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Family-based behavioural treatment of obesity: acceptability and effectiveness in the UK

Edwards, C; Nicholls, D; Croker, H; van Zyl, S; Viner, R; Wardle, J; (2006) Family-based behavioural treatment of obesity: acceptability and effectiveness in the UK. EUR J CLIN NUTR , 60 (5) 587 - 592. 10.1038/sj.ejcn.1602353.

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Abstract

Objective: To assess the acceptability and impact of family-based behavioural treatment (FBBT) for childhood obesity in a clinical setting in the UK.Design: Pre- and post-treatment assessment for four consecutive treatment groups.Setting: Treatment groups took place at Great Ormond Street Hospital, London.Patients: Participants were 33 families with obese (BMI >= 98th centile for age and sex) children aged 8-13 years.Intervention: FBBT was delivered over 12 sessions.Main outcome measures: Overweight ( percentage BMI), self-esteem, mood and eating attitudes were assessed before and after treatment; overweight was re-assessed at 3-month follow-up for those who completed treatment.Results: The FBBT programme materials translated easily to the UK setting and the programme was well-liked by participants. Twenty-seven out of 33 families (82%) completed the sessions. Children lost 8.4% BMI over the time of treatment, and this was maintained at 3-month follow-up. Self-esteem and depression improved significantly and there was no change in food preoccupation, anorexia or bulimia on the ChEAT.Conclusions: These results establish that FBBT is feasible and acceptable in a clinical setting in Britain. They indicate that significant loss of overweight can be achieved using the programme without adverse psychological consequences.

Type: Article
Title: Family-based behavioural treatment of obesity: acceptability and effectiveness in the UK
DOI: 10.1038/sj.ejcn.1602353
Keywords: obesity, treatment, behavioural, family, BODY-MASS INDEX, CHILDHOOD OBESITY, FOLLOW-UP, CHILDREN, WEIGHT, STATEMENT
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Pop, Policy and Practice Prog
URI: http://discovery.ucl.ac.uk/id/eprint/150957
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