TY - JOUR
T1 - Comparison of Two Models of Family-Based Treatment for Childhood Obesity
T2 - A Pilot Study
AU - Bergmann, Kristie
AU - Mestre, Zoe
AU - Strong, David
AU - Eichen, Dawn M.
AU - Rhee, Kyung
AU - Crow, Scott
AU - Wilfley, Denise
AU - Boutelle, Kerri N.
N1 - Publisher Copyright:
© 2019, Mary Ann Liebert, Inc.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: Family-based weight loss treatment (FBT) for childhood obesity, the current "gold standard," is typically provided in weekly groups for 6 months. Although this program is considered effective, it poses limitations to treatment engagement, due to time commitment and lack of widespread availability. A guided self-help version of FBT (gshFBT; eleven 20-minute sessions and one 1-hour over 5 months) was developed to circumvent such limitations. The current study examined the comparative efficacy of a 5-month FBT and gshFBT program. Methods: Participants included 50 parent-child dyads enrolled in FBT between 2011 and 2013 and 50 parent-child dyads enrolled in gshFBT between 2009 and 2010. Data were collected at baseline, posttreatment, and 6-month follow-up. Noninferiority analyses were conducted to assess comparative efficacy of changes in parent and child weight status, child nutrition, child physical activity, and drop-out. Results: Results indicated that gshFBT was noninferior to FBT in changes in child BMI z-score, overweight parent BMI, child nutritional intake, child vigorous physical activity, and drop-out. Results did not support noninferiority for changes in moderate to vigorous physical activity. Conclusions: gshFBT is less intensive, more flexible, and may be similarly effective to FBT and could reach a greater proportion of the pediatric overweight population. Further research, including a randomized clinical trial, is needed to confirm these results.
AB - Background: Family-based weight loss treatment (FBT) for childhood obesity, the current "gold standard," is typically provided in weekly groups for 6 months. Although this program is considered effective, it poses limitations to treatment engagement, due to time commitment and lack of widespread availability. A guided self-help version of FBT (gshFBT; eleven 20-minute sessions and one 1-hour over 5 months) was developed to circumvent such limitations. The current study examined the comparative efficacy of a 5-month FBT and gshFBT program. Methods: Participants included 50 parent-child dyads enrolled in FBT between 2011 and 2013 and 50 parent-child dyads enrolled in gshFBT between 2009 and 2010. Data were collected at baseline, posttreatment, and 6-month follow-up. Noninferiority analyses were conducted to assess comparative efficacy of changes in parent and child weight status, child nutrition, child physical activity, and drop-out. Results: Results indicated that gshFBT was noninferior to FBT in changes in child BMI z-score, overweight parent BMI, child nutritional intake, child vigorous physical activity, and drop-out. Results did not support noninferiority for changes in moderate to vigorous physical activity. Conclusions: gshFBT is less intensive, more flexible, and may be similarly effective to FBT and could reach a greater proportion of the pediatric overweight population. Further research, including a randomized clinical trial, is needed to confirm these results.
KW - child
KW - family-based treatment
KW - guided self-help
KW - obesity
KW - parent
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U2 - 10.1089/chi.2018.0250
DO - 10.1089/chi.2018.0250
M3 - Article
C2 - 30720354
AN - SCOPUS:85061042156
SN - 2153-2168
VL - 15
SP - 116
EP - 122
JO - Obesity and Weight Management
JF - Obesity and Weight Management
IS - 2
ER -