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Journal of Pediatric Psychology Advance Access published online on June 14, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl007
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The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org
Received July 29, 2005
Revised May 18, 2006
Accepted May 22, 2006

Article

Child and Parental Self-Monitoring as Determinants of Success in the Treatment of Morbid Obesity in Low-Income Minority Children

Julie N. Germann PhD 1 *, Daniel S. Kirschenbaum PhD 2, and Barry H. Rich MD 3

1 Behavioral Sciences, La Rabida Children’s Hospital, University of Chicago
2 Healthy Living Academies, Division of Aspen Education Group, Northwestern University Medical School and Department of Psychiatry and Behavioral Sciences, University of Chicago
3 Department of Pediatrics, University of Chicago

* To whom correspondence should be addressed.
Julie N. Germann, E-mail: jgermann{at}larabida.org


  Abstract

Objective To examine self-monitoring by children and parents as related to weight control over 6 months within a long-term multidisciplinary program for low-income minority children with morbid obesity. Methods The weight changes of 228 children with obesity were evaluated according to frequency of child and parental self-monitoring. Predictors of self-monitoring were also evaluated. Results Children who self-monitored on most days lost more weight over 6 months of treatment compared with less-consistent self-monitors. Children whose parents self-monitored were also more likely to self-monitor and lose weight. Conclusions Self-monitoring seems just as critical for successful weight control among low-income minority children with obesity as it is in the middle-class populations. Although lower education and higher levels of psychosocial stress may decrease self-monitoring and participation by these families, they might still benefit from targeting highly consistent self-monitoring (by parents and children) as a primary goal in weight-control programs.

Keywords: childhood obesity; cognitive-behavior therapy; minority children; self-monitoring.
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