Two Pilot Randomized Trials To Examine Feasibility and Impact of Treated Parents as Peer Interventionists in Family-Based Pediatric Weight Management

Saelens, Brian E.; Scholz, Kelley; Walters, Kelly; Simoni, Jane M.; Wright, Davene R.

doi:10.1089/chi.2016.0233

Cited by 10 publications

(13 citation statements)

References 34 publications

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“…107 Finally, one study targeting students in low SES neighborhoods found an online intervention more cost-effective than the onsite version. 79 [143][144][145][146][147][148][149]151,[153][154][155][156][157][163][164][165][166]168,169,[173][174][175][176][177][178][179][180] One intervention included the use of a mobile health technology (m-health) component to target addictive eating behavior. 171 Five were bariatric surgery interventions.…”

Section: Key Cost-effectiveness Resultsmentioning

confidence: 99%

“…Like prevention-only interventions, the settings were more likely to be healthcare based [148][149][150]158,159,161,163,167,170 or in the home alongside family members. [143][144][145][146]151,157,166,173 Generally, treatment-only interventions were likely to be cost-effective in the long run.…”

Section: Key Cost-effectiveness Resultsmentioning

confidence: 99%

“…The volume of published studies tended to increase over 5‐year periods from 2001, with the greatest number of studies published between 2016 and 2020. Only 9 studies of the 151 included studies were conducted in low and middle‐income countries (LMICs) 30–38 compared with 143 studies from high‐income countries 31,39–180 . One study published in 2010 was set in a high‐income country and six LMICs 31 …”

Section: Resultsmentioning

confidence: 99%

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A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Onyimadu,

Violato,

Astbury

et al. 2023

Obesity Reviews

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Summary This systematic review critically appraised and synthesized evidence from economic evaluations of interventions targeting childhood excess weight. We conducted systematic searches in 11 databases from inception to April 19, 2023. Studies were eligible if they evaluated interventions targeting children up to 18 years and the study intervention(s) targeted childhood excess weight or sought to improve diet or physical activity, regardless of the type of economic evaluation or the underpinning study design. We synthesized evidence using narrative synthesis methods. One‐hundred fifty‐one studies met the eligibility criteria and were classified into three groups based on the intervention approach: prevention‐only (13 studies), prevention and treatment (100 studies), and treatment‐only (38 studies). The predominant setting and study design differed considerably between the three groups of studies. However, compared with usual care, most interventions were deemed cost‐effective. The study participants' ages, sex, and socioeconomic status were crucial to intervention cost‐effectiveness. Interventions whose effects were projected beyond childhood, such as bariatric surgery, lower protein infant formula, and home‐based general practitioner consultations, tended to be cost‐effective. However, cost‐effectiveness was sensitive to the assumptions underlying the persistence and intensity of such effects. Our findings can inform future recommendations on the conduct of economic evaluations of interventions targeting childhood overweight and obesity, as well as practice and policy recommendations.

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Section: Key Cost-effectiveness Resultsmentioning

confidence: 99%

Section: Key Cost-effectiveness Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Onyimadu,

Violato,

Astbury

et al. 2023

Obesity Reviews

View full text Add to dashboard Cite

show abstract

“…After the exclusion of the duplicates in the databases, the screening and eligibility criteria were applied. Finally, 29 articles were included for data synthesis in this review [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

Characteristics of Multicomponent Interventions to Treat Childhood Overweight and Obesity in Extremely Cold Climates: A Systematic Review of a Randomized Controlled Trial

Albornoz-Guerrero

Garcia

García-Pérez-de-Sevilla

et al. 2021

IJERPH

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Aim: To analyze the characteristics of multicomponent interventions to reduce childhood overweight and obesity in territories with an extremely cold climate. Methods: A systematic review was conducted following the PRISMA statement. MEDLINE, PsycNet, SciELO, and grey literature databases were reviewed in the period between 2010 and 2020. Results: 29 articles were included (n = 4434 participants; 9.3 years; 56% women) with an average adherence of 86%, 100% being the highest adherence, for the physical activity and nutrition interventions. The primary variables studied were BMI, BMI Z-score BMI-SDS and, additionally, the secondary variables studied were nutritional status and physical and mental health. In 72% of the interventions presented, positive effects were seen on the reduction of BMI, including in parents and their children. The interventions were carried out mainly by nutritionists in health centers. The duration of the 29 interventions was ≤6 months and ≥12 months, in 59% and 41% of the studies, respectively. 57% of the studies reported post-intervention results. 86% of the interventions included a physical activity component, 80% included a nutrition component, 66% included a behavioral therapy component and 55% included an education component. Concerning the effects of the intervention on the primary outcome, in interventions with a duration equal to or less than six months, the most effective interventions included recreational activities, education, and nutritional programs. In interventions lasting 12 months or more, the most effective interventions included physical activity recommendations, nutritional and physical exercise programs, and cooking classes. Conclusions: This systematic review analyzed the effectiveness of, and characterized, multicomponent interventions lasting for 6 and 12 months, aiming to treat childhood obesity in extremely cold climates. The most frequently used units of measurement were also analyzed and summarized. Evidence derived from RCT. These results can be useful for designing future interventions to treat childhood obesity in territories with an extremely cold climate.

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“…We followed-up with eligible parents via phone or email; 23 parents (11 TEP and 12 TNP) enrolled in the study. To capture a range of experiences and preferences, we purposefully recruited TEP participants who had previously participated in one of four different treatment programs, specific characteristics of which are described elsewhere ( Nutrition and Fitness for Life, 2017 ; Saelens et al, 2017 ). Recruitment stopped when no new pertinent concepts were found, and thus thematic saturation was reached ( Guest et al, 2006 ; Patton, 2002 ).…”

Section: Methodsmentioning

confidence: 99%

Exploring parent attitudes around using incentives to promote engagement in family-based weight management programs

Jacob‐Files

Powell

Wright

2018

Preventive Medicine Reports

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Incentives can promote adult wellness. We sought to examine whether incentives might help overcome barriers to engagement in child weight management programs and the ideal value, type and recipient of incentives. In 2017, we conducted semi-structured phone interviews with parents of children ≤17 years old, formerly or currently affected by obesity, who had (n = 11) or had never (n = 12) participated in family-based behavioral treatment (FBT) for obesity. Interviews explored the range and type of incentives families would be willing to accept. Interview transcripts were coded and data were analyzed using a thematic analysis. We found that some parents were skeptical about receiving cash incentives. However, once treatment-related costs were identified, some became more interested in reimbursement for out of pocket expenditures. Most parents felt up to $100/month would be adequate and that incentives should be tied to changing behaviors, not BMI. Some interviewees expressed preferences for non-cash incentives (e.g. a gift card) over cash incentives. Parents were willing to share incentives with adolescents, up to $50/month, but there was concern about incentives affecting a child's intrinsic motivation for behavior change. All parents acknowledged that moderate incentives alone couldn't overcome the realities of structural and familial barriers to engaging in weight management programs. In summary, we identified aspects of an incentive program to promote engagement in FBT that would be desirable and feasible to implement. Future quantitative work can reveal the value and structure of incentives that are effective for improving obesogenic health behaviors and outcomes.

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Two Pilot Randomized Trials To Examine Feasibility and Impact of Treated Parents as Peer Interventionists in Family-Based Pediatric Weight Management

Cited by 10 publications

References 34 publications

A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Characteristics of Multicomponent Interventions to Treat Childhood Overweight and Obesity in Extremely Cold Climates: A Systematic Review of a Randomized Controlled Trial

Exploring parent attitudes around using incentives to promote engagement in family-based weight management programs

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