Child and Parental Self-Monitoring as Determinants of Success in the Treatment of Morbid Obesity in Low-Income Minority Children

Germann, Julie N.; Kirschenbaum, Daniel S.; Rich, Barry H.

doi:10.1093/jpepsy/jsl007

Cited by 69 publications

(79 citation statements)

References 40 publications

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“…136,137 However, adherence to self-monitoring is often less than ideal and declines over time. 133,138,139 The advent of computer-based technology, including the Internet and handheld devices, has stimulated the development of several studies evaluating their use for self-monitoring, with the expectation that these devices will improve adherence.…”

Section: Use Of Innovative Self-monitoring Technologiesmentioning

confidence: 99%

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

237

170

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Abstract-This scientific statement addresses parents and adult caregivers (PACs) as "agents of change" for obese children, evaluating the strength of evidence that particular parenting strategies can leverage behavior change and reduce positive energy balance in obese youth. The statement has 3 specific aims. The first is to review core behavior change strategies for PACs as used in family-based treatment programs and to provide a resource list. The second is to evaluate the strength of evidence that greater parental "involvement" in treatment is associated with better reductions in child overweight. The third is to identify research gaps and new opportunities for the field. This review yielded limited and inconsistent evidence from randomized controlled clinical trials that greater PAC involvement necessarily is associated with better child outcomes. For example, only 17% of the intervention studies reported differential improvements in child overweight as a function of parental involvement in treatment. On the other hand, greater parental adherence with core behavior change strategies predicted better child weight outcomes after 2 and 5 years in some studies. Thus, the literature lacks conclusive evidence that one particular parenting strategy or approach causally is superior to others in which children have a greater focus in treatment. A number of research gaps were identified, including the assessment of refined parenting phenotypes, cultural tailoring of interventions, examination of family relationships, and incorporation of new technologies. A conceptual model is proposed to stimulate research identifying the determinants of PAC feeding and physical activity parenting practices, the results of which may inform new treatments. The statement addresses the need for innovative research to advance the scope and potency of PAC treatments for childhood obesity. (Circulation. 2012;125:1186-1207.)Key Words: AHA Scientific Statements Ⅲ diet Ⅲ lifestyle Ⅲ nutrition Ⅲ obesity Ⅲ pediatrics Ⅲ preventionThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on October 10, 2011. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young A, Wansink B, Wylie-Rosett J; on ...

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Section: Use Of Innovative Self-monitoring Technologiesmentioning

confidence: 99%

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

237

170

View full text Add to dashboard Cite

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“…Despite the robust literature on the importance of monitoring for weight loss success, both adults and children often do not adhere (12)(13)(14)(15). In the first month of a weight control intervention for morbidly overweight children, 44% self-monitored at least 3.5 days per week (14,15); however, only 25% continued at six months (14).…”

Section: Introductionmentioning

confidence: 99%

“…In the first month of a weight control intervention for morbidly overweight children, 44% self-monitored at least 3.5 days per week (14,15); however, only 25% continued at six months (14). Thus, approaches are needed to enhance adherence to self-monitoring.…”

Section: Introductionmentioning

confidence: 99%

Use of Text Messaging for Monitoring Sugar-sweetened Beverages, Physical Activity, and Screen Time in Children: A Pilot Study

Shapiro

Bauer

Hamer

et al. 2008

Journal of Nutrition Education and Behavior

189

244

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Objective-To examine acceptability, attrition, adherence, and preliminary efficacy of mobile phone short message service (SMS; text messaging) for monitoring healthy behaviors in children.Design-All randomized children received a brief psychoeducational intervention and then either monitored target behaviors via SMS with feedback, via paper diaries (PD), or participated in a nomonitoring control (C) for 8 weeks. Setting-University of North Carolina at Chapel Hill HospitalsParticipants-Fifty-eight children (age 5 -13) and parents participated; 31 completed (SMS: 13/18, PD: 7/18, C: 11/22).Intervention-Children and parents participated in a total of three group education sessions (one session weekly for three weeks) to encourage increasing physical activity and decreasing screen time and sugar sweetened beverage consumption.Main Outcome Measures-Treatment acceptability, attrition, and adherence to self-monitoring. Analysis-Descriptive statistics and nonparametric tests were used to analyze differences across time and group.Results-Children in SMS had somewhat lower attrition (28%) than both PD (61%) and C (50%), and significantly greater adherence to self-monitoring than PD (43% vs 19%, p < 0.02).Conclusions and Implications-SMS may be a useful tool for self-monitoring healthy behaviors in children although the efficacy of this approach needs further study. Implications suggest that novel technologies may play a role in improving health.

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“…3,4 There is substantial research supporting the use of self-monitoring as a tool to facilitate behavioral modification in lifestyle-based weight loss interventions. 5,6 Traditionally, pen-and-paper methods have been employed as the modality through which individuals record their dietary intake and/or exercise behavior. Electronic tracking programs, including computerbased systems and smart phone applications, have been developed to allow individuals to self-monitor their behavior digitally.…”

Section: Introductionmentioning

confidence: 99%

Use of a Computerized Tracking System to Monitor and Provide Feedback on Dietary Goals for Calorie-Restricted Diets: The POUNDS LOST Study

Anton

Leblanc

Allen

et al. 2012

J Diabetes Sci Technol

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Abbreviations: (CTS) computerized tracking system, (PDA) personal digital assistant Keywords: computerized tracking system, self-monitoring, smart phones, weight loss AbstractThe use of self-monitoring as a tool to facilitate behavioral modification is common in many lifestyle-based weight loss interventions. Electronic tracking programs, including computer-based systems and smart phone applications, have been developed to allow individuals to self-monitor their behavior digitally. These programs offer an advantage over traditional self-report modalities in that they can provide users with direct feedback about dietary and/or physical activity adherence levels and thereby assist them in real-time decision making. This article describes the use of an Internet-based computerized tracking system (CTS) that was developed specifically for the POUNDS LOST study, a 2-year randomized controlled trial designed to test the efficacy of four macronutrient diets for weight and fat reduction in healthy, overweight men and women (body mass index range = 25.0-39.9 kg/m 2 ). The CTS served many functions in this study, including data collection, dietary and exercise assessment and feedback, messaging system, and report generation. Across all groups, participants with high usage of the CTS during the initial 8 weeks lost greater amounts of weight than participants with low usage (8.7% versus 5.5% of initial body weight, respectively; p < .001) at week 32. Rates of CTS utilization were highest during the first year of this 2-year intervention, and utilization of the CTS declined steadily over time. The unique features of the CTS combined with technological developments, such as smart phone applications, offer significant potential to improve the user's self-monitoring experience and adherence to health promotion programs designed specifically for individuals with obesity and type 2 diabetes.

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Child and Parental Self-Monitoring as Determinants of Success in the Treatment of Morbid Obesity in Low-Income Minority Children

Cited by 69 publications

References 40 publications

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Use of Text Messaging for Monitoring Sugar-sweetened Beverages, Physical Activity, and Screen Time in Children: A Pilot Study

Use of a Computerized Tracking System to Monitor and Provide Feedback on Dietary Goals for Calorie-Restricted Diets: The POUNDS LOST Study

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