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Updated: Jun 21, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
The use of group dynamics strategies to enhance cohesion in a lifestyle intervention program for obese children
Luc J Martin1, Shauna M Burke, Sheree Shapiro
1The University of Western Ontario, London, Ontario, Canada. lmarti33@uwo.ca
Insights
This study implemented a 4-week family and group-based intervention using group dynamics to treat childhood obesity, focusing on lifestyle and physical activity changes for obese children.
Area of Science:
- Pediatric Obesity Treatment
- Group Dynamics in Health Interventions
- Behavioral Health Modification
Background:
- Limited research exists on childhood obesity treatment, with most focusing on prevention.
- A novel 4-week intervention was developed to address this gap in treatment knowledge.
- The intervention targeted lifestyle and physical activity in obese children.
Purpose of the Study:
- To implement and evaluate a family- and group-based intervention for obese children.
- To utilize group dynamics strategies to enhance cohesion and modify health behaviors.
- To assess physiological and psychological outcomes of the intervention.
Main Methods:
- A 4-week intervention program was delivered to obese children and their families.
- Group dynamics strategies were employed to foster cohesion and facilitate behavior change.
- Data collection included physiological and psychological assessments during the intervention and at 3-, 6-, and 12-month follow-ups.
Main Results:
- The intervention involved 15 children (7 boys, 8 girls) with a mean age of 10.5 years.
- Assessments were conducted throughout the 4-week program and at extended follow-up periods.
- Results on physiological and psychological outcomes are detailed in the full study.
Conclusions:
- The intervention provides a model for developing similar childhood obesity treatment programs.
- Evidence-based group dynamics strategies are crucial for effective obesity interventions.
- Further research is needed to build upon the foundation laid by this program, such as the Children's Health and Activity Modification Program (C.H.A.M.P.).
Background:
Most research pertaining to childhood obesity has assessed the effectiveness of preventative interventions, while relatively little has been done to advance knowledge in the treatment of obesity. Thus, a 4-week family- and group-based intervention utilizing group dynamics strategies designed to increase cohesion was implemented to influence the lifestyles and physical activity levels of obese children.
Methods/Design:
This paper provides an overview of the rationale for and implementation of the intervention for obese children and their families. Objectives of the intervention included the modification of health behaviors and cohesion levels through the use of group dynamics strategies. To date, a total of 15 children (7 boys and 8 girls, mean age = 10.5) and their families have completed the intervention (during the month of August 2008). Physiological and psychological outcomes were assessed throughout the 4-week intervention and at 3-, 6-, and 12-month follow-up periods.
Discussion:
It is believed that the information provided will help researchers and health professionals develop similar obesity treatment interventions through the use of evidence-based group dynamics strategies. There is also a need for continued research in this area, and it is our hope that the Children's Health and Activity Modification Program (C.H.A.M.P.) will provide a strong base from which others may build.
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