Childhood obesity: a transtheoretical case management approach
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Updated: Jun 30, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Heather N Mason1, Valerie Crabtree, Paul Caudill
1School of Nursing, University of Louisville, Louisville, KY 40047, USA. hncart01@louisville.edu
Insights
Childhood obesity persists into adulthood and resists standard interventions. A new case management model, based on the transtheoretical framework, is introduced for primary care settings to effectively treat childhood obesity.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Science
Background:
- Childhood obesity is a growing public health concern with significant links to chronic diseases in both children and adults.
- Obesity in childhood often continues into adulthood and is challenging to manage with traditional methods focusing solely on diet and physical activity.
- Current interventions lack theoretical grounding and fail to consider patient perceptions or stages of behavioral change.
Purpose of the Study:
- To introduce a novel intervention model for childhood obesity treatment.
- To integrate case management within a primary care setting.
- To base the intervention on the transtheoretical model of behavior change.
Main Methods:
- Utilizing case management principles.
- Applying the transtheoretical framework.
- Implementing the intervention in a primary care environment.
Main Results:
- This section is not detailed in the abstract, but the study aims to demonstrate the effectiveness of the proposed model.
Conclusions:
- A transtheoretical framework combined with case management offers a promising approach to treating childhood obesity in primary care.
- This integrated model addresses the limitations of traditional interventions by considering behavioral change stages and individual perceptions.
Abstract:
Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. Obesity during childhood commonly persists into adulthood and is resistant to interventions that involve only recommendations to decrease caloric intake and to increase caloric expenditure through increased physical activity. The challenge with this approach to childhood obesity is that it is not theoretically based, nor does it consider the child's or the parent's perceptions of the health problem or their transition along the stages of behavioral change. Case management has been proven to be successful in managing various chronic health problems in both adults and children. This article will introduce a new intervention model based on the transtheoretical framework by utilizing case management in a primary care setting to treat childhood obesity.
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