Child and parent weight loss in family-based behavior modification programs.

Epstein, Leonard H.; Wing, Rena R.; Koeske, Randi; Andrasik, Frank; Ossip, Deborah J.

doi:10.1037/0022-006x.49.5.674

Cited by 219 publications

(169 citation statements)

References 22 publications

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“…[6][7][8] Because mothers typically play an important role in determining what food is available for their children and shaping eating and activity-related behaviors, [9][10][11] it is not surprising that behavior modification programs that involve parents, particularly mothers, have more of an impact than those that do not. 12,13 Assessing a parent's readiness to make lifestyle and dietary changes therefore may be an important step toward helping children lose weight.…”

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confidence: 99%

Factors Associated With Parental Readiness to Make Changes for Overweight Children

Rhee¹,

et al. 2005

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ABSTRACT. Objective. The prevalence of childhood obesity is increasing in the United States. However, it has been difficult to help children successfully lose weight and maintain weight loss. Parental involvement in this effort is important. Currently, little is known about parents' readiness to make behavior changes to help their children lose weight. The objective of this study was to describe demographic factors and parental perceptions associated with parents' readiness to make weight-reducing lifestyle changes for their overweight and at-risk-foroverweight children.Methods. A total of 151 parents of children who were aged 2 to 12 years and had BMIs >85th percentile for age and gender completed a 43-item self-administered questionnaire. Parental stage of change, defined as precontemplation stage, contemplation stage, and preparation/ action stage, was determined using an algorithm involving current parental practices and future intentions. Parents in the preparation/action stage were considered to be ready to make behavior changes to help their child lose weight. Maximum-likelihood multinomial logistic regression was used to identify demographics and perceptions associated with parental stage of change.Results. Sixty-two percent of the children had a BMI >95th percentile. Their mean age was 7.5 years, and 53% were male. Of the 151 parents, 58 (38%) were in the preparation/action stage of change, 26 (17%) were in the contemplation stage, and 67 (44%) were in the precontemplation stage. Factors associated with being in the preparation/action stage of change were having overweight or older (>8 years) children, believing that their own weight or child's weight was above average, and perceiving that their child's weight was a health problem. After controlling for multiple factors, having an older child (odds ratio ABBREVIATIONS. OR, odds ratio; CI, confidence interval.[

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confidence: 99%

Factors Associated With Parental Readiness to Make Changes for Overweight Children

Rhee¹,

et al. 2005

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“…As parent modeling has been shown to have a significant impact on children's dietary intake and physical activity [42][43], parent BMI will be assessed at pre-and post-treatment. However, we will not assess parent dietary intake and physical activity at pre-and post-treatment assessment visits.…”

Section: Discussionmentioning

confidence: 99%

Sensible Treatment of Obesity in Rural Youth (STORY): Design and methods

Janicke

Sallinen

Perri

et al. 2008

Contemporary Clinical Trials

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Project STORY is a 3-arm, randomized, planning and feasibility study assessing the effectiveness of two behavioral weight management interventions in an important and at-risk population, overweight children and their parents in medically underserved rural counties.Participants will include 90 parent-child dyads from rural counties in north central Florida. Families will be randomized to one of three conditions: (a) a Family-Based Behavioral Group Intervention, (b) a Parent-Only Behavioral Group Intervention, and (c) a waitlist control condition. Child and parent participants will be assessed at baseline (month 0), post-treatment (month 4) and follow-up (month 10). Assessment and intervention sessions will be held at Cooperative Extension offices within each local participating county. The primary outcome measure is change in child body mass index (BMI) z-score. Additional key outcome measures include child dietary intake, physical activity, self-esteem, body image, and parent BMI.The goals of the study are to (a) assess the feasibility of recruitment in rural settings, (b) develop and evaluate training protocol for group leaders, (c) determine strategies to increase adherence to monitoring and goal setting protocol, (d) evaluate strategies for participant retention, (e) assess the relative cost-effectiveness of the interventions, (f) assess the acceptability of the intervention to families and Cooperative Extension administrators and personnel, and (g) if successful, estimate the sample size needed for a full scale trial. This research has potential implications for medically underserved rural communities with limited resources and preventive health care services. If successful, a Parent-Only intervention program may provide a cost-effective and practical intervention for families in underserved rural communities.

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“…Two studies examined binge eating in samples of children who underwent family-based therapy for weight loss. In brief, family-based behavioural therapy involves teaching parents and children about healthy eating and exercise and problem-solving skills to make healthful choices (Epstein et al, 1981). The length and number of sessions of the programme have varied across studies.…”

Section: Loss Of Control Eating and Obesity Interventionsmentioning

confidence: 99%

Psychosocial preventive interventions for obesity and eating disorders in youths

Tanofsky‐Kraff

2012

International Review of Psychiatry

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The rates of paediatric obesity have risen dramatically. Given the challenge of successful weight loss and maintenance, preventive interventions are sorely needed. Furthermore, since a substantial proportion of individuals do not respond to traditional behavioural weight loss therapy, alternative approaches are required. Psychological treatments for binge eating disorder have been generally effective at reducing binge episodes and producing weight maintenance or modest weight loss in obese adults. Given the strong link between loss of control eating and obesity in youths, binge eating disorder treatment may serve as a viable form of excess weight gain prevention. An adapted version of interpersonal psychotherapy for binge eating disorder is one such intervention that we have considered. A description of the theoretical basis and proposed mechanism is described. Adaptations of interpersonal psychotherapy and other established therapies for binge eating disorder may serve as platforms from which to develop and disseminate obesity and eating disorder prevention programs in children and adolescents.

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Child and parent weight loss in family-based behavior modification programs.

Cited by 219 publications

References 22 publications

Factors Associated With Parental Readiness to Make Changes for Overweight Children

Factors Associated With Parental Readiness to Make Changes for Overweight Children

Sensible Treatment of Obesity in Rural Youth (STORY): Design and methods

Psychosocial preventive interventions for obesity and eating disorders in youths

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