Enhancing Childhood Multidisciplinary Obesity Treatments: The Power of Self-Control Abilities as Intervention Facilitator

Naets, Tiffany; Vervoort, Leentje; Verbeken, Sandra; Braet, Caroline

doi:10.3389/fpsyg.2018.01956

Cited by 11 publications

(16 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adding selfcontrol training to MOT is considered a promising avenue. Self-control is remediable, as shown in literature on attention deficit hyperactivity disorder (Klingberg, Forssberg, & Westerberg, 2002) and in the field of obesity (Kemps, Tiggemann, & Hollitt, 2014;Naets, Vervoort, Verbeken, & Braet, 2018;Stice, Yokum, Veling, Kemps, & Lawrence, 2017). Self-control trainings also fit in well within the innovative field of e-health (technology for facilitating health care, Eng, 2001), because they are often computerized and easily accessible at home via online platforms.…”

Section: Introductionmentioning

confidence: 96%

“…The required behaviour changes for maintaining a healthy lifestyle intensively rely on self-control abilities, for example, via day-byday altering of the automatic responses towards food (Nederkoorn, Braet, Van Eijs, Tanghe, & Jansen, 2006;Smith, Hay, Campbell, & Trollor, 2011). What is learned in therapy often does not generalize to real life, and this can at least partially be explained by self-control ability deficits (Naets, Vervoort, Verbeken, & Braet, 2018). What is learned in therapy often does not generalize to real life, and this can at least partially be explained by self-control ability deficits (Naets, Vervoort, Verbeken, & Braet, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Even though MOT already includes teaching general self-control (e.g., goal setting, and problem solving), individuals with obesity often lack the necessary regulatory skills in daily confrontation with temptations. Self-control is remediable, as shown in literature on attention deficit hyperactivity disorder (Klingberg, Forssberg, & Westerberg, 2002) and in the field of obesity (Kemps, Tiggemann, & Hollitt, 2014;Naets, Vervoort, Verbeken, & Braet, 2018;Stice, Yokum, Veling, Kemps, & Lawrence, 2017). Adding selfcontrol training to MOT is considered a promising avenue.…”

Section: Introductionmentioning

confidence: 99%

“…Even though MOT already includes teaching general self-control (e.g., goal setting, and problem solving), individuals with obesity often lack the necessary regulatory skills in daily confrontation with temptations. What is learned in therapy often does not generalize to real life, and this can at least partially be explained by self-control ability deficits (Naets, Vervoort, Verbeken, & Braet, 2018). Adding selfcontrol training to MOT is considered a promising avenue.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Naets

Vervoort

Tanghe³

et al. 2019

Clin Psychology and Psychoth

Self Cite

View full text Add to dashboard Cite

Training self-control as the assumed underlying mechanism for weight loss is a promising pathway for improving long-term outcomes of childhood multidisciplinary obesity treatment (MOT). The present study is the first to analyse adherence to ehealth self-control training in paediatric obesity. We hypothesized that low adherence would relate to child characteristics and to contextual treatment barriers. Participants were recruited as a part of a larger randomized controlled trial, evaluating an e-health self-control training during inpatient MOT (intensive phase) and its outpatient aftercare (booster phase). A number of 68 youngsters with severe obesity between 11 to 19 years old were included in the present study. Excellent adherence was observed in the intensive phase during inpatient MOT, but rates decreased in the booster phase. As predicted, the low adherence group had a significantly higher weight status throughout the entire study period. Differences in contextual treatment barriers did not appear. Further in-depth analysis showed that the low adherence group frequently experienced practical obstacles. The end of inpatient MOT and high weight status can be considered important risk factors for low adherence in an additional self-control training aimed at facilitating weight loss.

show abstract

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Even though MOT already includes teaching general self-control (e.g., goal setting, and problem solving), individuals with obesity often lack the necessary regulatory skills in daily confrontation with temptations. What is learned in therapy often does not generalize to real life, and this can at least partially be explained by self-control ability deficits (Naets, Vervoort, Verbeken, & Braet, 2018). Adding selfcontrol training to MOT is considered a promising avenue.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Naets

Vervoort

Tanghe³

et al. 2019

Clin Psychology and Psychoth

Self Cite

View full text Add to dashboard Cite

show abstract

“…Evidence is rising on the role of self-control deficits in explaining why some, but not all children and adolescents with high external eating develop overweight (15)(16)(17). External eating can be better understood by an in depth study on the role of Executive Functions (EFs), the most well-known processes to achieve top-down self-control in response to the environment (18,19). The three main EFs are inhibition, cognitive flexibility, and updating working memory.…”

Section: Introductionmentioning

confidence: 99%

Maladaptive Eating in Children and Adolescents With Obesity: Scrutinizing Differences in Inhibition

Naets

Vervoort

Tanghe³

et al. 2020

Front. Psychiatry

Self Cite

View full text Add to dashboard Cite

Introduction: In order to grasp the complex etiology of childhood obesity, we aim to clarify the relationship between external eating and weight. Based on theory and empirical evidence, we claim that inhibition is an important moderator in this association. In our first research question we expected that high external eating would be related to a higher weight status, especially for those with high inhibition problems. Secondly, we explored the moderating role of inhibition in the association between external eating and weight change after a multidisciplinary obesity treatment. Method: We investigated n=572 participants (51% boys, aged 7-19) with moderate to extreme obesity recruited in a Belgian inpatient treatment center. At intake, parents reported on inhibition (BRIEF), while the children and adolescents reported on their eating behavior (DEBQ). Weight and length were objectively measured pre and post treatment (ADJUSTED BMI). Two hierarchical linear regression models were built to scrutinize the influence of inhibition on the association between external eating and both baseline weight and weight change. Results: First, predicting baseline weight, we found no significant moderating effect of inhibition problems. Second, predicting weight loss, inhibition turned out to be a substantial moderator, specifically in adolescents. Some unexpected gender differences occurred in favor of adolescent boys, in a way that those with high external eating and low inhibition problems lost most weight. Conclusion: Inhibition problems act as a moderator explaining weight loss, but this only holds for adolescents. This suggests that external eating and inhibition play a complex role in weight loss in certain age and gender categories, and stresses the importance of identifying subgroups for tailoring interventions. For those with high inhibition problems, interventions aimed at increasing inhibition skills might be needed to optimize treatment outcomes.

show abstract

Cardiovascular endurance and psychosocial health predict short- and long-term BMI-SDS reduction: results from the CHILT III program

et al. 2023

View full text Add to dashboard Cite

This longitudinal study analyzes data from the Children’s Health Interventional Trial (CHILT) III, an 11-month juvenile multicomponent weight management program. The objective is to identify predictors of changes in body mass index standard deviation scores (BMI-SDS), so as to further enable the advancement of existing interventions with sustained impact. This study’s sample consists of 237 children and adolescents with obesity (8–17 years, 54% girls) participating in the CHILT III program between 2003 and 2021. Anthropometrics, demographics, relative cardiovascular endurance (W/kg), and psychosocial health (i.e., physical self-concept and self-worth) were assessed at program entry ($$t1$$ t 1 ), end ($$t2$$ t 2 ), and one-year follow-up ($$t3$$ t 3 ; n = 83). From $$t1$$ t 1 to $$t2$$ t 2 , the mean BMI-SDS was reduced by −0.16 ± 0.26 units (p < 0.001). Media use and cardiovascular endurance at baseline and improvements in endurance and self-worth over the course of the program predicted changes in BMI-SDS (adj. R2 = 0.22, p < 0.001). From $$t2$$ t 2 to $$t3$$ t 3 , mean BMI-SDS increased ($$M = 0.09 \pm 0.29$$ M = 0.09 ± 0.29 , p = 0.005). Changes in BMI-SDS from $$t2$$ t 2 to $$t3$$ t 3 were associated with parental education, improvements in cardiovascular endurance and physical self-concept, and BMI-SDS, media use, physical self-concept, and endurance level at program end (adj. R2 = 0.39, p < 0.001). Conclusions: This study highlights the need for comprehensive, sustainable weight management approaches, in order to sustain the initial treatment benefits. In this context, improvements in cardiovascular endurance and psychosocial health could be essential strategies to pursue in practice, as they significantly predicted reductions in BMI-SDS – both pre- to post-intervention and at follow-up.Trial registration: DRKS00026785; date of registration: 13.10.202, retrospectively registered. What is Known: • Childhood obesity is associated with the onset of noncommunicable diseases, many of which are likely to carry into adulthood. Thus, effective weight management strategies for affected children and their families are vital. However, achieving lasting positive health outcomes with multidisciplinary weight management programs remains challenging. What is New: • According to this study, short- and longer-term BMI-SDS reductions are associated to cardiovascular endurance and psychosocial health. These factors should therefore be given even greater consideration in weight management strategies, as they may be important not only in themselves but also for long-term weight loss (maintenance).

show abstract

Enhancing Childhood Multidisciplinary Obesity Treatments: The Power of Self-Control Abilities as Intervention Facilitator

Cited by 11 publications

References 66 publications

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Maladaptive Eating in Children and Adolescents With Obesity: Scrutinizing Differences in Inhibition

Cardiovascular endurance and psychosocial health predict short- and long-term BMI-SDS reduction: results from the CHILT III program

Contact Info

Product

Resources

About