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A group behavior modification approach to adolescent obesity.

G Zakus, M L Chin, M Keown

    Adolescence
    |January 1, 1979
    PubMed
    Summary

    This group weight control project for obese adolescent girls showed modest success using behavior modification and peer support. Internalized perception of control predicted better weight loss and program adherence.

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    Area of Science:

    • Pediatric Endocrinology
    • Behavioral Medicine
    • Obesity Research

    Background:

    • Severe obesity in adolescents presents significant health challenges.
    • Traditional individual treatment approaches have limitations for this demographic.
    • Group-based interventions offer a potential alternative for adolescent weight management.

    Purpose of the Study:

    • To evaluate the effectiveness of a group weight control project for severely obese adolescent girls.
    • To explore the impact of behavior modification, nutritional principles, and peer interaction on weight loss.
    • To identify factors predicting successful weight management in this population.

    Main Methods:

    • A group weight control project was implemented in a medical setting for severely obese adolescent girls.
    • Behavior modification techniques and nutritional principles were central to the program.
    • Peer group interaction and separate meetings for significant others were incorporated.
    • The I-E test was used to measure the girls' perception of control.

    Main Results:

    • The program resulted in small net weight losses for participants; drop-outs experienced weight gain.
    • This group approach was more effective than prior individual clinic contacts.
    • Weight loss correlated with increased use of behavior modification and improved nutritional intake.
    • Internalized perception of control was a significant predictor of program adherence and weight loss.

    Conclusions:

    • Group interventions, incorporating behavior modification and peer support, can be effective for adolescent obesity.
    • Adolescents with a stronger sense of personal control are more likely to succeed in weight management programs.
    • Further research is warranted to refine group interventions for severely obese adolescents, considering factors like independence and social support.

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