Behavioral Treatment of Obesity

Epstein, Leonard H.

doi:10.1007/978-1-4613-0577-4_4

Cited by 7 publications

(5 citation statements)

References 41 publications

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“…Given that these studies involve 10-year follow-up, with the series initiated in 1977, the interventions are quite old and may not represent state-of-the-art treatment. Newer studies, which take advantage of advances in understanding child development, methods of incorporating many family members in treatment, and behavioral and biological research on eating and activity may result in further improvements in the outcome of attempts to prevent obese children from becoming obese adults (Epstein, 1990).…”

Section: Discussionmentioning

confidence: 99%

“…Research supports the efficacy of behavioral treatments for obese children (Epstein, 1990; Epstein & Wing, 1987). Behavioral treatments are superior to no treatment (Epstein, Wing, Koeske, & Valoski, 1984; Israel, Stolmaker, Sharp, Silverman, & Simon, 1984; Kirschenbaum, Harris, & Tomarken, 1984) and to attention placebo controls (Epstein, Wing, Steranchak, Dickson, & Michelson, 1980; Epstein, Wing, Woodall, et al, 1985).…”

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confidence: 91%

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Ten-year outcomes of behavioral family-based treatment for childhood obesity.

Epstein¹,

Valoski²,

Wing³

et al. 1994

Health Psychology

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744

636

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We report 10-year treatment outcomes for obese children in 4 randomized treatment studies. At 10 years, 34% decreased percentage overweight by 20% or more, and 30% were not obese. Significant effects were observed when parents and children were targeted and reinforced for weight loss in comparison with nontargeted controls and for children given lifestyle or aerobic exercise in comparison with a calisthenics control. Thirty-four percent of the variance in change in percentage overweight was predicted from sex, baseline percentage overweight, self-monitoring weight, meals eaten at home, and family and friends' support for eating and exercise. Results show long-term changes in children depend on the treatment, and evidence converges on the importance of the family and other sources of support for eating and activity change.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 91%

Ten-year outcomes of behavioral family-based treatment for childhood obesity.

Epstein¹,

Valoski²,

Wing³

et al. 1994

Health Psychology

Self Cite

744

636

View full text Add to dashboard Cite

show abstract

“…by decreasing the portion sizes and/or the energy density of foods and drinks) and increasing physical activity (Agostoni et al, 2011;Mack et al, 2014;Richardson, Paulis, van Middelkoop, & Koes, 2013). In fact, family support is extremely important for behaviour changes in childhood (Epstein, 1990). In fact, family support is extremely important for behaviour changes in childhood (Epstein, 1990).…”

Section: Introductionmentioning

confidence: 99%

“…Psychological and psychosocial aspects play a critical role for the success of the intervention programs (Barlow & Dietz, 1998). In fact, family support is extremely important for behaviour changes in childhood (Epstein, 1990).…”

Section: Introductionmentioning

confidence: 99%

Chances and Limitations of Video Games in the Fight against Childhood Obesity—A Systematic Review

Mack¹,

Bayer²,

Schäffeler³

et al. 2017

Euro Eating Disorders Rev

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“…Concepts in consumer demand theory (e.g., Bickel et al, 2000) may be helpful to this analysis. Specifically, a behavioral‐economic framework (Hursh 1980, 1984) integrates concepts from microeconomics and operant psychology to understand how contextual variables influence value and choice across a wide range of socially important domains (e.g., Aston & Cassidy, 2019; Best et al, 2012; Bickel & Vuchinich, 2000; Collins et al, 2014; Epstein & Saelens, 2000; Foxall et al, 2007; Henley et al, 2016; Kaplan et al, 2018; Pickover et al, 2016).…”

Section: Figurementioning

confidence: 99%

Reinforcer value moderates response magnitude and persistence during extinction: A randomized trial

Lambert,

Osina,

Copeland

2024

J of App Behav Analysis

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Extinction bursts, or temporary increases in rates and intensities of behavior during extinction, can preclude the inclusion of extinction in intervention packages meant to suppress severe challenging behavior. To identify underlying behavioral mechanisms responsible for response persistence and bursting, 69 adults with developmental disabilities completed a low‐stakes translational investigation employing a 2 × 2 factorial, crossed, and randomized matched blocks design, with batched randomization logic. In each of the four test groups, we made distinct antecedent manipulations with two value parameters commonly studied through behavioral economics (i.e., demand intensity, Pmax) and evaluated the extent to which each of these manipulations influenced target responding during extinction. Although we found statistically significant differences attributable to both parameters, variations in reinforcer consumption relative to demand intensity were most influential across all dependent variables. This outcome implicates consumption relative to demand intensity as both a mitigating and exacerbating preextinction factor that influences the prevalence of adverse collateral extinction effects (e.g., bursts).

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Behavioral Treatment of Obesity

Cited by 7 publications

References 41 publications

Ten-year outcomes of behavioral family-based treatment for childhood obesity.

Ten-year outcomes of behavioral family-based treatment for childhood obesity.

Chances and Limitations of Video Games in the Fight against Childhood Obesity—A Systematic Review

Reinforcer value moderates response magnitude and persistence during extinction: A randomized trial

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