None listed
Conditions
Brief summary
This study explored the efficacy of the Choose Health Program, a cognitive behavioural lifestyle program for overweight and obese adolescents. The program aims to increase participant's knowledge and skills so they are better able to make healthy lifestyle choices. It was delivered by a psychologist and conducted with individual families with adolescents and their parents attending sessions together. It was predicted that participation in the program would result in improved body composition and cardiovascular fitness, healthier eating and physical activity behaviours, and improved psychosocial wellbeing.
Interventions
The Choose Health Program is a cognitive behavioural lifestyle intervention developed for the purpose of this study. Intervention was conducted on an individual basis and delivered by a clinician with a background in psychology. The treatment phase consisted of 12 one-hour face-to-face sessions and one phone call session. The first ten treatment sessions were conducted weekly. The remaining sessions were conducted fortnightly. The focus of each treatment phase session is listed below. 1 Psycho-education 2 Eating Behaviour 3 Physical Activity 4 Healthy Food Choices 5 Physical Activity 6 Behaviour Charts and Barriers 7 Recognising Thoughts and Emotions 8 Helpful Thoughts and Emotions 9 Assertive Communication 10 Problem Solving and Planning 11 Staying on Track Phonecall - Maintaining Change 12 Maintenance and Closure Both parents and adolescents were required to attend the first six treatment sessions. Adolescents were then given the choice of attending the remaining sessions alone, or with the support of a parent. Participants received written information relating to each session with the opportunity for discussion, questions and practice of the strategies during the session. Participants were asked to record their use of these strategies between sessions. The nutritional component of the intervention aimed to promote eating habits consistent with the Australian Guide to Healthy Eating. The physical activity component of the intervention aimed to promote physical activity habits consistent with the Australian Physical Activity Guidelines for Children and Young People. Following the treatment phase families participated in the maintenance phase of intervention. This consisted of two 1-hour maintenance clinic sessions (conducted 3 and 6 months post-treatment) and seven 15-minute maintenance phone call sessions (conducted fortnightly and then monthly).
Sponsors
Study design
Eligibility
Inclusion criteria
Participants were eligible for the study if they were aged 11 to 19 years, were overweight or obese according to the International Obesity Task Force definitions, and living with a parent or adult caregiver who was prepared to be involved in treatment.
Exclusion criteria
Participants were excluded from the study if they had an intellectual or physical disability that prevented them from participating in the program.