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In a quasi-experimental pilot trial with eight participants, attendance was acceptable while retention varied, and results suggested partial support for feasibility and limited promising effects.",{"@graph":14,"@context":75},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/comparing-two-child-obesity-interventions-to-improve-body-composition-motivation-and-well-being-a-feasibility-study/579462/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":48,"encodingFormat":47,"isAccessibleForFree":49,"interactionStatistic":50},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/comparing-two-child-obesity-interventions-to-improve-body-composition-motivation-and-well-being-a-feasibility-study/579462.png","ImageObject",300,407,{"name":42,"@type":43},"Oliver","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":51,"interactionType":52,"userInteractionCount":22},"InteractionCounter",{"@type":53},"ViewAction",{"@type":55,"mainEntity":56},"FAQPage",[57,63,67,71],{"name":58,"@type":59,"acceptedAnswer":60},"What was the study’s main aim?","Question",{"text":61,"@type":62},"To evaluate the feasibility—adaptation, limited efficacy, and acceptability—of two exercise and nutrition education interventions for overweight and obese Hispanic adolescents.","Answer",{"name":64,"@type":59,"acceptedAnswer":65},"How was the pilot study designed and how many participants were included?",{"text":66,"@type":62},"It was a quasi-experimental trial with eight pediatrician-referred participants assigned to two parallel arms over 12 weeks.",{"name":68,"@type":59,"acceptedAnswer":69},"What were the key findings on attendance and retention?",{"text":70,"@type":62},"Attendance was acceptable for both programs, while retention was poorer for BRAVO! compared with BRAVO!+.",{"name":72,"@type":59,"acceptedAnswer":73},"Did the interventions show evidence of efficacy?",{"text":74,"@type":62},"Findings suggested promising limited efficacy in the BRAVO!+ group, with small reductions in BMI and weight that were not statistically significant.","https://schema.org",{"og:url":32,"og:type":77,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":79,"canonical":32},"index,follow",{"doc_id":81,"site_id":7},579462,1792080643,{"code":4,"msg":84,"data":85},"success",[86,90,94,98,103,108,112,117,122,125,129],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":87,"show_sort_weight":88,"slug":89},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},"Exam",70,"exam",{"id":99,"doc_module":4,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},5,"Comic",60,"comic",{"id":104,"doc_module":4,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},6,"Technology",50,"technology",{"id":109,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},7,40,"healthcare",{"id":113,"doc_module":4,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},8,"Research & Report",30,"research-report",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},9,"Religion & Spirituality",20,"religion-spirituality",{"id":120,"doc_module":4,"doc_module_name":25,"category_name":123,"show_sort_weight":120,"slug":124},"World Cup","world-cup",{"id":126,"doc_module":4,"doc_module_name":25,"category_name":127,"show_sort_weight":126,"slug":128},10,"Lifestyle","lifestyle",{"id":130,"doc_module":4,"doc_module_name":25,"category_name":131,"show_sort_weight":99,"slug":132},19,"General","general",{"code":4,"msg":84,"data":134},{"doc_id":81,"user_id":135,"nickname":42,"user_avatar":136,"doc_module":4,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":137,"file_id":138,"file_url":139,"file_type":140,"file_size":141,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":118,"language":142,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":143,"faqs":144,"seo_title":145,"seo_description":12,"update_tm":146,"read_time":147},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","ISSN 0778-3906  \nPublished in JTRM in Kinesiology an Online Peer-reviewed Research and Practice Journal January 17, 2024  \nComparing Two Child Obesity Interventions to Improve Body Composition, Motivation and Well-Being:  \nA Feasibility Study  \nTaewoo Kim1,*, Junhyuk Park1, Sanga Yun1, Yongju Hwang 2, T. N. Kirk1, Karen A. Lindsley3, &  \nSami Yli-Piipari1  \n1Department ofKinesiology, University of Georgia, Athens, Georgia, GA, United States 2Deptartment ofKinesiology and Sport Management, Gonzaga University, Spokane, Washington, WA, United States 3Regulatory Knowledge and Support, Emory University, Atlanta, Georgia, GA, United States  \n*Corresponding author: [tk36478@uga.edu](tk36478@uga.edu)  \nAbstract Regular physical activity and balanced nutrition are important in maintaining a healthy weight. Nonetheless, minority populations, like Hispanics, face challenges (e.g., language barriers and transportation unavailability) that limit their participation in intervention programs to receive benefits. Furthermore, dog companionship has been shown to relate to adolescents’ behavioral and socio-emotional development positively, and it has been shown to have the potential to increase physical activity in adolescence. Therefore, this study aimed to examine the feasibility, i.e., program adaptation, limited efficacy, and acceptability, of the two exercise and nutrition education interventions to improve body composition, motivation, and well-being in overweight and obese Hispanic adolescents. This pilot study was a quasi-experimental trial with eight pediatrician-referred participants (Mage =11.75±1.48) assigned to two parallel arms: 1) BRAVO! and 2) BRAVO!+ . Both share identical exercise (24 hours) and nutrition (12 hours) programs centered on the self-determination theory for 12 weeks. The results suggested, first, acceptable attendance (BRAVO!= 56.25%; BRAVO!+ = 64.58%) but poor retention (BRAVO! = 33.33%; BRAVO!+ = 63.63%). Second, the findings suggested promising limited efficacy in BRAVO!+ group, with small but statistically non-significant reductions in participants’ BMI (Mbaseline = 33.08±6.13; Mpost = 32.23±6.88; t[3] = 1.633, p = 0.201) and weight (Mbaseline = 78.13±16.22; Mpost = 77.62±17.64; t[3] = 0.485, p = 0.661) . In addition, the results suggested high satisfaction and acceptable suitability for both programs and providing important suggestions for the future. In conclusion, our pilot study findings only partially supported the feasibility of the pet-dog-enhanced lifestyle intervention. Although this study found evidence that pet-dog companionship can improve program satisfaction and acceptability of pediatric lifestyle interventions, including a pet-dog in the intervention may contribute to high dropout evidenced in this study.  \nKeywords: weight management, weight loss, adolescence, intrinsic motivation, self-determination, canine study  \n1. Introduction  \nThe obesity epidemic is a common public health concern affecting the United States (US) (Wang et al., 2020). Chronic diseases, such as type 2 diabetes mellitus and metabolic syndrome, are known tobe associated with obesity (Peirson et al., 2015). Also, it has been estimated that the economic burden of obesity in the US alone is somewhere between $147 to 210 billion per year (Cawley & Meyerhoefer, 2012; Finkelstein, 2009). Obesity is connected to general family health as there is a strong positive association between parental obesity and their children’s obesity rate (McLoone & Morrison, 2014), and childhood obesity tends to transfer obesity into adulthood (Simmonds et al., 2016; Singh et al., 2008). In addition, it has been reported that Hispanic children (26.9%) and adolescents (25.6%) have the highest obesity rate of all racial/ethnic groups (Fryar et al., 2018). This is  \nconcerning as Hispanic adolescents (12-19-year-olds) are becoming one of the fastest growing pediatric obesity populations (Ogden et al., 2020). To reduce the consequences of an obesity epidem","cbCaieihiMFvYM86","https://ap.wps.com/l/cbCaieihiMFvYM86","pdf",529342,"English","# Introduction\n## Background and rationale\n## BRAVO! program and self-determination theory\n## Dog companionship and related outcomes","[{\"question\":\"What was the study’s main aim?\",\"answer\":\"To evaluate the feasibility—adaptation, limited efficacy, and acceptability—of two exercise and nutrition education interventions for overweight and obese Hispanic adolescents.\"},{\"question\":\"How was the pilot study designed and how many participants were included?\",\"answer\":\"It was a quasi-experimental trial with eight pediatrician-referred participants assigned to two parallel arms over 12 weeks.\"},{\"question\":\"What were the key findings on attendance and retention?\",\"answer\":\"Attendance was acceptable for both programs, while retention was poorer for BRAVO! compared with BRAVO!+.\"},{\"question\":\"Did the interventions show evidence of efficacy?\",\"answer\":\"Findings suggested promising limited efficacy in the BRAVO!+ group, with small reductions in BMI and weight that were not statistically significant.\"}]","Comparing Two Child Obesity Interventions to Improve Body Composition, Motivation and Well-Being: A Feasibility Study | PDF",1792035683,23]