Incorporating Appetite Awareness Training Within Family-Based Behavioral Treatment of Pediatric Obesity: A Randomized Controlled Pilot Study.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Olafsdottir, Anna S
Craighead, Linda W
Boles, Richard E
MetadataShow full item record
CitationIncorporating Appetite Awareness Training Within Family-Based Behavioral Treatment of Pediatric Obesity: A Randomized Controlled Pilot Study. 2018, 43(9):1017-1027 J Pediatr Psychol
AbstractTo assess additive effects of incorporating appetite awareness training (AAT), a strategy to encourage eating in response to hunger and satiety cues, within a family-based behavioral treatment (FBT) for childhood obesity. Total 84 families with a child with obesity in the age range of 8-12 years, Body Mass Index Standard Deviation Score (BMI-SDS) ≥ 2, and a participating parent were randomly allocated to two conditions; standard FBT was compared with FBT incorporating AAT strategies (FBT-AAT). Treatment consisted of group therapy sessions (held separately for children and parents) as well as single-family (parent-child dyad) sessions (24 sessions total) delivered over 18 weeks at a tertiary care outpatient clinic. One booster session was provided 1-year posttreatment and a final follow-up assessment was conducted at 2 years. The primary outcome was change in child standardized body mass index (BMI-SDS). The two conditions did not differ significantly at posttest, but the FBT-AAT group was at a significantly lower weight compared with FBT at both the first-year, F(1, 82) = 4.150, p<.05, and the second-year follow-ups, F(1, 82) = 14.912, p <.001. It was notable that over the second-year of follow-up, the FBT-AAT group continued to show improvement, whereas the FBT group did not. Incorporating specific self-regulatory training in attending to hunger and fullness signals during a standardized family-based treatment may have enhanced the long-term maintenance of treatment effects. Findings are promising and warrant further study.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
- Dose, Content, and Mediators of Family-Based Treatment for Childhood Obesity: A Multisite Randomized Clinical Trial.
- Authors: Wilfley DE, Saelens BE, Stein RI, Best JR, Kolko RP, Schechtman KB, Wallendorf M, Welch RR, Perri MG, Epstein LH
- Issue date: 2017 Dec 1
- Two Pilot Randomized Trials To Examine Feasibility and Impact of Treated Parents as Peer Interventionists in Family-Based Pediatric Weight Management.
- Authors: Saelens BE, Scholz K, Walters K, Simoni JM, Wright DR
- Issue date: 2017 Aug
- Reducing variety enhances effectiveness of family-based treatment for pediatric obesity.
- Authors: Epstein LH, Kilanowski C, Paluch RA, Raynor H, Daniel TO
- Issue date: 2015 Apr
- Predictors of child weight loss and maintenance among family-based treatment completers.
- Authors: Goldschmidt AB, Best JR, Stein RI, Saelens BE, Epstein LH, Wilfley DE
- Issue date: 2014 Dec
- Cost-effectiveness of Family-Based Obesity Treatment.
- Authors: Quattrin T, Cao Y, Paluch RA, Roemmich JN, Ecker MA, Epstein LH
- Issue date: 2017 Sep