Parent training program to improve outcomes in childhood obesity treatment

摘要： 权威的父母教养方式与儿童肥胖风险降低有关， 干预期间体重减轻增加，并可改变体重的输送和影响 控制策略，使其更有效。此时，黄金标准治疗 儿童肥胖症是一种以家庭为基础的行为疗法（FBT）。这种治疗依赖于行为 策略和使用表扬和积极的强化系统，以改变饮食和 活动行为，但不针对育儿的其他方面。扩大养育 指导包括有效的限制设置行为，亲子沟通， 权威式的养育方式可以增加父母的信心和能力， 行为改变，并改变所使用的行为策略的影响。在这 应用程序，我们建议测试20周的体重控制计划，结合 传统的以家庭为基础的行为治疗与综合育儿培训（FBT-PT）， 将其与传统的家庭行为疗法（FBT）进行比较。我们相信， 亲职训练的累加效应，如FBT-PT对儿童体重的影响更大 与传统的FBT相比，FBT的损失（通过BMI z评分测量）更小。此外，我们还将衡量 风格，育儿策略，行为策略和儿童因素（如冲动行为和 气质），以更好地了解调解人和调解人的体重减轻。这些 将通过标准的自我报告措施和录像带接触获得措施， 让我们更客观地衡量育儿维度。临床结局，如脱落和 还将评估两个治疗组的可接受性。本研究的目的是 评估在传统的FBT中加入全面的育儿培训的效果。如果 成功，这个计划将能够增加我们的能力，帮助儿童成功地失去 重量.

ABSTRACT: Authoritative parenting style has been associated with decreased obesity risk in children, increased weight loss during interventions, and can modify the delivery and impact of weight control strategies, making them more effective. At this time, gold-standard treatment for childhood obesity is family-based behavioral therapy (FBT). This treatment relies on behavioral strategies and the use of praise and a positive reinforcement system to change eating and activity behaviors, but does not target other aspects of parenting. Broadening parenting instruction to include effective limit-setting behaviors, parent-child communication, and authoritative parenting may increase parents' confidence and ability to successfully make behavior changes and modify the impact of the behavioral strategies being used. In this application, we propose to test the efficacy of a 20-week weight control program that combines traditional family-based behavioral therapy with comprehensive parenting training (FBT-PT) and compare it to traditional family-based behavioral therapy (FBT). We believe that there will be an additive effect of parenting training such that FBT-PT will have a greater effect on child weight loss (measured by BMI z-score) than traditional FBT. In addition we will measure parenting style, parenting strategies, behavioral strategies, and child factors (like impulsive behavior and temperament) to better understand the mediators and moderators of weight loss. These measures will be obtained by standard self-report measures and videotape encounters, allowing us to more objectively measure parenting dimensions. Clinical outcomes, like drop-out and acceptability, will also be assessed from the two treatment arms. The purpose of this study is to evaluate the effect of adding a comprehensive parenting training to traditional FBT. If successful, this program will be able to increase our ability to help children successfully lose weight.