Format

Send to

Choose Destination
Eur Eat Disord Rev. 2019 Sep;27(5):521-530. doi: 10.1002/erv.2699. Epub 2019 Jul 25.

Adapting family-based treatment for paediatric obesity: A randomized controlled pilot trial.

Author information

1
Fairleigh Dickinson University, Teaneck, NJ.
2
University of California, San Francisco, San Francisco, CA.
3
The University of Chicago, Chicago, IL.
4
Eating Disorders Center at the Evidence Based Treatment Centers of Seattle, Seattle, WA.
5
Sanford Research, Fargo, ND.
6
University of North Dakota School of Medicine and Health Sciences, Fargo, ND.
7
NorthShore University HealthSystem, Evanston, IL.
8
State University of New York Upstate Medical University, Syracuse, NY.
9
Icahn School of Medicine at Mount Sinai, New York, NY.

Abstract

OBJECTIVE:

This pilot study aimed to refine and test an adaption of family-based treatment (FBT) for eating disorders that addressed the distinct clinical needs of adolescents with overweight or obesity in the absence of eating disorder pathology. Our hypothesis was that FBT for paediatric obesity (FBT-PO) would be feasible to implement and superior to a nutrition education counselling (NEC) condition delivered to both parents and patients, thereby controlling for key information dissemination across groups while manipulating active therapeutic content and strategy.

METHOD:

Seventy-seven adolescents were randomized to FBT-PO or NEC across two sites.

RESULTS:

Results supported our core prediction, in that weight status among adolescent study participants receiving FBT-PO remained stable while increasing among participants randomized to NEC. Attrition was high in both conditions.

CONCLUSIONS:

FBT-PO, while not seeming to yield a marked decrease in body mass index z-score, may arrest an otherwise-occurring weight-gain trajectory for these adolescents. This efficacy finding is consistent with the overall PO literature supporting parental involvement in the treatment of PO. Future research efforts should address retention in FBT-PO.

KEYWORDS:

adolescence; family-based treatment; overweight; paediatric obesity

PMID:
31344751
DOI:
10.1002/erv.2699

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center