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Treatment of Adolescent Obesity Comparing Self-Guided and Group Lifestyle Modification Programs: A Potential Model for Primary Care
Journal article   Open access   Peer reviewed

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

Robert I. Berkowitz, Margaret R. Rukstalis, Chanelle T. Bishop-Gilyard, Renee H. Moore, Christine A. Gehrman, Melissa S. Xanthopoulos, William J. Cochran, Delroy Louden and Thomas A. Wadden
Journal of pediatric psychology, v 38(9), pp 978-986
01 Oct 2013
PMID: 23750019
url
https://doi.org/10.1093/jpepsy/jst035View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Psychology Psychology, Developmental Social Sciences
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.

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Web of Science research areas
Psychology, Developmental
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