scholarly journals Racial and socioeconomic disparities in the efficacy of a family‐based treatment programme for paediatric obesity

2021 ◽  
Author(s):  
Genevieve M. Davison ◽  
Lauren A. Fowler ◽  
Melissa Ramel ◽  
Richard I. Stein ◽  
Rachel P.K. Conlon ◽  
...  
Author(s):  
Katharine L. Loeb ◽  
Daniel Le Grange ◽  
Angela Celio Doyle ◽  
Ross D. Crosby ◽  
Catherine Glunz ◽  
...  

2019 ◽  
Vol 3 (1) ◽  
pp. e000413
Author(s):  
Beate Benestad ◽  
Tor-Ivar Karlsen ◽  
Milada Cvancarova Småstuen ◽  
Samira Lekhal ◽  
Jens Kristoffer Hertel ◽  
...  

ObjectiveTo compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.DesignRandomised controlled trial.SettingRehabilitation clinic, tertiary care hospital and primary care.PatientsFamilies with at least one child (7–12 years) and one parent, both with obesity.InterventionsSummer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measuresChildren’s and parents’ HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.ResultsNinety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.ConclusionsA 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children’s self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration numberNCT01110096.


Author(s):  
Hayley Thompson ◽  
Kim Hurst ◽  
Heather Green ◽  
Jodie Watkins ◽  
Nigel Collings ◽  
...  

AbstractObjectivesAnorexia Nervosa (AN) treatment is frequently associated with high costs often due to the use of hospitalization. In Family Based Treatment (FBT) a main goal is to manage recovery of AN in the home environment rather than relying on lengthy hospital admissions. This study examined whether the use of hospitalization altered following the introduction of FBT to a youth eating disorders program in 2009.MethodThis study compared retrospective data of 71 female adolescent patients diagnosed with AN: 10 who received treatment as usual prior to the implementation of FBT; 10 who were treated immediately after FBT implementation; and a further 51 adolescents who received FBT since 2009.ResultsResults indicate that since the implementation of FBT there was a significant reduction in admissions to the medical ward and a significant reduction in cumulative length of stay on both the psychiatric and medical wards in adolescents presenting with AN.


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