Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Reduction of Inequalities in Overweight and Obesity Management Care Access Among High School Adolescents
Brief Summary: Background: The prevalence of overweight and obesity continues to increase in socially less advantaged populations but is stabilizing even is decreasing in socially more advantaged populations. The PRALIMAP trial highlighted the effectiveness of structured screening and care management in decreasing the prevalence of overweight and obesity in high school adolescents over 2 years. The PRALIMAP-INES trial aims to investigate whether a strengthened care management (CM) for socially less advantaged adolescents in school in the short and long term has an equivalent effect as a standard-CM on decreasing the prevalence of overweight and obesity among socially advantaged adolescents.

Intervention: PRALIMAP-INÉS is a mixed prospective and multicenter trial of 1,250 overweight and obese adolescents aged 13 to 18 years who are attending grade 9 and 10 in the 35 state-run schools of the Vosges department (northeastern France) for the academic years 2012-2013 2013-2014 and 2014-2015. Overweight adolescents (including obese) classified as advantaged are allocated to the standard-CM and those less advantaged are randomized to standard CM or strengthened-CM. The standard-CM consists of 5 collective sessions of 2 hr each performed in high school and supervised by a healthcare mobile team specialised in overweight and obesity care management for adolescents. The strengthened-CM consists of 5 collective sessions with the same standard operating procedure as the standard-CM with supplementary interventions between each session: strengthened solicitation with the adolescent and the family, peer-led educational sessions, motivational interviews, financial support for physical activity practice, cooking classes and multidisciplinary consultation meetings. Data on sociodemographics, anthropometrics, physical activity and mental health are collected at 3 visits: at the entry to grade 9 or 10 (before the intervention=T0), at the end of grade 9 or 10 (at the end of the intervention=T1) and at the end of grade 11 (1 year after the intervention=T2). Process evaluation data are also collected during the trial.

Expected results: To confirm the effectiveness of overweight CM for adolescents in a school setting and to highlight or not the effectiveness of specific strengthened interventions adapted for socially less advantaged adolescents to maintain social equality in access to overweight care.


Options:
A: Arm Label: The Health Lifestyles Interventions; Type: EXPERIMENTAL; Interventions: Behavioral: The Health Lifestyles Interventions | Arm Label: Receive no intervention; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: The Health Lifestyles Interventions; Assigned to Arm(s): The Health Lifestyles Interventions
B: Arm Label: Group 1:; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard care management | Arm Label: Group 2; Type: EXPERIMENTAL; Interventions: Behavioral: Standard care management | Arm Label: Group 3; Type: EXPERIMENTAL; Interventions: Behavioral: The strengthened care management | Intervention Type: BEHAVIORAL; Name: Standard care management; Assigned to Arm(s): Group 1:, Group 2 | Intervention Type: BEHAVIORAL; Name: The strengthened care management; Assigned to Arm(s): Group 3
C: Arm Label: control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Educational strategy; Type: EXPERIMENTAL; Interventions: Behavioral: Educational strategy | Arm Label: Screening strategy; Type: EXPERIMENTAL; Interventions: Behavioral: Screening strategy | Arm Label: Environmental strategy; Type: EXPERIMENTAL; Interventions: Other: Environmental strategy | Arm Label: Educational and Screening strategies; Type: EXPERIMENTAL; Interventions: Behavioral: Educational strategy, Behavioral: Screening strategy | Arm Label: Screening and Environmental strategies; Type: EXPERIMENTAL; Interventions: Behavioral: Screening strategy, Other: Environmental strategy | Arm Label: Educational and Environmental strategies; Type: EXPERIMENTAL; Interventions: Behavioral: Educational strategy, Other: Environmental strategy | Arm Label: the three strategies; Type: EXPERIMENTAL; Interventions: Behavioral: Educational strategy, Behavioral: Screening strategy, Other: Environmental strategy | Intervention Type: BEHAVIORAL; Name: Educational strategy; Assigned to Arm(s): Educational and Environmental strategies, Educational and Screening strategies, Educational strategy, the three strategies | Intervention Type: BEHAVIORAL; Name: Screening strategy; Assigned to Arm(s): Educational and Screening strategies, Screening and Environmental strategies, Screening strategy, the three strategies | Intervention Type: OTHER; Name: Environmental strategy; Assigned to Arm(s): Educational and Environmental strategies, Environmental strategy, Screening and Environmental strategies, the three strategies
D: Arm Label: HEALTH[e]TEEN; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: HEALTH[e]TEEN | Arm Label: HEALTH[e]TEEN + CST; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: HEALTH[e]TEEN + CST | Intervention Type: BEHAVIORAL; Name: HEALTH[e]TEEN; Assigned to Arm(s): HEALTH[e]TEEN | Intervention Type: BEHAVIORAL; Name: HEALTH[e]TEEN + CST; Assigned to Arm(s): HEALTH[e]TEEN + CST

Answer: B