Acceptability and Efficacy of a Low Intensity Family-based Weight Loss Intervention PDF Download
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Author: Roberto Martín Benzo
Publisher:
ISBN:
Category : Obesity in children
Languages : en
Pages : 69
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Book Description
Prevalence of childhood overweight and obesity has tripled in the United States in the last 30 years, resulting in 31.8% of youth (ages 2-19 years of age) classified as overweight or obese.1,2 To date many high-intensity and medium-intensity programs have been developed and tested in efforts to ameliorate the high prevalence of childhood obesity, however there is a gap in the testing and implementation of low-intensity family-based treatments.3-7 The Traffic Light Program is the only childhood obesity program that has published long-term outcomes and was developed by Epstein et. al., however it only includes children from ages 6-12. We developed an 8-week family based childhood obesity program (Healthy Hawkeye Program) to test the feasibility and efficacy of an adapted version (light intensity) of the Traffic Light Program in families of overweight and obese children. To our knowledge, this is the first study to test the efficacy of a low-intensity (21 hours) comprehensive family-based intervention specifically tailored for overweight and obese children from 6 to 17 years of age. Measures include body composition (weight, fat mass, lean body mass, body fat %, BMI, waist circumference), sedentary, light and moderate levels of physical activity (wrist-worn Generative Accelerometer), dietary quality (caloric intake, fruit/vegetable daily servings), measures of nutritional and physical activity self-efficacy, Lifestyle Behavior Checklist (LBC), Family Nutrition and Physical activity (FNPA) survey, Satisfaction with Life Scale, and the Healthy Hawkeye Program Evaluation Survey. We hypothesize that participants will improve in selected (1) health measures (weight, caloric intake, daily fruit intake, daily vegetable intake, sedentary, light, and moderate physical activity levels), (2) improve in selected theoretical constructs (self-efficacy, behaviors, environments), and (3) will find the Healthy Hawkeye Program acceptable and helpful. A total of five families were recruited and only 3 families (3 mothers, 2 male children, and 1 female child) completed the program (attended 6 of 8 weekly meetings). The very low sample size of only 3 families limited the statistical analysis. The results showed parents reduced their absolute weight by 5.6 lbs and children slightly increased by 0.1 lbs. Both parents and children decreased their daily sedentary time tary time as well as increased their daily moderate activity. Various measures of self-efficacy, behaviors, nutrition improved among parents and children. Parents and children found the program to be acceptable and helpful.
Author: Roberto Martín Benzo
Publisher:
ISBN:
Category : Obesity in children
Languages : en
Pages : 69
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Book Description
Prevalence of childhood overweight and obesity has tripled in the United States in the last 30 years, resulting in 31.8% of youth (ages 2-19 years of age) classified as overweight or obese.1,2 To date many high-intensity and medium-intensity programs have been developed and tested in efforts to ameliorate the high prevalence of childhood obesity, however there is a gap in the testing and implementation of low-intensity family-based treatments.3-7 The Traffic Light Program is the only childhood obesity program that has published long-term outcomes and was developed by Epstein et. al., however it only includes children from ages 6-12. We developed an 8-week family based childhood obesity program (Healthy Hawkeye Program) to test the feasibility and efficacy of an adapted version (light intensity) of the Traffic Light Program in families of overweight and obese children. To our knowledge, this is the first study to test the efficacy of a low-intensity (21 hours) comprehensive family-based intervention specifically tailored for overweight and obese children from 6 to 17 years of age. Measures include body composition (weight, fat mass, lean body mass, body fat %, BMI, waist circumference), sedentary, light and moderate levels of physical activity (wrist-worn Generative Accelerometer), dietary quality (caloric intake, fruit/vegetable daily servings), measures of nutritional and physical activity self-efficacy, Lifestyle Behavior Checklist (LBC), Family Nutrition and Physical activity (FNPA) survey, Satisfaction with Life Scale, and the Healthy Hawkeye Program Evaluation Survey. We hypothesize that participants will improve in selected (1) health measures (weight, caloric intake, daily fruit intake, daily vegetable intake, sedentary, light, and moderate physical activity levels), (2) improve in selected theoretical constructs (self-efficacy, behaviors, environments), and (3) will find the Healthy Hawkeye Program acceptable and helpful. A total of five families were recruited and only 3 families (3 mothers, 2 male children, and 1 female child) completed the program (attended 6 of 8 weekly meetings). The very low sample size of only 3 families limited the statistical analysis. The results showed parents reduced their absolute weight by 5.6 lbs and children slightly increased by 0.1 lbs. Both parents and children decreased their daily sedentary time tary time as well as increased their daily moderate activity. Various measures of self-efficacy, behaviors, nutrition improved among parents and children. Parents and children found the program to be acceptable and helpful.
Author: Thomas A. Wadden
Publisher: Guilford Publications
ISBN: 1462535569
Category : Psychology
Languages : en
Pages : 737
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Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Author: Andrea Ellen Kass
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 47
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Book Description
Introduction: Pediatric overweight and obesity is a public health crisis, affecting one third of children and over two thirds of adults in the United States (US). The US Preventive Services Task Force (USPSTF) recommends screening for obesity and offering intensive or specialty lifestyle intervention or referral. Recent analyses revealed a family-based social facilitation weight loss maintenance intervention delivered at high intensity ("SFM-High") resulted in significantly greater change in children's percent overweight at 1-year compared to lower intensity conditions (Wilfley et al., in preparation). Thus, the purpose of this dissertation is to conduct the first cost-effectiveness analysis of the recommended treatment strategy, SFM-High, compared to standard care for obesity (i.e., no treatment control, "NTC") with a lifetime horizon. It was hypothesized that SFM-High would be cost-effective for the treatment of obesity in children and parents. Methods: Using TreeAge software, two cost-effectiveness decision trees were built to evaluate the incremental cost effectiveness of SFM-High (N=59 parent-child dyads) compared to NTC for the treatment of obesity. The incremental costs of SFM-High compared to NTC were divided by the incremental effectiveness to estimate the incremental cost-effectiveness ratio (ICER), which provides a metric for the resources required (i.e., dollars) to obtain a unit of effectiveness (i.e., life years gained). If a treatment is considered dominant, it is less costly and more effective than the comparative strategy. Results: The ICER for treating children with SFM-High compared to NTC was $17,877 per life year gained. The ICER for treating adults with SFM-High compared to NTC was dominant. Approximating the cost-effectiveness of treating children and parents using the family-based SFM-High intervention showed that the ICERs for treating the child and treating the parent were dominant compared to NTC. Conclusions: Results of the present analyses show that the family-based SFM-High intervention is cost-saving for the treatment of obesity in children and parents. As such, the present results provide an important, initial quantification of the costs and benefits of obesity intervention, offer preliminary optimism regarding the cost savings of a family-based social-facilitation weight loss maintenance intervention approach, and indicate areas for future study.
Author: Denise E. Wilfley
Publisher:
ISBN: 9780889374065
Category : Obesity
Languages : en
Pages : 63
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Book Description
Clear, up-to-date guidance for professionals working with children with obesity. One in every six children, and more in some ethnic groups, are obese, which can lead to serious health problems in adulthood. Successful treatment of young patients is complex, requiring time-intensive, evidence- based care delivered by a multidisciplinary team. Help is at hand with this well written, compact book by leading experts, which gives health professionals a clear overview of the current scientific knowledge on childhood obesity, from causality models and diagnosis to prevention and treatment. In particular, the authors outline a family-based treatment method which is best supported by the evidence and meets the recommendations of the American Academy of Pediatrics and other organizations. The appendix provides the clinician with hands-on tools: a session plan, a pretreatment assessment form, self-monitoring forms, and a meal planning and physical activity worksheet. This book is essential reading for anyone who works with children and their families, equipping them to guide patients to appropriate and effective treatment.
Author: Thomas A. Wadden
Publisher: Saunders
ISBN: 9781455711635
Category : Medical
Languages : en
Pages : 0
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Book Description
Obesity and psychiatric concerns are closely linked. This issue examine obesity and psychiatric status, and includes articles on binge eating disorder and night eating syndrome. This issue provides guidance on the medical evaluation of the obese individual, behavioral assessment, dietary management, and behavioral treatment. Articles on motivational interviewing, pharmacotherapy for obesity and surgical treatment of obesity give the full spectrum of treatment options. Finally this issue examines obesity as a public health epidemic.
Author: Michael J. Bordieri
Publisher:
ISBN:
Category :
Languages : en
Pages : 119
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Book Description
Two thirds of Americans are overweight or obese. Traditional obesity interventions (e.g. drug therapy, diets, behavior therapy) generate moderate short-term weight loss but have little evidence of long-term weight maintenance. The cultural phenomenon of "yo-yo dieting" mirrors empirical findings which suggest that weight loss, albeit demanding, is a far easier process to target than weight maintenance. The present study sought to evaluate the efficacy of an acceptance-based behavioral intervention designed to generate improvements in psychological health and quality of life in obese and overweight adults as well as encourage gradual and sustainable weight loss. While no significant immediate weight loss was observed following the intervention, significant improvements in general psychological health, reductions in anxiety and escape maintained eating, and increases in weight related acceptance and action were found in the treatment group (n = 9) compared to a wait list control group (n = 10). These findings suggest that an acceptance based intervention targeting wide band outcomes might serve as a viable alternative to traditional approaches targeting only immediate weight loss.
Author: Hilary McClafferty
Publisher: MDPI
ISBN: 3038977624
Category : Medical
Languages : en
Pages : 204
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Book Description
This Special Issue provides an overview of pediatric integrative medicine, an emerging field that blends conventional and evidence based complementary therapies with an emphasis on preventive health and wellbeing. It is one of the first publications to capture the field’s background as well as the implementation of pediatric integrative programs and therapies in both the United States and Europe. Written by expert contributors in their specialties, this work provides the reader a first-hand look at the innovative programs serving children with a wide array of conditions in both academic and community-based centers. Covering topics including program development and start-up, pediatric pain, headache, obesity management, stress, clinical hypnosis, creative arts therapies, integrative nursing, and provider self-care, the edition provides rich insight into the challenges and successes experienced by the authors and the creativity and passion driving the field with the goal of improving health care for children of all ages.
Author: National Institutes of Health (U.S.). Division of Public Information
Publisher:
ISBN:
Category : Federal aid to medical care research
Languages : en
Pages : 160
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Book Description
Author: Great Britain. Department of Health
Publisher: The Stationery Office
ISBN: 9780101637428
Category : Medical
Languages : en
Pages : 262
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Book Description
"This White Paper sets out the key principles for supporting the public to make healthier and more informed choices in regards to their health. The Government will provide information and practical support to get people motivated and improve emotional wellbeing and access to services so that healthy choices are easier to make." -- Publisher's website.
Author: Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (U.S.)
Publisher:
ISBN:
Category : Medical protocols
Languages : en
Pages : 306
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Book Description
Of evidence-based recommendations -- Introduction -- Overweight and obesity: background -- Examination of randomized controlled trial evidence -- Treatment guidelines -- Summary of recommendations -- Future research.
