Treatment of pediatric obesity using a parent-only approach: a case example.

Treatment of pediatric obesity using a parent-only approach: a case example.
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使用纯父方法治疗小儿肥胖症:一个例子。

DOI:
10.1037/a0030415
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发表时间:
2013-03
期刊:
影响因子:
4.2
通讯作者:
Janicke, David M.
Janicke, David M.
中科院分区:
心理学2区
文献类型:
--
作者:
Janicke, David M.

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在现实世界中,非常需要以解决方案为导向的研究和儿童肥胖干预措施的描述。本报告描述了一个基于组的行为父母只有干预,以促进更健康的生活习惯,并减少肥胖的12岁女性参与者的体重状况。所描述的行为父母干预计划是一项随机对照试验的一部分,该试验评估了2种行为干预措施的影响,这些干预措施涉及生活在农村环境中的超重和肥胖青少年的饮食摄入,体力活动和体重状况。孩子和父母都是行为改变的目标。干预包括4个月内的12次小组会议。行为策略,包括自我监控,目标设定,表现反馈,强化,刺激控制,并指导行为养育策略灵活应用,以满足家庭的需要。在基线、治疗后第4个月和第10个月随访时完成评估。父母参加了12次治疗中的10次。在随访中,孩子减掉了17磅,长了1.7英寸。身高孩子还经历了饮食摄入质量的改善和自我报告的不健康体重控制行为的数量下降。父母的BMI未出现显著降低或升高。该报告描述了成功应用行为干预,以解决儿童肥胖,使用父母的唯一方法。希望本报告将促进讨论,并有助于鼓励进一步介绍如何在现实世界中灵活应用循证干预措施。
There is a great need for solution-oriented studies and descriptions of interventions for pediatric obesity in real-world settings. This report describes a group-based behavioral parent-only intervention to promote healthier lifestyle habits and reduce weight status in an obese 12-year-old female participant. The behavioral parent-only intervention program described was part of a randomized controlled trial that evaluated the impact of 2 behavioral interventions that addressed dietary intake, physical activity, and weight status in overweight and obese youth living in rural settings. Both the child and parent were targeted for behavior change. The intervention included 12 group sessions over 4 months. Behavioral strategies, including self-monitoring, goal setting, performance feedback, reinforcement, stimulus control, and instruction in behavioral parenting strategies were flexibly applied to meet the needs of the family. Assessments were completed at baseline, month-4 posttreatment, and month-10 follow-up. The parent attended 10 of 12 treatment sessions. At follow-up the child had lost 17 pounds and grew 1.7 in. in height. The child also experienced improved quality of dietary intake and a drop in the number of self-reported unhealthy weight control behaviors. The parent experienced no notable decrease or increase in BMI. The report describes the successful application of a behavioral intervention to address pediatric obesity that uses a parent-only approach. It is hoped that this presentation will facilitate discussion and help encourage further presentations of how the flexible application of evidenced-based interventions can be applied in real-world settings.
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发表时间: 2000-08-01
影响因子: 5.9
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