CClinicalTrials.gg
Active, not recruitingNCT05741840FRESH-AUpdated May 1, 2026

Family, Responsibility, Education, Support, and Health for Families With a Child With Autism

An interventional study of PBT-A and Health Education (HE) in Autism Spectrum Disorder, Obesity, Childhood and Autism, sponsored by University of California, San Diego. Active, not recruiting at 1 site in United States. Open to participants aged 6 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by University of California, San Diego · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Study summary

The objective of this proposed study is to collect initial efficacy data on a telehealth parent-based behavioral program for children with autism and overweight or obesity (PBT-A), compared with health education (HE).

Read the detailed description

The study will compare the efficacy of PBT-A and health education program delivered via telehealth to parents on child weight management. Investigators will provide 6 months of a group program (PBT-A or HE) and will follow participants for 12-months post-treatment (total time = 18 months). Investigators will recruit parents of children diagnosed with autism and overweight or obesity. Assessments will occur at 5 timepoints: baseline, mid-treatment, post-treatment, 6-month and 12-month follow-up. Assessments will include anthropometry for both parent and child. Parent will also provide information regarding autism diagnosis and characteristics, eating behaviors, and parenting relationship measures. This program of research has the potential to advance the standard of practice for children with autism and overweight or obesity by developing tailored interventions which can be easily disseminated.

02

Conditions studied

  • Autism Spectrum Disorder
  • Obesity, Childhood
  • Autism

Keywords

  • obesity
  • treatment
  • intervention
  • Autism
  • behavioral treatment
  • parent based treatment
  • children
03

In context

Autism Spectrum Disorder

1,727 studies on the registry are indexed under Autism Spectrum Disorder; 504 are open to participants now.

This study's enrollment of 140 is above the median of 52 across 1,371 interventional studies indexed under Autism Spectrum Disorder.

Browse Autism Spectrum Disorder studies →

Lead sponsor

University of California, San Diego is the lead sponsor of 958 studies on the registry; 191 are open to participants now.

Of its 110 completed or terminated interventional studies of FDA-regulated products, 70 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. A child with OW/OB (>=85% BMI for age) aged 6-12 years
  2. Documented (1) community diagnosis or provisional diagnosis of ASD or (2) educational diagnosis of ASD
  3. The child meets cut-off criteria for autism on the Autism Diagnostic Interview-Revised (ADI-R), as well as overall DSM 5 criteria based on the clinical judgement of an experienced clinician
  4. The parent who is responsible for food preparation is willing to participate
  5. The family is willing to commit to attending all treatment and assessment sessions
  6. Child on a stable regimen of prescription medications which affect appetite or weight (minimum of 3 months)
  7. Child does not have any medical conditions that limit ability to participate in physical activity for the duration of the study. Parent can participate in physical activity or at least facilitate support of child's completion of recommended physical activity.
  8. Child and/or parent are not participating in another organized weight control program
  9. Family owns a device that can facilitate zoom meetings

Exclusion criteria

Exclusion Criteria:

  1. Child diagnoses of a serious chronic physical disease (e.g., cystic fibrosis, type 1 diabetes) for which physician supervision of diet and/or exercise is needed
  2. Child or first degree relative with diagnosis of anorexia or bulimia nervosa based on parent report
  3. Acute parent psychiatric disorder (e.g., acute suicidality; recent hospitalization; psychosis, moderate or severe alcohol or substance use disorder) that could interfere with treatment.
  4. Parent is not currently pregnant, lactating or planning to get pregnant during the study duration
  5. Parent has had bariatric surgery less than 6 months ago and/or is not yet eating solid food or is planning to have bariatric surgery over the study duration
  6. Child is taking medication for the purpose of weight loss
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    PBT-A

    PBT-A includes the elements of family based behavioral treatment for children with obesity, delivered exclusively to a parent via telehealth.

    Behavioral: PBT-A

  • Active comparator
    Health Education

    This program provides information about nutrition, physical activity, sedentary behavior, sleep, emotions, and stress delivered exclusively to a parent via telehealth.

    Behavioral: Health Education (HE)

Interventions

  • BehavioralPBT-A

    PBT-A provides all the elements of family based treatment for children with obesity, including nutrition and physical activity education, behavior therapy skills, and parenting skills.

    Also known as: parent based treatment, family based behavioral treatment

  • BehavioralHealth Education (HE)

    The HE arm will provide information about nutrition, physical activity, sedentary behavior, sleep, emotions, and stress.

06

What researchers measure

Primary outcomes

  1. Child BMIz age and sex adjusted BMI (kg/m^2)

    age and sex adjusted body mass index (BMI) z-score based on the CDC norms

    Time frame: Change from baseline to month 3, 6, 12, and 18

  2. Child %BMIp95

    Age and Sex specific percentage of the 95th percentile BMI for age and sex that is more sensitive to change in children with higher weights

    Time frame: Change from baseline to month 3, 6, 12, and 18

Secondary outcomes

  1. Parent Dietary Intake

    Block Fat/Sugar/Fruit/Vegetable Screener for adults

    Time frame: Change from baseline to month 6, 12, and 18

  2. Child Dietary Intake

    BLOCK kids food screener completed by parent

    Time frame: Change from baseline to month 6, 12, and 18

  3. Parent Physical Activity

    The International Physical Activity Questionnaire (IPAQ)

    Time frame: Change from baseline to month 6, 12, and 18

  4. Child Physical Activity

    The Children's Physical Activity Questionnaire (C-PAQ) parent proxy

    Time frame: Change from baseline to month 6, 12, and 18

  5. Child Mealtime Behaviors

    The Brief Autism Mealtime Behavior Inventory (BAMBI) with scores ranging from 18 to 90 with higher scores indicating greater mealtime problem behaviors

    Time frame: Change from baseline to month 6, 12, and 18

  6. Parent self-efficacy

    The Parenting Sense of Competence Scale (PSOC) - Scores range from 17-102 with higher scores representing higher parenting sense of competence.

    Time frame: Change from baseline to month 6, 12, and 18

  7. Parent body mass index (BMI)

    kg/m\^2

    Time frame: Change from baseline to mid-treatment, months: 3, 6, 12, and 18

  8. Parenting as measured by the Alabama Parenting Questionnaire (APQ)

    Parents will self-report parenting behaviors via the APQ across 5 domains: 1) positive involvement with children, 2) supervision and monitoring, 3) use of positive discipline techniques, 4) consistency in the use of such discipline, and 5) use of corporal punishment. Higher scores indicate greater frequency of engagement with that particular parenting domain. Scores range from 1-5.

    Time frame: Change from baseline to month 6, 12, and 18

07

Study locations

1 site
  • UC San Diego Center for Healthy Eating and Activity Research (CHEAR)
    La Jolla, California 92037, United States
08

References and documents

Publications

  • Boutelle KN, Eichen DM, Martinez K, Pinson CK, Strong DR, Reed KL, Akshoomoff N, Rhee KE, Brookman-Frazee L. Design of the FRESH-A study: A randomized controlled trial evaluating telehealth parent-only treatment for autistic youth with overweight/obesity. Contemp Clin Trials. 2026 Jul;166:108330. doi: 10.1016/j.cct.2026.108330. Epub 2026 Apr 28. PubMed 42061554 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05741840
Lead sponsor
University of California, San Diego
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Kerri Boutelle (Kerri Boutelle, Professor of Pediatrics, Psychiatry, and Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego) — Principal investigator
First posted
Feb 23, 2023
Start date
Aug 18, 2023
Primary completion
Jan 31, 2028 (estimated)
Completion
Jan 31, 2028 (estimated)
Last update
May 1, 2026

Study contacts

Kerri Boutelle, PhD
principal investigator · University of California, San Diego

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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