Comparison of a family-based group intervention for youths with obesity to a brief individual family intervention: A practical clinical trial of positively fit

Ric G. Steele, Brandon S. Aylward, Chad D. Jensen, Christopher C. Cushing, Ann M. Davis, James A. Bovaird

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

ObjectiveTo examine the effectiveness of a family-based behavioral group intervention (Positively Fit; PF) for pediatric obesity relative to a brief family intervention (BFI) in a sample of treatment-seeking children and adolescents. MethodsFamilies (n=93) were randomized to treatment condition. Assessments were conducted at pre- and posttreatment and at 12-month follow-up. Outcome indices included standardized body mass index (BMI) and quality of life (QOL). ResultsResults indicated a significant reduction in zBMI at posttreatment and follow-up across both conditions. At follow-up, BFI and PF participants evidenced average reductions of. 12 and. 19 zBMI units, respectively. Children demonstrated better outcomes than adolescents across both conditions. Results indicated clinically significant improvements in parent-reported QOL at postintervention and in self-reported QOL at follow-up for PF participants. ConclusionsResults suggest the effectiveness of family-based interventions for pediatric obesity in clinical settings among younger children. Neither intervention was effective in terms of reducing zBMI among adolescents.

Original languageEnglish (US)
Pages (from-to)53-63
Number of pages11
JournalJournal of pediatric psychology
Volume37
Issue number1
DOIs
StatePublished - Jan 2012

Keywords

  • RCT
  • adolescents
  • children
  • obesity
  • quality of life
  • treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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