title: Behavioral weight control for overweight adolescents initiated in primary care.
abstract: OBJECTIVE
  This study evaluates the post-treatment and short-term follow-up efficacy of, as well as participant satisfaction for, a 4-month behavioral weight control program for overweight adolescents initiated in a primary care setting and extended through telephone and mail contact.
  
  
  METHODS
  44 overweight adolescents were randomly assigned to either a multiple component behavioral weight control intervention (Healthy Habits [HH]; n = 23) or a single session of physician weight counseling (typical care [TC]; n = 21). Weight, height, dietary intake, physical activity, sedentary behavior, and problematic weight-related and eating behaviors and beliefs were assessed before treatment, after the 4-month treatment, and at 3-month follow-up. Participant satisfaction and behavioral skills use were measured.
  
  
  RESULTS
  HH adolescents evidenced better change in body mass index z scores to post-treatment than TC adolescents. Body mass index z scores changed similarly in the conditions from post-treatment through follow-up. Behavioral skills use was higher among HH than TC adolescents, and higher behavioral skills use was related to better weight outcome. Energy intake, percentage of calories from fat, physical activity, sedentary behavior, and problematic weight-related or eating behaviors/beliefs did not differ by condition or significantly change over time independent of condition. The behavioral intervention evidenced good feasibility and participant satisfaction.
  
  
  CONCLUSIONS
  A telephone- and mail-based behavioral intervention initiated in primary care resulted in better weight control efficacy relative to care typically provided to overweight adolescents. Innovative and efficacious weight control intervention delivery approaches could decrease provider and participant burden and improve dissemination to the increasing population of overweight youth.
authors.affiliation: Department of Pediatrics, Division of Psychology, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. brian.saelens@chmcc.org
authors.forename: Brian E
authors.initials: BE
authors.lastname: Saelens
authors.forename: James F
authors.initials: JF
authors.lastname: Sallis
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
authors.forename: Kevin
authors.initials: K
authors.lastname: Patrick
authors.forename: John A
authors.initials: JA
authors.lastname: Cella
authors.forename: Richard
authors.initials: R
authors.lastname: Buchta
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D017195:Adolescent Nutritional Physiological Phenomena; D001521:Behavior Therapy / Q000379:methods*; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D015331:Cohort Studies; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D011320:Primary Health Care; D013689:Telephone; D016896:Treatment Outcome; D015431:Weight Loss