Obesity
Conditions
Keywords
Obesity, Overweight, Behavioral treatment, Family involvement
Brief summary
The current study examined the effectiveness of a behaviorally-based group intervention for overweight children and their families. The target intervention was compared to an enhanced standard of care treatment. The impact of both treatment programs on numerous outcomes was explored.
Detailed description
The primary objective of the present investigation was to determine the effectiveness of an empirically supported intervention for pediatric overweight in two outpatient clinical settings. A number of previous randomized clinical trials have demonstrated the efficacy of behaviorally-based group interventions for overweight children and their families. As called for by Kazdin and Weisz (1998) and Chambless and Hollon (1998) the proposed investigation was designed to demonstrate the effectiveness of such a treatment in a clinical setting, and to examine the effects of the intervention on children's quality of life (QOL). Because the clinical impact of empirically supported interventions is mitigated by economic and consumer variables, a secondary aim of the proposed investigation was to examine (1) the cost-effectiveness of an outpatient group intervention for pediatric obesity, and (2) the consumer satisfaction with the proposed intervention. Finally, an additional exploratory aim was to examine predictors of adherence to treatment for the intervention.
Interventions
BEHAVIORALPositively Fit
12-week group intervention for children with obesity and their parents/caregivers
OTHERBrief Family Intervention (Primarily education)
3 hours of contact with registered dietician for education and nutritional counseling.
Sponsors
University of Kansas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Child between ages 7 and 17 (inclusive) * Child BMI at or above the 85th percentile based on norms provided for age and gender * Child's parent/guardian provides informed consent for treatment of the child as well as consent for study participation * Child's parent/caregiver is willing to participate with the child in the program
Exclusion criteria
* Presence of serious mental illnesses or significant developmental delay that would reasonably predict altered ability to adhere to the treatment protocol * Current physical illness or hospitalization of the child that would interfere with group attendance or protocol adherence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| BMI Percentile Change | Treatment completion, 1 year follow up |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life - The PedsQL™ (version 4.0;Varni et al., 2001) | treatment completion, one year follow up |
| Child Psychosocial Adjustment -- the Behavioral Assessment System for Children- Parent report form (BASC-PRF) and the BASC-Child Self Report (BASC-CSR; Reynolds & Kamphaus, 2002) | Treatment completion, one year follow up |
| Cost-effectiveness | Treatment completion, one year follow up |
| Consumer Satisfaction | Treatment completion |
Countries
United States
Outcome results
None listed