Objective: To quantitatively characterize change in health-related quality of life (HRQoL) in the context of behavioral (n = 16), surgical (n = 5), and pharmacological (n = 1) interventions for pediatric overweight and obesity. A secondary goal was to examine the relationship between change in HRQoL and change in body mass index (ΔBMI) by treatment type. The amount of weight loss necessary to observe a minimally clinically important difference (MCID) in HRQoL was determined.
View Article and Find Full Text PDFObjective: Anxiety has both state/trait and cognitive/somatic dimensions, and these distinctions may be particularly relevant for children with medical problems. This two-part study adapted the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) and confirmed its factor structure in a sample of children in a primary care clinic.
Methods: STICSA items were adapted for reading level and piloted in a small group of children.
The objective of this study was to examine the degree to which 2 measures of weight criticism, the Weight Criticism During Physical Activity (WCA) scale and the Perceptions of Teasing Scale (POTS), represent distinct constructs and in what circumstances each is most appropriately used. A community sample of 307 fourth and fifth graders completed these measures, as well as measures of health-related quality of life, physical activity engagement, and attitudes toward physical activity. Body mass index was also calculated.
View Article and Find Full Text PDFObjectives: To examine differences in self-reported physical activity (PA) between participants enrolled in the treatment versus active control condition of a pediatric obesity intervention, and to test associations between parent and child PA.
Methods: Participants (N = 93) included children aged 7-17 years and their parent. Analyses tested whether participants in the treatment condition reported greater PA at postintervention and 12-month follow-up compared with the control condition.
Objective: Previous studies have suggested complex associations among variables related to parental control of feeding and child/adolescent obesity. The current study examined associations between parental food control variables and weight outcomes in the context of a behaviorally based family treatment program.
Methods: Parents of youths (n = 93) enrolled in a clinical trial comparing 2 weight management interventions completed the Child Feeding Questionnaire pre- and post-treatment, and at a 12-month follow-up.
Purpose: To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensive behavioral family lifestyle interventions (CBFLI) for pediatric obesity.
Method: Common research databases were searched for articles through April 1, 2013. 20 different studies (42 effect sizes and 1,671 participants) met inclusion criteria.
J Consult Clin Psychol
June 2014
Objective: Motivational interviewing (MI) is an empirically supported intervention that has shown effectiveness in moving people toward positive lifestyle choices. Although originally designed for adult substance users, MI has since expanded to other health concerns with a range of client age groups. The present study investigated the overall effectiveness of MI in the context of child and adolescent health behavior change and health outcomes.
View Article and Find Full Text PDFObjective: To characterize dyadic and general friendships of youth with spina bifida (SB).
Methods: Families of youth with SB recruited a peer to participate; 106 dyads participated. Youth with SB and peers completed questionnaires and interviews regarding characteristics of the dyadic friendship and each individual's general friendships.