Abstract
Objective: To assess the acceptability and effectiveness of Epstein’s family-based behavioural treatment (FBBT) for childhood obesity in a medical setting in Iceland. Methods: Participants were 16 obese children (BMI > 2.4 SDS), aged 8-12 years, and a parent participating with each child. Families were randomly assigned to 4 months of treatment at two different times. One group started treatment right away, and the other group had a delayed treatment onset of 12 months during which the participants received standard care. Weight, height and BMI were assessed at baseline, 4 months, 12 months and 16 months. The main outcomes were ratings of treatment acceptability (measured post treatment) and child changes in body mass index standard deviation scores (BMI-SDS). Results: For the eight children in the standard care group, BMI-SDS remained constant from baseline until starting treatment at 12 months. Thirteen families completed treatment, during which the children lowered their BMI-SDS. The children first receiving treatment (n = 7) maintained their BMI-SDS from post-treatment to the 1-year follow-up. Conclusions: Treatment was found acceptable and effects were promising. These results provide substantiation for a larger study of treatment effects.
References
(1991). Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington, Vt: University of Vermont Department of Psychiatry.
(2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ, 320(7244), 1240.
(2006). Family- based behavioural treatment of obesity: acceptability and effectiveness in the UK. Eur J Clin Nutr, 60(5), 587–592.
(2003). Development of evidence-based treatments for paediatric obesity. In , Evidence-based psychotherapies for children and adolescents (pp. 374–388). New York: The Guilford Press.
(2005). The Traffic Light Childhood Weight Control Program. State University of New York, Buffalo.
(1988). The Stop-light Diet for Children: An eight week program for parents and children. Boston: Little, Brown and Company.
(2001). Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res, 9(3), 171–178.
(2000). Decreasing sedentary behaviors in treating pediatric obesity. Arch Pediatr Adolesc Med, 154(3), 220–226.
(2007). Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment. Health Psychol, 26(4), 381–391.
(2001). Behavioral therapy in the treatment of pediatric obesity. Pediatr Clin North Am. 2001; 48, 981–93.
(1994). Ten year follow-up of behavioural family-based treatment for obese children. Health Psychology, 13, 373–383.
(1997). The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry, 38(5), 581–586.
(2000). Individualism and the western mind reconsidered: American and Dutch parents’ ethno theories of the child. In , Variability in the social construction of the child. New directions for child development (pp. 23–39). San Francisco: Jossey-Bass.
(2009). The Effect of Physical Activity on Body Weight. Obesity, 17(n3s), S34–S38.
(2001). Body mass index reference values (mean and SD) for Swedish children. Acta Paediatr, 90(12), 1427–1434.
(1992). Children’s Depression Inventory: Manual. New-York: Multi-Health Systems.
(2004). IASO International Obesity Task Force. Obesity in children and young people: a crisis in public health. Obesity reviews, 5(suppl. 1), 4–104.
(1997). Multidimensional Anxiety Scale for Children: Technical Manual. Toronto: Multi-Health Systems.
(1998). Predictors of child psychological changes during family-based treatment for obesity. Arch Pediatr Adolesc Med, 152(9), 855–861.
. (2003). Clinical Practice Guidelines for the Management of Overweight and obesity in Children and adolescents. Commonwealth of Australia.
(2008). Cultural Effects on Treatment Acceptability: A Comparison of the Acceptability of Behavioral Interventions between Icelandic and American Parents. Nordic Psychology, 60(4), 283–294.
(2009). Interventions for treating obesity in children. Cochrane Database Syst Rev(1), CD001872.
. (2003). Management of obesity in children and young people. Retrieved February 5, 2005, from www.sign.ac.uk/pdf/sign69.pdf.
(2005). Childhood Obesity. J Clin Endocrinol Metab, 90(3), 1871–1887.
. (2006). Recommendations on food choice and nutrients for adults and children from 2 years of age
[In Icelandic: RáðSleggingar um mataræði og næringarefni fyrir fullorðna og börn frá tveggja ára aldri] . Reykjavik, Iceland.(2006). Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes, 1(1), 11–25.
(2010). A systematic review of the evidence for Canada’s Physical Activity Guidelines for Adults. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 39.
. (2000). Obesity: Preventing and Managing the Global Epidemic, Report of a WHO Consultation. World Health Organization Technical Report Series, Vol. 894, WHO: Geneva.
. (2003). Diet, Nutrition and the Prevention of Chronic Diseases. Geneva: World Health Organization.
(2003). The prevention and treatment of childhood obesity. Qual Saf Health Care, 12(1), 65–74.
