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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Pilot of "Families for Health": community-based family intervention for obesity
W Robertson1, T Friede, J Blissett
1Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, UK. W.Robertson@warwick.ac.uk
Insights
The "Families for Health" program showed promise in reducing childhood obesity by improving lifestyle and family relationships. Further randomized controlled trials are needed to confirm its effectiveness.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Childhood obesity is a significant public health concern requiring effective interventions.
- Community-based family interventions can address multifactorial causes of obesity.
Purpose of the Study:
- To develop and evaluate "Families for Health," a novel community-based family intervention targeting childhood obesity.
- To assess the intervention's impact on BMI z-score, lifestyle behaviors, and psychosocial outcomes.
Main Methods:
- A pilot study involving 21 families with 27 overweight or obese children (aged 7-13) was conducted.
- The 12-week "Families for Health" program included parallel parent and child groups focusing on parenting, lifestyle, and socio-emotional development.
- Intention-to-treat analysis was used to evaluate changes in BMI z-score and other outcomes at 3 and 9 months.
Main Results:
- The intervention resulted in a statistically significant reduction in BMI z-score at 3 and 9 months.
- Improvements were observed in children's quality of life, lifestyle behaviors (reduced sedentary time, increased steps), parent-child relationships, and parental mental health.
- Attendance was 62%, with 67% of children completing the program; key program components were rated as helpful by parents.
Conclusions:
- "Families for Health" is a promising community-based intervention for childhood obesity.
- The intervention demonstrated positive effects on psychosocial factors and lifestyle behaviors.
- A definitive evaluation through a randomized controlled trial is recommended to confirm clinical effectiveness.
Objective:
To develop and evaluate "Families for Health", a new community based family intervention for childhood obesity.
Design:
Programme development, pilot study and evaluation using intention-to-treat analysis.
Setting:
Coventry, England.
Participants:
27 overweight or obese children aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families.
Intervention:
Families for Health is a 12-week programme with parallel groups for parents and children, addressing parenting, lifestyle change and social and emotional development.
Main Outcome Measures:
Change in baseline BMI z score at the end of the programme (3 months) and 9-month follow-up. Attendance, drop-out, parents' perception of the programme, child's quality of life and self-esteem, parental mental health, parent-child relationships and lifestyle changes were also measured.
Results:
Attendance rate was 62%, with 18 of the 27 (67%) children completing the programme. For the 22 children with follow-up data (including four who dropped out), BMI z score was reduced by -0.18 (95% CI -0.30 to -0.05) at 3 months and -0.21 (-0.35 to -0.07) at 9 months. Statistically significant improvements were observed in children's quality of life and lifestyle (reduced sedentary behaviour, increased steps and reduced exposure to unhealthy foods), child-parent relationships and parents' mental health. Fruit and vegetable consumption, participation in moderate/vigorous exercise and children's self-esteem did not change significantly. Topics on parenting skills, activity and food were rated as helpful and used with confidence by most parents.
Conclusions:
Families for Health is a promising new childhood obesity intervention. Definitive evaluation of its clinical effectiveness by randomised controlled trial is now required.
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