Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care
Lifestyle modification programs (LMP) for weight loss in adolescents with obesity are effective but not available. Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial co...
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Veröffentlicht in: | Journal of pediatric psychology 2013-10, Vol.38 (9), p.978-986 |
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container_title | Journal of pediatric psychology |
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creator | Berkowitz, Robert I Rukstalis, Margaret R Bishop-Gilyard, Chanelle T Moore, Reneé H Gehrman, Christine A Xanthopoulos, Melissa S Cochran, William J Louden, Delroy Wadden, Thomas A |
description | Lifestyle modification programs (LMP) for weight loss in adolescents with obesity are effective but not available. Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial comparing Group LMP with Self-Guided LMP. All participants (N = 169) received the same treatment recommendations and met with a health coach six times in clinic. Group LMP participants had an additional 17 group sessions; those in Self-Guided LMP followed the remainder of the program at home with parental support. The primary outcome was percentage change in initial body mass index. The mean (SE) 1.31% (0.95%) reduction in Group LMP did not differ significantly from the 1.17% (0.99%) decrease in the Self-Guided LMP (p = 0.92). Both treatments were significantly effective in reducing body mass index. Given its brevity, the Self-Guided LMP offers an innovative approach for primary care. |
doi_str_mv | 10.1093/jpepsy/jst035 |
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Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial comparing Group LMP with Self-Guided LMP. All participants (N = 169) received the same treatment recommendations and met with a health coach six times in clinic. Group LMP participants had an additional 17 group sessions; those in Self-Guided LMP followed the remainder of the program at home with parental support. The primary outcome was percentage change in initial body mass index. The mean (SE) 1.31% (0.95%) reduction in Group LMP did not differ significantly from the 1.17% (0.99%) decrease in the Self-Guided LMP (p = 0.92). Both treatments were significantly effective in reducing body mass index. Given its brevity, the Self-Guided LMP offers an innovative approach for primary care.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jst035</identifier><identifier>PMID: 23750019</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Child ; Female ; Humans ; Male ; Obesity - therapy ; Primary Health Care - methods ; Psychotherapy, Group - methods ; Risk Reduction Behavior ; Self Care - methods ; Special Issue ; Weight Reduction Programs - methods</subject><ispartof>Journal of pediatric psychology, 2013-10, Vol.38 (9), p.978-986</ispartof><rights>The Author 2013. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-a5487a98298676953bb4c137997c49a2ede0bbc5c3ee52bbf7aa40f7e84decc23</citedby><cites>FETCH-LOGICAL-c387t-a5487a98298676953bb4c137997c49a2ede0bbc5c3ee52bbf7aa40f7e84decc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23750019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berkowitz, Robert I</creatorcontrib><creatorcontrib>Rukstalis, Margaret R</creatorcontrib><creatorcontrib>Bishop-Gilyard, Chanelle T</creatorcontrib><creatorcontrib>Moore, Reneé H</creatorcontrib><creatorcontrib>Gehrman, Christine A</creatorcontrib><creatorcontrib>Xanthopoulos, Melissa S</creatorcontrib><creatorcontrib>Cochran, William J</creatorcontrib><creatorcontrib>Louden, Delroy</creatorcontrib><creatorcontrib>Wadden, Thomas A</creatorcontrib><title>Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>Lifestyle modification programs (LMP) for weight loss in adolescents with obesity are effective but not available. Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial comparing Group LMP with Self-Guided LMP. All participants (N = 169) received the same treatment recommendations and met with a health coach six times in clinic. Group LMP participants had an additional 17 group sessions; those in Self-Guided LMP followed the remainder of the program at home with parental support. The primary outcome was percentage change in initial body mass index. The mean (SE) 1.31% (0.95%) reduction in Group LMP did not differ significantly from the 1.17% (0.99%) decrease in the Self-Guided LMP (p = 0.92). Both treatments were significantly effective in reducing body mass index. Given its brevity, the Self-Guided LMP offers an innovative approach for primary care.</description><subject>Adolescent</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Obesity - therapy</subject><subject>Primary Health Care - methods</subject><subject>Psychotherapy, Group - methods</subject><subject>Risk Reduction Behavior</subject><subject>Self Care - methods</subject><subject>Special Issue</subject><subject>Weight Reduction Programs - methods</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUFr3DAQRkVpabZpj7kWHXtxIluSZeUQCKFNC4FeUuhNjOWRo0W2HMkO7Ll_PN7sNrQnMczjaWY-Qs5Kdl4yzS-2E055d7HNM-PyDdmUopaF4vL3W7Jha1E0teYn5EPOW8aYELx-T04qriRjpd6QP_cJYR5wnGl0FLoYMNuXqsXs5x21cZgg-bGnGYMr-sV32FEYO9qnuEw0eId53gWkQ-y88xZmH0c6pdgnGPIlBTrFeTV6CHsEA3UxrX0_QFr1kPAjeecgZPx0fE_Jr29f72--F3c_b3_cXN8VljdqLkCKRoFuKt3UqtaSt62wJVdaKys0VNgha1srLUeUVds6BSCYU9iIDq2t-Cm5OninpR2w26-ZIJjjKCaCN_93Rv9g-vhkuGpkVbFV8OUoSPFxWdc2g1-vFQKMGJdsSsEbqaR8QYsDalPMOaF7_aZkZh-cOQRnDsGt_Od_Z3ul_ybFnwGo1Jv7</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Berkowitz, Robert I</creator><creator>Rukstalis, Margaret R</creator><creator>Bishop-Gilyard, Chanelle T</creator><creator>Moore, Reneé H</creator><creator>Gehrman, Christine A</creator><creator>Xanthopoulos, Melissa S</creator><creator>Cochran, William J</creator><creator>Louden, Delroy</creator><creator>Wadden, Thomas A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131001</creationdate><title>Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care</title><author>Berkowitz, Robert I ; Rukstalis, Margaret R ; Bishop-Gilyard, Chanelle T ; Moore, Reneé H ; Gehrman, Christine A ; Xanthopoulos, Melissa S ; Cochran, William J ; Louden, Delroy ; Wadden, Thomas A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-a5487a98298676953bb4c137997c49a2ede0bbc5c3ee52bbf7aa40f7e84decc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Obesity - therapy</topic><topic>Primary Health Care - methods</topic><topic>Psychotherapy, Group - methods</topic><topic>Risk Reduction Behavior</topic><topic>Self Care - methods</topic><topic>Special Issue</topic><topic>Weight Reduction Programs - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berkowitz, Robert I</creatorcontrib><creatorcontrib>Rukstalis, Margaret R</creatorcontrib><creatorcontrib>Bishop-Gilyard, Chanelle T</creatorcontrib><creatorcontrib>Moore, Reneé H</creatorcontrib><creatorcontrib>Gehrman, Christine A</creatorcontrib><creatorcontrib>Xanthopoulos, Melissa S</creatorcontrib><creatorcontrib>Cochran, William J</creatorcontrib><creatorcontrib>Louden, Delroy</creatorcontrib><creatorcontrib>Wadden, Thomas A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berkowitz, Robert I</au><au>Rukstalis, Margaret R</au><au>Bishop-Gilyard, Chanelle T</au><au>Moore, Reneé H</au><au>Gehrman, Christine A</au><au>Xanthopoulos, Melissa S</au><au>Cochran, William J</au><au>Louden, Delroy</au><au>Wadden, Thomas A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>38</volume><issue>9</issue><spage>978</spage><epage>986</epage><pages>978-986</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><abstract>Lifestyle modification programs (LMP) for weight loss in adolescents with obesity are effective but not available. Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial comparing Group LMP with Self-Guided LMP. All participants (N = 169) received the same treatment recommendations and met with a health coach six times in clinic. Group LMP participants had an additional 17 group sessions; those in Self-Guided LMP followed the remainder of the program at home with parental support. The primary outcome was percentage change in initial body mass index. The mean (SE) 1.31% (0.95%) reduction in Group LMP did not differ significantly from the 1.17% (0.99%) decrease in the Self-Guided LMP (p = 0.92). Both treatments were significantly effective in reducing body mass index. Given its brevity, the Self-Guided LMP offers an innovative approach for primary care.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>23750019</pmid><doi>10.1093/jpepsy/jst035</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Child Female Humans Male Obesity - therapy Primary Health Care - methods Psychotherapy, Group - methods Risk Reduction Behavior Self Care - methods Special Issue Weight Reduction Programs - methods |
title | Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care |
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