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

doi:10.1093/jpepsy/jsr057

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

Educational Psychology

Research output: Contribution to journal › Article › peer-review

52 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 language	English (US)
Pages (from-to)	53-63
Number of pages	11
Journal	Journal of pediatric psychology
Volume	37
Issue number	1
DOIs	https://doi.org/10.1093/jpepsy/jsr057
State	Published - 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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10.1093/jpepsy/jsr057

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

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.",

keywords = "RCT, adolescents, children, obesity, quality of life, treatment",

author = "Steele, {Ric G.} and Aylward, {Brandon S.} and Jensen, {Chad D.} and Cushing, {Christopher C.} and Davis, {Ann M.} and Bovaird, {James A.}",

note = "Funding Information: This study was supported by grant R40 MC 06631 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, U.S. Department of Health and Human Services, awarded to R. G. S.",

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AU - Cushing, Christopher C.

AU - Davis, Ann M.

AU - Bovaird, James A.

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N2 - 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.

AB - 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.

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

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Keywords

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