The role of parental motivation in family-based treatment for childhood obesity.
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. This study investigated the role of parental motivation (importance, confidence and readiness) for predicting dropout and outcome from family-based behavioral treatment for childhood obesi...
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/225004 2023-05-15T16:52:20+02:00 The role of parental motivation in family-based treatment for childhood obesity. Gunnarsdottir, Thrudur Njardvik, Urdur Olafsdottir, Anna S Craighead, Linda W Bjarnason, Ragnar University of Iceland, Centre of Public Health, Reykjavik, Iceland. thrudur@hi.is 2012-05-21 http://hdl.handle.net/2336/225004 https://doi.org/10.1038/oby.2011.59 en eng Nature Pub. Group http://dx.doi.org/10.1038/oby.2011.59 Obesity (Silver Spring) 2011, 19(8):1654-62 1930-7381 21455125 doi:10.1038/oby.2011.59 http://hdl.handle.net/2336/225004 Obesity (Silver Spring, Md.) Archived with thanks to Obesity (Silver Spring, Md.) Adult Attitude Behavior Therapy Body Mass Index Child Family Female Follow-Up Studies Health Behavior Humans Life Style Male Middle Aged Motivation Obesity Parent-Child Relations Parents Patient Compliance Self Efficacy Treatment Outcome Weight Loss Article 2012 ftlandspitaliuni https://doi.org/10.1038/oby.2011.59 2022-05-29T08:21:46Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. This study investigated the role of parental motivation (importance, confidence and readiness) for predicting dropout and outcome from family-based behavioral treatment for childhood obesity. Parent and child demographics, adherence to treatment, and weight loss parameters were also explored as potential predictors. Eighty-four obese children (BMI-standard deviation scores (SDS) >2.14) and a participating parent with each child started treatment consisting of 12 weeks of group and individual treatment sessions (24 sessions total) delivered over a period of 18 weeks. Sixty-one families (73%) completed treatment and attended follow-up at 1 year after treatment. Child session attendance and completion of self-monitoring records served as measures of adherence. In regression analyses, parent reports (pretreatment) of confidence for doing well in treatment was the strongest predictor of treatment completion (P = 0.003) as well as early treatment response (weight loss at week 5) (P = 0.003). This variable remained a significant predictor of child weight loss at post-treatment (P = 0.014), but was not associated with child outcome at 1-year follow-up (P > 0.05). The only significant predictor of child weight loss at that point was child baseline weight (P = 0.001). However, pretreatment parent ratings of importance of and readiness for treatment did not predict dropout or weight loss at any point. The results underscore the importance of addressing parental motivation, specifically parental confidence for changing lifestyle related behaviors, early in the treatment process. Doing so may reduce treatment dropout and enhance treatment outcome. Landspitali University Hospital Icelandic Research Fund for Graduate Students University of Iceland Thorvaldssen Society Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Obesity 19 8 1654 1662 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Adult Attitude Behavior Therapy Body Mass Index Child Family Female Follow-Up Studies Health Behavior Humans Life Style Male Middle Aged Motivation Obesity Parent-Child Relations Parents Patient Compliance Self Efficacy Treatment Outcome Weight Loss |
spellingShingle |
Adult Attitude Behavior Therapy Body Mass Index Child Family Female Follow-Up Studies Health Behavior Humans Life Style Male Middle Aged Motivation Obesity Parent-Child Relations Parents Patient Compliance Self Efficacy Treatment Outcome Weight Loss Gunnarsdottir, Thrudur Njardvik, Urdur Olafsdottir, Anna S Craighead, Linda W Bjarnason, Ragnar The role of parental motivation in family-based treatment for childhood obesity. |
topic_facet |
Adult Attitude Behavior Therapy Body Mass Index Child Family Female Follow-Up Studies Health Behavior Humans Life Style Male Middle Aged Motivation Obesity Parent-Child Relations Parents Patient Compliance Self Efficacy Treatment Outcome Weight Loss |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. This study investigated the role of parental motivation (importance, confidence and readiness) for predicting dropout and outcome from family-based behavioral treatment for childhood obesity. Parent and child demographics, adherence to treatment, and weight loss parameters were also explored as potential predictors. Eighty-four obese children (BMI-standard deviation scores (SDS) >2.14) and a participating parent with each child started treatment consisting of 12 weeks of group and individual treatment sessions (24 sessions total) delivered over a period of 18 weeks. Sixty-one families (73%) completed treatment and attended follow-up at 1 year after treatment. Child session attendance and completion of self-monitoring records served as measures of adherence. In regression analyses, parent reports (pretreatment) of confidence for doing well in treatment was the strongest predictor of treatment completion (P = 0.003) as well as early treatment response (weight loss at week 5) (P = 0.003). This variable remained a significant predictor of child weight loss at post-treatment (P = 0.014), but was not associated with child outcome at 1-year follow-up (P > 0.05). The only significant predictor of child weight loss at that point was child baseline weight (P = 0.001). However, pretreatment parent ratings of importance of and readiness for treatment did not predict dropout or weight loss at any point. The results underscore the importance of addressing parental motivation, specifically parental confidence for changing lifestyle related behaviors, early in the treatment process. Doing so may reduce treatment dropout and enhance treatment outcome. Landspitali University Hospital Icelandic Research Fund for Graduate Students University of Iceland Thorvaldssen Society |
author2 |
University of Iceland, Centre of Public Health, Reykjavik, Iceland. thrudur@hi.is |
format |
Article in Journal/Newspaper |
author |
Gunnarsdottir, Thrudur Njardvik, Urdur Olafsdottir, Anna S Craighead, Linda W Bjarnason, Ragnar |
author_facet |
Gunnarsdottir, Thrudur Njardvik, Urdur Olafsdottir, Anna S Craighead, Linda W Bjarnason, Ragnar |
author_sort |
Gunnarsdottir, Thrudur |
title |
The role of parental motivation in family-based treatment for childhood obesity. |
title_short |
The role of parental motivation in family-based treatment for childhood obesity. |
title_full |
The role of parental motivation in family-based treatment for childhood obesity. |
title_fullStr |
The role of parental motivation in family-based treatment for childhood obesity. |
title_full_unstemmed |
The role of parental motivation in family-based treatment for childhood obesity. |
title_sort |
role of parental motivation in family-based treatment for childhood obesity. |
publisher |
Nature Pub. Group |
publishDate |
2012 |
url |
http://hdl.handle.net/2336/225004 https://doi.org/10.1038/oby.2011.59 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1038/oby.2011.59 Obesity (Silver Spring) 2011, 19(8):1654-62 1930-7381 21455125 doi:10.1038/oby.2011.59 http://hdl.handle.net/2336/225004 Obesity (Silver Spring, Md.) |
op_rights |
Archived with thanks to Obesity (Silver Spring, Md.) |
op_doi |
https://doi.org/10.1038/oby.2011.59 |
container_title |
Obesity |
container_volume |
19 |
container_issue |
8 |
container_start_page |
1654 |
op_container_end_page |
1662 |
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1766042493514678272 |