School-Based Health Center-Based Treatment for Obese Adolescents: Feasibility and Body Mass Index Effects

Abstract

This SBHC intervention showed successful recruitment and retention of participants and delivery of preventive services in both groups. Meeting with an HE did not improve BMI outcomes in the IG. Confounding factors, including sports participation and SBHC utilization, likely contributed to BMI outcomes.

Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity

“…We initially identified 25 586 citations and, after removing duplicates, we reviewed 20 514 unique citations. Of those, 78 RCTs 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 ...…”

Efetividade De Programas De Intervenção Para Obesidade Com Base Em Orientações Para Escolares Adolescentes: Revisão Sistemática

“…Twelve studies were selected, all of them conducted in school environment with adolescents and using methods of educational intervention associated or not with the practice of physical activities and nutritional support. Four studies included only educational intervention, 19 , 20 , 21 , 22 four made an association between educational interventions, inclusion of healthy foods and physical activity, 23 , 24 , 25 , 26 two connected guidelines with physical exercise, 27 , 28 and two made a relation between guidelines and healthy food consumption 29 30 …”

Realist-informed review of motivational interviewing for adolescent health behaviors

“…( n = 125) - Average age = 15.37 - 89.7% completed - ME sessions 2×/week reinforcement - 16 weeks total (5 days a week and a total of 80 sessions). - Behavior-based motivational enhancement intervention applied in this study was based on materials used in previous studies - Text message sent to participants and parents - Pre-post design (8 weeks) - No control group - No info on training or fidelity of ME - BMI decreased - Physical activity increased - Self-efficacy and perceived benefits of exercise increased - Perceived barriers decreased - Significant increases in weight control and “better outlook” - Physical satisfaction lack of competence and tiredness were significantly reduced - Intervention conducted in the gym and classroom of a middle school before the school day began - All male participants - Self-efficacy - Increased perceived benefits to weight loss - Increase in weight control, better outlook, and physical satisfaction - Decrease in perceived barriers - Reduced lack of competence and tiredness - School setting (C 1 ), led to increased self-efficacy, reduced competence (M 1 ), resulting in health behavior change Love-Osbourne et al 2014 [ 96 ] (low) - Adolescents with a BMI > 85% - 2 school-based health centers located in public schools - 87% in the CG and 77 students (94%) in the intervention group completed study - Both groups received preventive services - IG had a mean of five visits with the educator (range, 1 to 8). - IG randomized to receive either weekly text messages or no text messages for the first semester - Full-day training on MI techniques conducted by a local expert and a follow-up session with the trainer 2 months later - BMI, demographic questionnaire - Pre/post - Record weight weekly and lifestyle behaviors daily on a paper log sheet - Participants were instructed to turn in log sheets weekly - No MI fidelity assessed - CG had more youth who decreased their BMI compared to the IG (40 versus 18%) - CG had higher sports participation than IG (47 versus 28%) - Increased visit number not associated with improved BMI outcome.…”