Treatment of Adolescent Obesity Comparing Self-Guided and Group Lifestyle Modification Programs: A Potential Model for Primary Care

被引：26

作者：

Berkowitz, Robert I. ^{[1
,2
]}

Rukstalis, Margaret R. ^{[3
]}

Bishop-Gilyard, Chanelle T. ^{[1
,2
]}

Moore, Renee H. ^{[2
,4
]}

Gehrman, Christine A. ^{[1
,2
]}

Xanthopoulos, Melissa S. ^{[1
]}

Cochran, William J. ^{[3
]}

Louden, Delroy

Wadden, Thomas A. ^{[2
]}

机构：

[1] Univ Penn, Childrens Hosp Philadelphia, Dept Child & Adolescent Psychiat, Philadelphia, PA 19104 USA

[2] Univ Penn, Dept Psychiat, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Univ Penn, Geisinger Ctr Hlth Res, Philadelphia, PA 19104 USA

[4] Univ Penn, Ctr Clin Epidemiol & Biostat, Perelman Sch Med, Philadelphia, PA 19104 USA

来源：

JOURNAL OF PEDIATRIC PSYCHOLOGY | 2013年 / 38卷 / 09期

关键词：

adolescents; obesity; primary care; weight management; PEDIATRIC OBESITY; CLINICAL-TRIAL; WEIGHT-LOSS; OVERWEIGHT; INTERVENTIONS; PREVENTION; MANAGEMENT; CHILDREN; ADULTS; PHONE;

D O I：

10.1093/jpepsy/jst035

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

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.

引用

页码：978 / 986

页数：9

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