Randomized trial of a family‐based, automated, conversational obesity treatment program for underserved populations

Wright, Julie; Phillips, Barrett D.; Watson, Bonnie L; Newby, P. K.; Norman, Gregory J.; Adams, William

doi:10.1002/oby.20388

Cited by 48 publications

(170 citation statements)

References 34 publications

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“…Other types of providers involved in intervention delivery were health coaches ( n =10), nutritionists or dietitians ( n =10), nurses ( n = 7), exercise professionals ( n =5), psychologists ( n =1), and medical assistants ( n =1). One study used interactive voice technology (IVR) to deliver a telephone counseling program to children and their parents, in conjunction with behavioral counseling from the child’s primary care provider [89]. …”

Section: Resultsmentioning

confidence: 99%

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

et al. 2015

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Effective obesity prevention and treatment interventions targeting children and their families are needed to help curb the obesity epidemic. Pediatric primary care is a promising setting for these interventions, and a growing number of studies are set in this context. This review aims to identify randomized controlled trials of pediatric primary care-based obesity interventions. A literature search of 3 databases retrieved 2947 publications, of which 2899 publications were excluded after abstract (n=2722) and full-text review (n=177). Forty-eight publications, representing 31 studies, were included in the review. Eight studies demonstrated a significant intervention effect on child weight outcomes (e.g., BMI z-score, weight-for-length percentile). Effective interventions were mainly treatment interventions, and tended to focus on multiple behaviors, contain weight management components, and include monitoring of weight-related behaviors (e.g., dietary intake, physical activity, or sedentary behaviors). Overall, results demonstrate modest support for the efficacy of obesity treatment interventions set in primary care.

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Section: Resultsmentioning

confidence: 99%

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

et al. 2015

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“…Studies of multicomponent interventions delivered by telephone are also promising, with greater %OW decreases shown in participants who received a telephone intervention, compared to a control group (Saelens et al, 2002), and high users of a separate phonebased intervention decreased weight, BMI, and BMI z-score compared to low users (Wright et al, 2013). These approaches are promising for meeting the high need for evidence-based childhood obesity treatments, although more research is needed to determine the ideal format for these programs to enhance participant use of the program and the magnitude of outcomes.…”

Section: Medium Of Deliverymentioning

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

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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.

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“…While the majority of the sample was composed of children within this age range, some participants were as young as 8 years old. However, this instrument has been previously used in studies with samples including children younger than 10 years (Davis, Ventura, Cook, Gyllenhammer, & Gatto, 2011; Garcia-Dominic et al, 2012; Wright et al, 2013). …”

Section: Discussionmentioning

confidence: 99%

Association of usual self-reported dietary intake with ecological momentary measures of affective and physical feeling states in children

et al. 2015

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Background Little is known about the relationship between dietary intake and affective and physical feeling states in children. Purpose The current study used Ecological Momentary Assessment (EMA) to examine how usual dietary intake is cross-sectionally associated with both average affective and physical feeling state ratings and rating variability in children. Methods Children (N = 110, mean age = 11.0 ± 1.2 years, 52.5% male, 30.1% Hispanic/Latino) completed EMA measures of affective and physical feeling states 3–7 times per day for a full or partial day (weekday evenings and weekend days and evenings) over a 4-day period. Usual intake of pre-selected dietary components was measured prior to the EMA measurement period using the Block Kids Food Screener. Statistical analyses included mixed models and mixed-effects location scale models. Results Greater usual fiber intake was cross-sectionally associated with higher average positive affect (PA) ratings, lower variability of NA ratings, and higher variability of physical fatigue ratings. Lower usual glycemic load of diet was cross-sectionally associated with lower variability of NA ratings. Lower usual added sugar intake was cross-sectionally associated with higher average physical energy ratings and lower variability of NA ratings. Conclusions Although temporal precedence was not established by these findings, they indicate that characteristics of children’s usual dietary intake are cross-sectionally associated with both the average and variability of affective and physical feeling states. EMA offers a promising avenue through which to explore the associations between affective states and diet and has the potential to provide insight into nuances of this relationship.

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Randomized trial of a family‐based, automated, conversational obesity treatment program for underserved populations

Cited by 48 publications

References 34 publications

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

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

Association of usual self-reported dietary intake with ecological momentary measures of affective and physical feeling states in children

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