title: Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care.
abstract: Lifestyle modification programs (LMP) for weight loss in adolescents with obesity are effective but not available. Primary care may be a setting for reaching more adolescents. Two models of LMP for use in primary care were examined. Adolescents and caregivers enrolled in a 1-year randomized trial comparing Group LMP with Self-Guided LMP. All participants (N = 169) received the same treatment recommendations and met with a health coach six times in clinic. Group LMP participants had an additional 17 group sessions; those in Self-Guided LMP followed the remainder of the program at home with parental support. The primary outcome was percentage change in initial body mass index. The mean (SE) 1.31% (0.95%) reduction in Group LMP did not differ significantly from the 1.17% (0.99%) decrease in the Self-Guided LMP (p = 0.92). Both treatments were significantly effective in reducing body mass index. Given its brevity, the Self-Guided LMP offers an innovative approach for primary care.
authors.affiliation: MD, The Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, 3440 Market Street, Suite 200, Philadelphia, PA 19104, USA. berkowitz@email.chop.edu.
authors.forename: Robert I
authors.initials: RI
authors.lastname: Berkowitz
authors.forename: Margaret R
authors.initials: MR
authors.lastname: Rukstalis
authors.forename: Chanelle T
authors.initials: CT
authors.lastname: Bishop-Gilyard
authors.forename: Reneé H
authors.initials: RH
authors.lastname: Moore
authors.forename: Christine A
authors.initials: CA
authors.lastname: Gehrman
authors.forename: Melissa S
authors.initials: MS
authors.lastname: Xanthopoulos
authors.forename: William J
authors.initials: WJ
authors.lastname: Cochran
authors.forename: Delroy
authors.initials: D
authors.lastname: Louden
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Wadden
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000628:therapy*; D011320:Primary Health Care / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods*; D040242:Risk Reduction Behavior; D012648:Self Care / Q000379:methods; D061217:Weight Reduction Programs / Q000379:methods*
keywords: adolescents; obesity; primary care; weight management