A Randomized Clinical Trial Comparing Delivery of Behavioral Pediatric Obesity Treatment Using Standard and Enhanced Motivational Approaches

Saelens, Brian E.; Lozano, Paula; Scholz, Kelley

doi:10.1093/jpepsy/jst054

Cited by 38 publications

(49 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Significant reductions in BMI and improved quality of life occurred for both treatment groups at post-treatment and maintained at one-year follow-up for the children, but not for the adolescents in the study. Similarly, both prescribed and self-directed approaches to family-based obesity treatments have resulted in significant weight loss up to two years after treatment [44]. …”

Section: Obesity In Children and Adolescentsmentioning

confidence: 99%

Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment

2014

View full text Add to dashboard Cite

The incidence of overweight and obesity among children has increased dramatically in recent decades, with about one-third of children in the U.S. currently being either overweight or obese. Being overweight in early childhood increases risk for later obesity. There is evidence for the efficacy of family-based behavioral treatment to control weight and improve health outcomes. Obesity-related health risks have been documented, including metabolic syndrome. There is also increasing incidence of type 2 diabetes (T2D) among youth in recent years, with obesity and family history of T2D generally present. Lower income and ethnic minority status are associated with both obesity and T2D in youth. Most youth with T2D do not achieve optimal glycemic control, and are at high risk for later health complications. Obesity and T2D represent significant public health issues with potentially great personal and societal cost. Research addressing the prevention of obesity and T2D among youth is urgently needed.

show abstract

Section: Obesity In Children and Adolescentsmentioning

confidence: 99%

Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment

2014

View full text Add to dashboard Cite

show abstract

“…Several studies examined the use of MI as an adjunctive to standard treatments, with no differences found between MI-enhanced FBT to standard FBT (Saelens, Lozano, & Scholz, 2013) or social skills training (Walpole, Dettmer, Morrongiello, McCrindle, & Hamilton, 2013), improved vegetable intake compared to standard Women, Infants, and Children nutritional counseling (Ogu et al, 2014), and improved physical activity outcomes at 6-month followup compared to a standard cognitive-behaviorally based weight loss program (Gourlan, Sarrazin, & Trouilloud, 2013). These results suggest that MI may be a viable addition to well-established treatments and additional research is needed and warranted.…”

Section: Motivational Interviewingmentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

138

149

View full text Add to dashboard Cite

Childhood obesity is associated with increased medical and psychosocial consequences and mortality and effective interventions are urgently needed. Effective interventions are urgently needed. This article reviews the evidence for psychological treatments of overweight and obesity in child and adolescent populations. Studies were identified through searches of online databases and reference sections of relevant review articles and metaanalyses. Treatment efficacy was assessed using established criteria, and treatments were categorized as well-established, probably efficacious, possibly efficacious, experimental, or of questionable efficacy. Well-established treatments included family-based behavioral treatment (FBT) and Parent-Only Behavioral Treatment for children. Possibly efficacious treatments include Parent-Only Behavioral Treatment for adolescents, FBT-Guided SelfHelp for children, and Behavioral Weight Loss treatment with family involvement for toddlers, children, and adolescents. Appetite awareness training and regulation of cues treatments are considered experimental. No treatments are considered probably efficacious, or of questionable efficacy. All treatments considered efficacious are multicomponent interventions that include dietary and physical activity modifications and utilize behavioral strategies. Treatment is optimized if family members are specifically targeted in treatment. Research supports the use of multicomponent lifestyle interventions, with FBT and Parent-Only Behavioral Treatment being the most widely supported treatment types. Additional research is needed to test a stepped care model for treatment and to establish the ideal dosage (i.e., number and length of sessions), duration, and intensity of treatments for long-term sustainability of healthy weight management. To improve access to care, the optimal methods to enhance the scalability and implementability of treatments into community and clinical settings need to be established.

show abstract

“…12 Both interventions emphasized basic nutrition and physical activity education as well as behavioral monitoring, goal setting, contingency management, environmental control, and relapse prevention. The FWP Health Coach prescribed standardized weekly goals during the first 4 weeks of treatment to help families learn and apply the behavioral skills.…”

Section: Interventionmentioning

confidence: 99%

“…We adapted the FWP intervention from a previous randomized controlled trial of individualized family-based behavioral pediatric obesity treatment (FOCUS, NIH grant R21-054871, Clinical Trial Identifier NCT00746629). 12 The FWP differed from FOCUS in two important ways: The FWP relied on a group format rather than individual contacts, and it delivered fewer contact hours. These adaptations were designed to minimize resource demand and participant burden in order to improve the feasibility and acceptability of family-based behavioral pediatric obesity treatment in a primary care setting.…”

Section: Introductionmentioning

confidence: 99%

An Adaptation of Family-Based Behavioral Pediatric Obesity Treatment for a Primary Care Setting: Group Health Family Wellness Program Pilot

Riggs

Lozano

Mohelnitzky

et al. 2014

TPJ

View full text Add to dashboard Cite

A Randomized Clinical Trial Comparing Delivery of Behavioral Pediatric Obesity Treatment Using Standard and Enhanced Motivational Approaches

Abstract: An adjunct motivational and autonomy-enhancing approach to behavioral family-based pediatric obesity treatment is a viable alternative to the standard intervention approach.

Cited by 38 publications

References 25 publications

Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment

Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

An Adaptation of Family-Based Behavioral Pediatric Obesity Treatment for a Primary Care Setting: Group Health Family Wellness Program Pilot

Contact Info

Product

Resources

About