Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change

Randomised clinical trial of a family-based lifestyle intervention for childhood obesity... Parent-centred interventions for childhood obesity aim to improve parents’ skills and confidence in managing children’s dietary and activity patterns, and in promoting a healthy lifestyle in their family. However, few studies assess changes in parenting over the course of treatment. This study describes the evaluation of a lifestyle-specific parenting program (Group Lifestyle Triple P) on multiple child and parent outcomes. One-hundred-and-one families with overweight and obese 4- to 11-year-old children participated in an intervention or waitlist control condition. The 12-week intervention was associated with significant reductions in child BMI z score and weight-related problem behaviour. At the end of the intervention, parents reported increased confidence in managing children’s weight-related behaviour, and less frequent use of inconsistent or coercive parenting practices. All short-term intervention effects were maintained at one-year follow-up assessment, with additional improvements in child body size. The results support the efficacy of Group Lifestyle Triple P and suggest that parenting influences treatment outcomes. Further research is needed to evaluate the long-term effectiveness of the intervention and to elucidate the mechanisms of change. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Behaviour Research and Therapy Elsevier

Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change

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Abstract

Parent-centred interventions for childhood obesity aim to improve parents’ skills and confidence in managing children’s dietary and activity patterns, and in promoting a healthy lifestyle in their family. However, few studies assess changes in parenting over the course of treatment. This study describes the evaluation of a lifestyle-specific parenting program (Group Lifestyle Triple P) on multiple child and parent outcomes. One-hundred-and-one families with overweight and obese 4- to 11-year-old children participated in an intervention or waitlist control condition. The 12-week intervention was associated with significant reductions in child BMI z score and weight-related problem behaviour. At the end of the intervention, parents reported increased confidence in managing children’s weight-related behaviour, and less frequent use of inconsistent or coercive parenting practices. All short-term intervention effects were maintained at one-year follow-up assessment, with additional improvements in child body size. The results support the efficacy of Group Lifestyle Triple P and suggest that parenting influences treatment outcomes. Further research is needed to evaluate the long-term effectiveness of the intervention and to elucidate the mechanisms of change.

Journal

Behaviour Research and TherapyElsevier

Published: Dec 1, 2010

References

  • Childhood overweight: a contextual model and recommendations for future research
    Davison, K.K.; Birch, L.L.
  • Household, parent and child contributions to childhood obesity
    Gable, S.; Lutz, S.
  • Food-based recommendations to reduce fat intake: an evidence-based approach to the development of a family-focused child weight management programme
    Gehling, R.K.; Magarey, A.M.; Daniels, L.A.
  • A normative study of family media habits
    Gentile, D.A.; Walsh, D.S.
  • Validity of the parenting scale for parents of children with attention-deficit/hyperactivity disorder
    Harvey, E.; Danforth, J.S.; Ulaszek, W.R.; Eberhardt, T.L.
  • Observation of family functioning at mealtime: a comparison between families of children with and without overweight
    Moens, E.; Braet, C.; Soetens, B.
  • Cause and effect beliefs and self-esteem of overweight children
    Walsh Pierce, J.; Wardle, J.
  • A meta-analysis of family-behavioral weight-loss treatments for children
    Young, K.M.; Northern, J.J.; Lister, K.M.; Drummond, J.A.; O’Brien, W.H.

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