Family‐based treatment of children with severe obesity in a public healthcare setting: Results from a randomized controlled trial

Skjåkødegård, Hanna Flækøy; Kolko, Rachel P.; Hystad, Sigurd William; Roelants, Mathieu; Olsson, Sven Johan Gustav; Frisk, Bente; Wilfley, Denise E.; Danielsen, Yngvild Sørebø; Júlíusson, Pétur Benedikt

doi:10.1111/cob.12513

Cited by 8 publications

(20 citation statements)

References 54 publications

(190 reference statements)

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“…This research is part of the FABO study, 21 a randomized controlled trial (RCT) evaluating the effect of FBSFT compared to the standard treatment given to children with severe obesity at the Obesity Outpatient Clinic, Haukeland University Hospital, Bergen, Norway 19,21 . Participants were recruited from February 2014 to October 2018.…”

Section: Methodsmentioning

confidence: 99%

“…Family structure, parental education levels and parental employment were measured with a parental questionnaire at baseline 19 . The questionnaire was part of the baseline assessment at the Obesity Outpatient Clinic.…”

Section: Methodsmentioning

confidence: 99%

“…2 Family-based behavioural treatment (FBT) is an evidence-based intervention for paediatric obesity, shown to yield clinically significant weight loss. [17][18][19] Investigating barriers for participation in this kind of treatment and the associations to attrition or retention is an important addition to research on pre-to post-treatment change in weight and behavioural outcomes. 14,19 Studies have indicated that, in addition to family stressors, different aspects of the treatment (demands and relevance) and alliance with the therapist are likely to influence treatment attendance and outcome in psychological treatment of children and families.…”

Section: Introductionmentioning

confidence: 99%

“…Family‐based behavioural treatment (FBT) is an evidence‐based intervention for paediatric obesity, shown to yield clinically significant weight loss 17–19 . Investigating barriers for participation in this kind of treatment and the associations to attrition or retention is an important addition to research on pre‐ to post‐treatment change in weight and behavioural outcomes 14,19 .…”

Section: Introductionmentioning

confidence: 99%

“… 17 , 18 , 19 Investigating barriers for participation in this kind of treatment and the associations to attrition or retention is an important addition to research on pre‐ to post‐treatment change in weight and behavioural outcomes. 14 , 19 Studies have indicated that, in addition to family stressors, different aspects of the treatment (demands and relevance) and alliance with the therapist are likely to influence treatment attendance and outcome in psychological treatment of children and families. 8 , 20 These kinds of within‐treatment barriers have rarely been examined in relation to FBT for paediatric obesity.…”

Section: Introductionmentioning

confidence: 99%

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Perceived barriers in family‐based behavioural treatment of paediatric obesity – Results from theFABOstudy

et al. 2022

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Summary Background To date, few studies have investigated perceived barriers among those who participate in and drop out of family‐based behavioural treatment (FBT) for paediatric obesity. Examining experienced barriers during treatment, and their role in participation and completion of treatment has important implications for clinical practice. Objectives To compare perceived barriers to participating in a family‐based behavioural social facilitation treatment (FBSFT) for obesity among families who completed and did not complete treatment. Methods Data were analysed from 90 families of children and adolescents (mean (M) age = 12.8 years, standard deviation (SD) = 3.05) with severe obesity enrolled in a 17‐session FBSFT program. After completing 12 sessions or at the time of dropout, parents and therapists completed the Barriers to Treatment Participation Scale (BTPS), a 5‐point Likert scale (1 = never a problem, 5 = very often a problem) which includes four subscales: 1. Stressors and obstacles that compete with treatment, 2. Treatment demands and issues, 3. Perceived relevance of treatment, 4. Relationship with the therapist. Results Families who did not complete treatment scored significantly higher on the BTPS subscales stressors and obstacles that compete with treatment (M = 2.03, SD = 0.53 vs. M = 1.70, SD = 0.42), p = 0.010 and perceived relevance of treatment (M = 2.27, SD = 0.48 vs. M = 1.80, SD = 0.50), p < 0.001 than families who completed treatment. No other significant differences between groups were observed. Conclusion Families are more likely to drop out of FBSFT when experiencing a high burden from life stressors or when treatment is not meeting the expectations and perceived needs of the family.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%