Recent Updates on the Efficacy of Group-Based Treatments for Pediatric Obesity

Hayes, Jacqueline F.; Altman, Myra; Coppock, Jackson H.; Wilfley, Denise E.; Goldschmidt, Andrea B.

doi:10.1007/s12170-015-0443-8

Cited by 12 publications

(8 citation statements)

References 69 publications

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“…Focus groups among children to study what strategies would be helpful in facilitating maintenance of weight loss post‐intervention brought forward that maintenance intervention contacts should be scheduled, personalized rather than automated, and with a familiar member of the intervention team . More extensive and/or tailored care may be necessary to promote continued improvement in weight status .…”

Section: Discussionmentioning

confidence: 99%

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Maintenance interventions for overweight or obesity in children: a systematic review and meta‐analysis

2018

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Childhood obesity is associated with significant health consequences. Although several intervention programmes for children result in weight loss or stabilization in the short-term, preventing relapse after treatment remains an important challenge. This systematic review summarizes the evidence about maintenance interventions after treatment in childhood obesity. Studies were identified by searching PubMed, Embase, Cochrane Library, Scopus, Web of Science, PsycINFO, CINAHL and SocINDEX. The primary outcome measure for this review was body mass index standard deviation score (BMI-Z-score). Data were pooled using quality effect models. Eleven studies (1,532 participants, age 2-18 years) were included, covering a wide range of maintenance approaches. Included studies varied widely in methodological quality. Pooled analysis showed that the BMI-Z-score of maintenance intervention participants remained stable, whereas control participants experienced a slight increase. No differences were observed regarding intensity and duration of therapy. A slight preference for 'face-to-face' versus 'on distance' interventions was shown.In summary, this review shows that, although there is limited quality data to recommend one maintenance intervention over another, continued treatment does have a stabilizing effect on BMI-Z-score. Considering the magnitude of the problem of childhood obesity, this is an important finding that highlights the need for further research on weight loss maintenance.

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Section: Discussionmentioning

confidence: 99%

“…As stated by Wilfley et al . , a comprehensive maintenance programme combining both behaviourally and socially based treatment targets is likely to maximize children's long‐term weight control success. Where possible, including an individual component in a group‐based intervention could produce optimal outcomes.…”

Section: Discussionmentioning

confidence: 99%

Maintenance interventions for overweight or obesity in children: a systematic review and meta‐analysis

2018

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“…Therefore, conference attendees reached consensus on the need for taking an individualized approach to care that allows for the tailoring of treatment to patient or family needs and preferences. However, it was noted that including some group sessions may offer the opportunity for social support with and among children, families, and parents and may improve cost‐effectiveness .…”

Section: Consensus On Effective Implementation Of Childhood Obesity Tmentioning

confidence: 99%

Improving access and systems of care for evidence‐based childhood obesity treatment: Conference key findings and next steps

Wilfley

Staiano

Altman

et al. 2016

Obesity

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Objectives To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e. clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 hours over 6–12 months to improve weight status) and to expand payment for these services. Methods In July 2015, forty-three cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations. Results Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multi-disciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g. >25 hours) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended. Conclusion Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale-up training to ensure quality of care.

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“…6 However, including some group sessions may offer the opportunity for social support and improve cost effectiveness. 7 The dose of treatment has a strong impact on success. Multicomponent behavioral interventions of moderate (26–75 h of treatment contact per year) to high intensity (> 75 h) for obese children and adolescents, ages six and older, have been shown to yield short term improvements in up to 12 months.…”

Section: Family-based Sessionsmentioning

confidence: 99%