The Dose Trial: Dose Intensity of Behavioral Interventions for Childhood Obesity

Inclusion Criteria: * BMI≥95th percentile for age and sex based on standardized CDC growth curves. * parent/caregiver aged ≥ 18 years old * are comfortable speaking and reading English or Spanish; * are a patient of a participating clinical practice; * are able to provide written or verbal consent/assent; * are able to attend scheduled sessions in the 12-month study; * are willing to make behavioral and lifestyle changes; * are able to access the internet to participate in online intervention components; * complete baseline data collection, including child height and weight; and * complete at least 90% of baseline survey items no later than 14 days after the baseline visit. Exclusion Criteria: * families for whom the primary care provider (PCP) or site principal investigator (PI) thinks the study and/or intervention is clinically/medically inappropriate (e.g. developmental delay, disordered eating, mobility impairments, cognitive or mental difficulties); * participant child is taking weight management medications at the time of enrollment; * participant child plans to undergo bariatric surgery or another weight loss operation during the 12-month study; or * participant caregiver-child dyad has plans to move during the 12-month study and will no longer be a patient of a participating clinic.