April 2018 | Volume 6 | Article 101 1 ORIGINAL RESEARCH published: 12 April 2018 doi: 10.3389/fped.2018.00101 Frontiers in Pediatrics | www.frontiersin.org Edited by: Fatima Cody Stanford, Harvard Medical School, United States Reviewed by: Tiffany M. Powell-Wiley, National Institutes of Health (NIH), United States Hellas Cena, University of Pavia, Italy *Correspondence: Gitanjali Srivastava gitanjali.srivastava@bmc.org Specialty section: This article was submitted to Pediatric Gastroenterology, Hepatology and Nutrition, a section of the journal Frontiers in Pediatrics Received: 29 January 2018 Accepted: 27 March 2018 Published: 12 April 2018 Citation: Srivastava G, Palmer KD, Ireland KA, McCarthy AC, Donovan KE, Manders AJ, McDougal J, Lenders CM and Apovian CM (2018) Shape-Up and Eat Right Families Pilot Program: Feasibility of a Weight Management Shared Medical Appointment Model in African- Americans With Obesity at an Urban Academic Medical Center. Front. Pediatr. 6:101. doi: 10.3389/fped.2018.00101 Shape-Up and Eat Right Families Pilot Program: Feasibility of a Weight Management Shared Medical Appointment Model in African-Americans With Obesity at an Urban Academic Medical Center Gitanjali Srivastava 1 *, Kenya D. Palmer 1 , Kathy A. Ireland 2 , Ashley C. McCarthy 1 , Kate E. Donovan 2 , Aaron J. Manders 2 , Juhee McDougal 3 , Carine M. Lenders 2 and Caroline M. Apovian 1 1 Nutrition and Weight Management Research Center, Boston Medical Center, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, Boston, MA, United States, 2 Nutrition and Fitness for Life Program, Boston Medical Center, Department of Pediatrics, Boston University School of Medicine, Boston, MA, United States, 3 Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, United States Objectives: Disparities in obesity care exist among African-American children and adults. We sought to test the feasibility of a pilot program, a 1-year family-based intervention for African-American families with obesity [shape up and eat right (SUPER)], adopting the shared medical appointment model (SMA) at an urban safety net hospital. Outcomes: Primary outcomes: (1) family attendance rate and (2) program satisfaction. Secondary outcomes: change in body mass index (BMI), eating behaviors, and seden- tary activity. Methods: Adult parents (BMI ≥ 25 kg/m 2 ) ≥18 years and their child(ren) (BMI ≥ 85th percentile) ages 6–12 years from adult or pediatric weight management clinics were recruited. One group visit per month (n = 12) consisting of a nutrition and exercise component was led by a nurse practitioner and registered dietitian. Height and weight were recorded during each visit. Participants were queried on program satisfaction, food logs and exercise journals, Food Stamp Program’s Food Behavior, and the Expanded Food and Nutrition Education Program food checklists. Results: Thirteen participants from lower socioeconomic zip codes consented [n = 5 mothers mean age 33 years, BMI of 47.4 kg/m 2 (31.4–73.6 kg/m 2 ); n = 8 children; mean age 9 years, BMI of 97.6th percentile (94–99th percentile); 60% enrolled in state Medicaid]. Average individual attendance was 23.4% (14–43%; n = 13); monthly session attendance rates declined from 100 to 40% by program completion; two families com- pleted the program in entirety. Program was rated (n = 5 adults) very satisfactory (40%) and extremely satisfactory (60%). Pre-intervention, families rated their eating habits as fair and reported consuming sugar-sweetened beverages or sports drinks, more so