Journal of Pediatric Psychiatry, Vol 24, 223-248, Copyright © 1999 by Society of Pediatric Psychology
E Jelalian and BE Saelens
OBJECTIVE: To review the efficacy of existing interventions for pediatric
obesity with reference to the Chambless criteria. METHODS: Chambless
criteria for determining treatment efficacy were applied to 42 randomized
studies involving nonschool-based programs targeting childhood and
adolescent weight loss. RESULTS: We summarize the following dimensions of
the pediatric obesity treatment literature: description of participants,
diagnostic criteria for study participation, experimental design, treatment
protocol, treatment outcome, and follow-up. CONCLUSIONS: There is strong
evidence for the short- and long-term efficacy of multicomponential
behavioral treatment for decreasing weight among children relative to both
placebo and education-only treatments. Conclusions about adolescent obesity
treatment programs are more tentative as they have been less frequently
examined, less rigorously controlled, and usually have not conducted
long-term follow-up. Current research appears to be working to identify
more efficacious treatments for pediatric obesity by exploring the specific
behavioral strategies that will be most effective in modifying children's
eating and physical activity habits.
ARTICLE
Empirically supported treatments in pediatric psychology: pediatric obesity
Rhode Island Hospital, Providence 02903, USA.
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