The Effects of Multisystemic Therapy on Family Support for Weight Loss Among Obese African-American Adolescents: Findings From a Randomized Controlled Trial
The Effects of Multisystemic Therapy on Family Support for Weight Loss Among Obese African-American Adolescents: Findings From a Randomized Controlled Trial
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DOI：
10.1097/dbp.0b013e3181e35337
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发表时间：
2010-07-01
影响因子：
2.4
通讯作者：
Marshall, Sharon
中科院分区：
文献类型：
--
作者：
Ellis, Deborah A.;Janisse, Heather;Marshall, Sharon
目的：确定多系统治疗，一种强化的，以家庭和社区为基础的干预，是否可以增加肥胖的非洲裔美国青少年健康饮食和锻炼的家庭支持。还评估了试验结束时家庭支持、体重状况和体脂组成变化之间的关系。方法：对49名肥胖青少年（体重指数>= 95th %ile）进行了初步随机临床试验。参与者被随机分配接受多系统治疗或Shapedown，这是一种团体减肥干预。参与者接受了为期6个月的治疗。在基线和测试后7个月（即，治疗终止）。通过自我报告问卷评估家庭对健康饮食和运动支持的变化。双变量分析用于评估试验期间家庭支持的变化与随访时青年体重指数、超重百分比和体脂组成之间的关系。结果如下：与Shapedown参与相比，参与多系统治疗与家庭鼓励健康饮食和家庭参与运动的显着改善以及家庭成员劝阻行为的减少有关。家庭参与运动的增加与随访时较低的青少年体重指数、超重百分比和体脂组成显著相关。结论：密集的，以家庭和社区为基础的治疗增加了家庭对少数民族肥胖青少年健康行为变化的支持，这些变化与体重状况直接相关。这种健康状况的改善对一部分未来健康并发症风险高的青年人的福祉很重要。
Objective: To determine whether multisystemic therapy, an intensive, home-and community-based intervention, could increase family support for healthy eating and exercise in obese African-American adolescents. Relationships between changes in family support, weight status, and body fat composition at the end of the trial were also evaluated. Method: A pilot randomized clinical trial was conducted with 49 obese adolescents (body mass index >= 95th %ile). Participants were randomized to receive multisystemic therapy or Shapedown, a group weight loss intervention. Participants received treatment for 6 months. Data were collected at baseline and 7-month posttest (i.e., treatment termination). Changes in family support for healthy eating and exercise were assessed by self-report questionnaire. Bivariate analyses were used to assess the relationship between change in family support during the trial and youth body mass index, percent overweight, and body fat composition at follow-up. Results: Participation in multisystemic therapy was associated with significantly greater improvements in family encouragement for healthy eating and family participation in exercise and greater decreases in discouraging behavior from family members than Shapedown participation. Increases in family participation in exercise were significantly related to lower youth body mass index, percent overweight, and body fat composition at follow-up. Conclusions: Intensive, home-and community-based treatment increased family support for health behavior changes among obese minority adolescents, and these changes were directly related to weight status. Such health improvements are important for the well-being of a subset of youth who are at high risk for future health complications.