include time for parents and adolescents to meet independently and conclude together. These visits will be co-led by physicians, dietitians, and health professionals. Parents will receive the Ardmore Institute's Full Plate Living program while adolescents receive Tufts Pediatrics Strong, Positive and Resilient Kids (SPARK) Weight Wellness program. The SMA format is reimbursable, fosters peer support, enhances patient-provider interaction, and allows efficient delivery of education and care. Each session will include nutrition and lifestyle education, review of individualized weight care plans, and proactive goal setting tailored to adults, adolescents, and families.
Eligibility criteria
Qualifiers
Child aged 12-17 years at time of enrollment (inclusive)
BMI ≥ 95% for age and sex based on CDC growth charts
Comfortable speaking and reading English (due to limitations in intervention materials and qualitative data collection tools)
Child is an active patient at Tufts Medical Center
Disqualifiers
Participation is medically or developmentally inappropriate, including but not limited to: Severe intellectual disability or cognitive impairment preventing meaningful participation, Active eating disorder diagnosis or concerning disordered eating behaviors, Severe physical limitations or mobility impairments that would limit participation in lifestyle activities, Active unmanaged psychiatric condition (e.g., acute suicidality or psychosis) that may interfere with participation or consent
Planned bariatric surgery or other weight loss procedures during the 12-month study period
Child is currently pregnant or plans to become so in the next 12 months
Plans to relocate or transfer care away from the participating clinic during the 12-month study period
Trial design
Treatments tested in this trial
- Culinary medicine classes
- Medically Tailored Groceries
- Shared Medical Appointments
Treatment groups
Sponsors and collaborators
Tufts University
Lead sponsor
Tufts Medical Center
Collaborator