Outcomes from an Urban Pediatric Obesity Program Targeting Minority Youth: The Healthy Hawks Program

Davis, Ann M.; Daldalian, Marina; Mayfield, Carlene A.; Dean, Kelsey; Black, William R.; Sampilo, Marilyn L.; Gonzalez-Mijares, Martha; Suminski, Richard R.

doi:10.1089/chi.2013.0053

Cited by 42 publications

(28 citation statements)

References 21 publications

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“…Whereas the majority of treatment studies have been conducted with majority White populations (Caprio et al, 2008), several studies have been conducted with non-White populations. In one study, 6-month intensive FBT was found superior to a self-help condition in Mexican American children , another study of FBT in a Latino population found it equal to a waitlist control group (Arauz Boudreau et al, 2013), and a recent study concluded that it is possible to recruit and keep minority, low-income children in FBT, with favorable outcomes (Davis et al, 2013). It is clear that additional research is needed to examine the efficacy of existing treatments in non-White populations and to adapt these treatments as necessary to bolster access and outcomes.…”

Section: Diversitymentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

140

149

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Childhood obesity is associated with increased medical and psychosocial consequences and mortality and effective interventions are urgently needed. Effective interventions are urgently needed. This article reviews the evidence for psychological treatments of overweight and obesity in child and adolescent populations. Studies were identified through searches of online databases and reference sections of relevant review articles and metaanalyses. Treatment efficacy was assessed using established criteria, and treatments were categorized as well-established, probably efficacious, possibly efficacious, experimental, or of questionable efficacy. Well-established treatments included family-based behavioral treatment (FBT) and Parent-Only Behavioral Treatment for children. Possibly efficacious treatments include Parent-Only Behavioral Treatment for adolescents, FBT-Guided SelfHelp for children, and Behavioral Weight Loss treatment with family involvement for toddlers, children, and adolescents. Appetite awareness training and regulation of cues treatments are considered experimental. No treatments are considered probably efficacious, or of questionable efficacy. All treatments considered efficacious are multicomponent interventions that include dietary and physical activity modifications and utilize behavioral strategies. Treatment is optimized if family members are specifically targeted in treatment. Research supports the use of multicomponent lifestyle interventions, with FBT and Parent-Only Behavioral Treatment being the most widely supported treatment types. Additional research is needed to test a stepped care model for treatment and to establish the ideal dosage (i.e., number and length of sessions), duration, and intensity of treatments for long-term sustainability of healthy weight management. To improve access to care, the optimal methods to enhance the scalability and implementability of treatments into community and clinical settings need to be established.

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Section: Diversitymentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

140

149

View full text Add to dashboard Cite

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“…Only a few studies have analysed children's and parents’ experiences in relation to childhood obesity prevention and management using qualitative methods (Davis et al . , Murtagh et al . , Wills et al .…”

Section: Literature Reviewmentioning

confidence: 99%

Patients’ autonomy as a negotiated order: an ethnographic perspective on the clinical management of childhood obesity

Lutz

2019

Sociology Health & Illness

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The principle of patients’ autonomy has assumed a central place in healthcare. Patients are encouraged to play an active role in the management of their health, especially when they are affected by chronic illnesses that require long‐term follow‐up. In this article, we analyse patients’ and professionals’ conceptions of patients’ autonomy in the context of childhood obesity management. Based on the results of an ethnographic study that we conducted within a paediatric hospital in French‐speaking Switzerland, we put into perspective the discourses that professionals, parents and children construct around their experiences of the therapy. Our study reveals that the conceptions that these three different actors have of patients’ autonomy converge on several points, but they also diverge on many others. While the rise of autonomy in healthcare has mostly been analysed as a form of empowerment of patients, our results show that this principle also introduces new forms of social control over patients’ lives, and it creates new tensions for patients who are unable to match with the normative expectations of professionals in terms of self‐management and self‐care.

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“…As illustrated in the Healthy Hawks study (2013), program attrition rates are especially common in pediatric lifestyle interventions targeting minorities and populations from underserved areas [68]. Dhaliwal et al [69] recently examined the reasons for program attrition using data from twenty three pediatric obesity programs.…”

Section: Review Processmentioning

confidence: 99%

Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?

et al. 2016

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Since the “2007 summary report of child and adolescent overweight and obesity treatment” published by Barlow, many obesity intervention studies have been conducted in pediatric ambulatory care. Although several meta-analyses have been published in the interim, many studies were excluded because of the focus and criteria of these meta-analyses. Therefore, the primary goal of this article was to identify randomized case-control trials conducted in the primary care setting and to report on treatment approaches, challenges, and successes. We have developed four themes for our discussion and provide a brief summary of our findings. Finally, we identified major gaps and potential solutions, and describe several urgent key action items.

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Outcomes from an Urban Pediatric Obesity Program Targeting Minority Youth: The Healthy Hawks Program

Cited by 42 publications

References 21 publications

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Patients’ autonomy as a negotiated order: an ethnographic perspective on the clinical management of childhood obesity

Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?

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