Brian E Saelens1, Paula Lozano, Kelley Scholz. 1. Seattle Children's Research Institute, P.O. Box 5371, M/S: CW8-6, Seattle, WA 98145-5005, USA. brian.saelens@seattlechildrens.org.
Abstract
OBJECTIVE: To examine the efficacy of an adjunct motivational and autonomy-enhancing intervention (self-directed) for behavioral family-based pediatric obesity relative to the standard prescription of uniform behavioral skills use and interventionist goal assignment (prescribed). METHODS: In this randomized clinical trial, 72 overweight/obese children and their parents/caregivers were assigned to either self-directed or prescribed intervention for 20 weeks, with approaches diverging after week 5. Anthropometric measurements from child and participating parent at baseline, posttreatment, and 3-month, 6-month, 1-year, and 2-year follow-ups were evaluated for change (n = 59 in follow-up analyses). RESULTS: The approaches demonstrated similar child body mass index (BMI) z-score and parent BMI change from baseline to posttreatment and throughout follow-up, with child and parent weight status lower than baseline at 2 years after treatment cessation. CONCLUSIONS: An adjunct motivational and autonomy-enhancing approach to behavioral family-based pediatric obesity treatment is a viable alternative to the standard intervention approach.
RCT Entities:
OBJECTIVE: To examine the efficacy of an adjunct motivational and autonomy-enhancing intervention (self-directed) for behavioral family-based pediatric obesity relative to the standard prescription of uniform behavioral skills use and interventionist goal assignment (prescribed). METHODS: In this randomized clinical trial, 72 overweight/obesechildren and their parents/caregivers were assigned to either self-directed or prescribed intervention for 20 weeks, with approaches diverging after week 5. Anthropometric measurements from child and participating parent at baseline, posttreatment, and 3-month, 6-month, 1-year, and 2-year follow-ups were evaluated for change (n = 59 in follow-up analyses). RESULTS: The approaches demonstrated similar child body mass index (BMI) z-score and parent BMI change from baseline to posttreatment and throughout follow-up, with child and parent weight status lower than baseline at 2 years after treatment cessation. CONCLUSIONS: An adjunct motivational and autonomy-enhancing approach to behavioral family-based pediatric obesity treatment is a viable alternative to the standard intervention approach.
Entities:
Keywords:
health promotion and prevention; obesity; weight management
Authors: Shelley Kirk; Bonnie Brehm; Brian E Saelens; Jessica G Woo; Elizabeth Kissel; David D'Alessio; Christopher Bolling; Stephen R Daniels Journal: J Pediatr Date: 2012-02-28 Impact factor: 4.406
Authors: Emma Mead; Tamara Brown; Karen Rees; Liane B Azevedo; Victoria Whittaker; Dan Jones; Joan Olajide; Giulia M Mainardi; Eva Corpeleijn; Claire O'Malley; Elizabeth Beardsmore; Lena Al-Khudairy; Louise Baur; Maria-Inti Metzendorf; Alessandro Demaio; Louisa J Ells Journal: Cochrane Database Syst Rev Date: 2017-06-22
Authors: Brian E Saelens; Susan J Melhorn; Maya G Rowland; Kelley Scholz; Mary Rosalynn B De Leon; Clinton T Elfers; Ellen A Schur; Christian L Roth Journal: Child Obes Date: 2021-08-05 Impact factor: 2.867