ENTREN-F Programme describes a novel structured psychosocial family-based intervention from Primary Care using a train trip metaphor aimed at improving healthy lifestyles for the whole family. It is oriented to children aged 8-12 years old who have overweight or obesity. The ENTREN-F intervention lasts 6 months and consists in 12 biweekly 2-h2 sessions in group, following a multidisciplinary perspective. The main aim is to examine the efficacy of the intervention program 'ENTREN-F' (intervention for children plus family intervention) on anthropometrics, behaviour, psychological and family factors, from a multidisciplinary perspective, compared with another group participating in the same program 'ENTREN' (intervention for children without family intervention) and with a control group (usual treatment) among Spanish children with overweight and obesity. Finally, (2) the second aim was to evaluate whether the changes were maintained 6, 12 and 18 months after the end of the intervention. Hypothesis The specific hypotheses of the present study were as follows: (a) There will be significant differences in the adherence to treatment, being higher in the ENTREN-F group (b) There will be improvements in clinical outcomes regarding the anthropometric variables of the child, the level of physical activity, psychological distress, and eating disorder of the child, after both interventions (ENTREN and ENTREN-F programme), in comparison to control group (d) There will be only improvements in clinical outcomes regarding in the family's healthy life-style, psychological distress of the parents, and the family environment, after the intervention of the ENTREN-F programme. (e) The significant changes produced will remain stable at the 6,12 and 18-month follow-up in the ENTREN-F group.
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Change from children's weight (z-BMI score)
Timeframe: Change from baseline (pre-intervention) at immediately after 6 months intervention, 12 and 18 months follow-up.
Change from levels of physical activity
Timeframe: Change from baseline (pre-intervention) at immediately after 6 months intervention and 18 months follow-up.
Prevalence of child psychiatric disorders
Timeframe: Baseline (pre-intervention)
Change from levels of anxiety symptomatology in children
Timeframe: Change from baseline (pre-intervention) at immediately after 6 months intervention, 12 and 18 months follow-up.
Change from levels of depressive symptomatology in children
Timeframe: Change from baseline (pre-intervention) at immediately after 6 months intervention, 12 and 18 months follow-up.
Change from perceived weight-stigma in children
Timeframe: Change from baseline (pre-intervention) at immediately after 6 months intervention.
Change from incidence of teasing in children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from levels of self-esteem in children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from emotional regulation in children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from eating behaviors in children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from levels of perfectionism in children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Accumulation of psychosocial stress events during childhood
Timeframe: Baseline (pre-intervention)
Change from health habits (nutrition and physical activity) from children and their principal caregiver's
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from levels of expressed emotion in family environment
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from parental child feeding perceptions, attitudes and practices
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from parental educational styles
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6, 12 and 18 months follow-up.
Change from awareness of the problem and motivation to change about the overweight of their children
Timeframe: Change from baseline (pre-intervention) at immediately after intervention, 6 and 18 months follow-up.