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. 2011 Jun;16(6):345-50.
doi: 10.1093/pch/16.6.345.

One-on-one lifestyle coaching for managing adolescent obesity: Findings from a pilot, randomized controlled trial in a real-world, clinical setting

Geoff Dc Ball  1 , Kelly A Mackenzie-Rife, Mandi S Newton, Christina A Alloway, Julie M Slack, Ronald C Plotnikoff, Michael I Goran
Affiliations

One-on-one lifestyle coaching for managing adolescent obesity: Findings from a pilot, randomized controlled trial in a real-world, clinical setting

Geoff Dc Ball et al. Paediatr Child Health. 2011 Jun.

Abstract
in English, French

Background: Interventions for obese adolescents in real-world, clinical settings need to be evaluated because most weight management care occurs in this context.

Objectives: To determine whether a lifestyle intervention that includes motivational interviewing and cognitive behavioural therapy (Health Initiatives Program [HIP]) leads to weight management that is superior to a similar lifestyle intervention (Youth Lifestyle Program [YLP]) that does not include these techniques; and to determine whether the HIP and YLP interventions are superior to a wait list control (WLC) group.

Methods: Obese adolescents were randomly assigned to a YLP (n=15), HIP (n=17) or WLC (n=14) group. The YLP and HIP were 16-session, one-on-one interventions. The primary outcome was the percentage change of body mass index z-score.

Results: Completers-only analyses revealed 3.9% (YLP) and 6.5% (HIP) decreases in the percentage change of body mass index z-score compared with a 0.8% (WLC) increase (P<0.001). Levels of attrition did not differ among groups, but were relatively high (approximately 20% to 40%).

Conclusion: Lifestyle interventions delivered in a real-world, clinical setting led to short-term improvements in the obesity status of adolescents.

HISTORIQUE :: Il faut évaluer les interventions auprès des adolescents obèses en milieu clinique réel parce que la plupart des soins de prise en charge de l’obésité se produisent dans ce contexte.

OBJECTIFS :: Déterminer si une intervention sur le mode de vie, incluant une entrevue motivationnelle et une thérapie cognitivocomportementale (Health Initiatives Program [HIP]), favorise une gestion du poids plus efficace qu’une intervention similaire sur le mode de vie (Youth Lifestyle Program [YLP]) qui exclut ces techniques; et déterminer si les interventions HIP et YLP sont plus efficaces qu’un groupe témoin sur une liste d’attente (TLA).

MÉTHODOLOGIE :: Les adolescents obèses ont été répartis au hasard entre un groupe d’YLP (n=15), de HIP (n=17) ou de TLA (n=14). Les groupes d’YLP et de HIP ont reçu 16 séances d’interventions individualisées. L’issue primaire était le changement en pourcentage de l’écart réduit d’indice de masse corporelle.

RÉSULTATS :: Les analyses de ceux qui avaient terminé l’étude ont révélé des diminutions de 3,9 % (YLP) et de 6,5 % (HIP) du changement en pourcentage de l’écart réduit d’indice de masse corporelle, par rapport à une augmentation de 0,8 % (TLA) (P<0,001). Les taux d’attrition, relativement élevés, demeuraient les mêmes entre les groupes (environ 20 % à 40 %).

CONCLUSION :: Les interventions sur le mode de vie offertes en milieu clinique réel entraînent une amélioration à court terme de l’état d’obésité des adolescents.

Keywords: Adolescent; Intervention; Obesity.

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Figures

Figure 1)
Figure 1)
Participant flow through the study stages
See this image and copyright information in PMC

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