Evaluation clinique d’un programme d’éducation thérapeutique centré sur les familles d’enfants et d’adolescents obèses ou en surpoids

Tanas, Rita; Pedretti, Stefania; Gilli, Giuseppe; Gagnayre, Rémi; Marcolongo, R

doi:10.1051/tpe/2011111

Cited by 7 publications

(8 citation statements)

References 33 publications

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“…In particular, the original FTE study involved 254 overweight and obese children (BMI ≥ 85˚ and ≥95˚ percentile) [35] aged 10.4 ± 3 years, without relevant psychiatric comorbidities, 127 treated with FTE and 127 with diet therapy. After at least 1 year (mean time 2.8 ± 1.3 years), the BMI z-score after FTE, calculated on CDC 2000 curves [56], was reduced by 0.43 ± 0.5, while it remained unchanged in the diet therapy group, with a great reduction of severe forms (BMI > 99˚ percentile).…”

Section: Family Therapeutic Educationmentioning

confidence: 99%

“…Children aged 8.9 ± 4 years (48% males), with an initial BMI z-score 1.93 ± 0.5, attending the FTE program were reevaluated after a follow-up of at least 6 months, to detect changes in BMI z-scores ( Table 2). Data were personally collected by the 6 participants, sent telematically, and evaluated by the study leader and the statistician of the FTE program published [34,35].…”

Section: Clinical Investigationmentioning

confidence: 99%

“…In 2000 the authors, with the objective of creating a standardized therapeutic procedure for pediatricians, developed and tested a Family Therapeutic Education (FTE) program for childhood obesity [34,35] at the Pediatric Department of Ferrara, which is effective and positively accepted by families. The FTE program was called "The Game of Pearls and Dolphins", a name proposed by the children, in order to divest the terms "obesity" and "diet" of their negative meanings [36], replacing them with images of beauty and dynamism.…”

Section: Introductionmentioning

confidence: 99%

“…A retrospective evaluation of the program, carried out with the advice and support of a therapeutic patient education team from Padua University Hospital, now with a larger number of subjects, has observed satisfactory results at a 3 years follow-up [35].…”

Section: Introductionmentioning

confidence: 99%

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A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

Tanas¹,

Federica²,

Caggese³

et al. 2013

OJPed

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Background: Obesity is a high-cost social disease, the management of which, usually assigned to general practice, is less supported by evidence-based medicine. Most general practitioners feel unprepared to face the problem. Objectives: In 2000, at the Pediatric Department of Ferrara, we started a Family Group Therapeutic Education Program for the treatment of childhood obesity. More than 300 families have attended the program. Following our positive results, we created a professional training course on therapeutic education, addressed to healthcare personnel involved in the treatment of childhood obesity. The purpose of the present study is to discover if it is possible to promote the development of a shared therapeutic education strategy for obesity, involving primary care physiccians/pediatricians, specialists and dietitians. Methods: The integrated professional training course consists of a four-day seminar along with an on-line course for distance learning. The assessment of the project takes into account the following criteria: a multidimensional questionnaire (a pre- and post-test which explores: knowledge, motivation, self-efficacy, methodology, communication, modeling, etc.), an appreciation questionnaire with responses collected over the course of 2 years. Moreover, the nine participants of our 2008 training course began to use the new therapeutic tools in their practice and six of them sent us the anthropometric measurements of patients whom they have treated over the past two years using this approach allows us to present outcomes in terms of implementation of this therapeutic education program in everyday professional practice. Results and Conclusions: The course was attended by 15 healthcare professionals: ten in 2008 and five in 2009, from different Italian centers. Results seem to indicate a great interest and appreciation by the participants. Results based on BMI z-score reduction of the children cared for by our trainees seem to support the efficacy of our educational method in clinical practice. If these preliminary results are confirmed, new training projects for the management of childhood obesity can be planned and addressed to a wider healthcare professional public.

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Section: Family Therapeutic Educationmentioning

confidence: 99%

Section: Clinical Investigationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

Tanas¹,

Federica²,

Caggese³

et al. 2013

OJPed

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“…A huge variety of school-based obesity prevention and treatment programs have been introduced to increase healthy eating behaviours in childhood (Blom-Hoffman, Kelleher, Power & Leff, 2004;Burgermaster, Koroly, Contento, Koch & Gray, 2017;Drapeau, Savard, Gallant, Nadeau & Gagnon, 2016;DelgadoNoguera, Tort, Martinez-Zapata & Bonfill, 2011;Evans, Christian, Cleghorn, Greenwood & Cade, 2012;Han, Kim & Park, 1997;Howerton, Bell, Dodd, Berrigan, Stolzenberg-Solomon & Nebeling, 2007;Jones et al, 2012;Kim, Choi & Kim, 2011;Knai, Pomerleau, Lock & McKee M, 2006;Sahota, Rudolf, Dixey, Hill, Barth & Cade, 2001;Shannon, Graves & Hart, 1982;Silveira, Taddei, Guerra & Nobre, 2011;Van Cauwenberghe, Maes, Spittaels, van Lenthe, Brug & Oppert, 2010) including: curriculum-based activities (Graziose, Koch, Wang, Lee Gray & Contento, 2017;Lakin & Littledyke, 2008), behavioural interventions (Başkale & Bahar, 2011;Räsänen 2004;Tanas, Pedretti, Gilli, Gagnayre & Marcolongo, 2011), sensory education (Mustonen & Tuorila, 2010;Reverdy, Chesnel, Schlich, Köster & Lange, 2008;Reverdy, Schlich, Köster, Ginon & Lange, 2010), classroom cooking experiences or involvement in meal preparation (van der Horst, Ferrage & Rytz, 2014;Walters & Stacey, 2009), playful approaches such as videogames, card games and computer-based activities or educational videos/DVD (Cecchetto, Pena & Pellanda, 2017;Gabrielli et al, 2017;Lee et al, 2017), school gardening (Sarti, Dijkstra, Nury, Seidell & Dedding, 2017), motivational theatre and storytelling …”

Section: Introductionmentioning

confidence: 99%

Narrative-based strategies to promote healthy eating behaviours in childhood: a systematic review

Pulimeno¹,

Piscitelli²,

Marco³

et al. 2018

MeTis

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Obesity is becoming the global epidemic of the twenty-first century. Moreover, the number of obese or overweight children has increased during the last decades, resulting in negative physical and psychological health consequences during childhood, adolescence and in adults. Following the recommendations of the World Health Organization (WHO), a huge variety of obesity prevention and treatment programs have been introduced in the school setting to encourage healthy eating behaviours in childhood. The aim of our systematic review was to explore the use and efficacy of narrative-based strategies in promoting healthy eating behaviours in schoolchildren. Materials and Methods. We have carried out an updated systematic review on the following databases (PubMed, Psychinfo, ERIC and EBSCO) to assess papers published from the year 2000 to January 2018, which addressed the issue of narrative-based interventions in schoolchildren for the adoption of healthy food habits. Results. Our initial search found out 169 and 50 studies on PubMed and Psychinfo databases, respectively; 24 and 12 articles were found on ERIC and EBSCO datasets, respectively. After the application of the predefined exclusion criteria, we selected a total of 15 papers from PubMed and 12 articles from Psychinfo. Among these 27 papers, only six articles (two Randomized Controlled Trials and * Manuela Pulimeno è Dottoranda di Ricerca in Scienze delle Relazioni Umane presso l'Università degli Studi di Bari "Aldo Moro" (Bari). Prisco Piscitelli è Medico epidemiologo del Dipartimento di Prevenzione ASL Lecce e Ricercatore ISBEM. Elisabetta De Marco è Dottore di Ricerca presso l'Università del Salento (Lecce). Salvatore Colazzo è Professore Ordinario di Pedagogia Sperimentale presso l'Università del Salento (Lecce). Narrative-based strategies 185four Cohort studies) met the inclusion criteria and were considered for our systematic review because explicitly presenting nutrition school-based interventions that used narrative pedagogy or storytelling to promote healthy eating behaviours among children. Conclusion. Nutrition education in school setting is a key element in promoting lifelong healthy eating behaviours and should start from the early stages of life. Among all the possible interventions, narrative-based approaches (i.e. storytelling) seem to be at least as effective as other different educational programmes in encouraging the adoption of healthy food habits during childhood, especially when active involvement of the children is ensured.

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Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Mead

Brown

Rees

et al. 2017

Cochrane Database of Systematic Reviews

387

365

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Multi-component behaviour-changing interventions that incorporate diet, physical activity and behaviour change may be beneficial in achieving small, short-term reductions in BMI, BMI z score and weight in children aged 6 to 11 years. The evidence suggests a very low occurrence of adverse events. The quality of the evidence was low or very low. The heterogeneity observed across all outcomes was not explained by subgrouping. Further research is required of behaviour-changing interventions in lower income countries and in children from different ethnic groups; also on the impact of behaviour-changing interventions on health-related quality of life and comorbidities. The sustainability of reduction in BMI/BMI z score and weight is a key consideration and there is a need for longer-term follow-up and further research on the most appropriate forms of post-intervention maintenance in order to ensure intervention benefits are sustained over the longer term.

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Evaluation clinique d’un programme d’éducation thérapeutique centré sur les familles d’enfants et d’adolescents obèses ou en surpoids

Cited by 7 publications

References 33 publications

A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

Narrative-based strategies to promote healthy eating behaviours in childhood: a systematic review

Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

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