Designing and Testing the Feasibility of a Multi-level Intervention to Treat Adolescent Obesity in the Pediatric Primary Care Setting

Details

• Alternative Title:
  J Child Adolesc Behav
• Personal Author:
  Pbert, Lori ; Wang, Monica L ; Druker, Susan ; Jackson, Elizabeth A ; Rosal, Milagros C
• Description:
  Objective:
  
  To describe the development steps and feasibility test of a multi-level adolescent obesity intervention for delivery in pediatric primary care settings.
  
  Method:
  
  To understand the target setting and population (i.e., perceptions of and receptivity to various intervention components), focus groups were conducted with clinicians, adolescents, and parents (N=58). Findings informed the development of a multi-level intervention (i.e., office support systems, brief clinician-delivered counseling, and nutritionist-led adolescent group sessions) targeting overweight and obese adolescents (N=22). The intervention was pilot-tested for feasibility using a single group pre- and post-test comparison.
  
  Results:
  
  Families and clinicians agreed on the importance of developing approaches to address adolescent obesity in the pediatric primary care setting, and favored family involvement. The pilot-study showed that it was feasible to implement office system changes to support obesity treatment. All but one component of the clinician- delivered counseling algorithm were feasible. Adolescents participating in the intervention reported dietary improvements and movement toward the action stage for decreasing sedentary behavior.
  
  Conclusion:
  
  Multi-level interventions for adolescent obesity in the pediatric primary care setting are feasible. Research to test the effectiveness of such interventions is warranted.
  
  
• Subjects:
  Adolescents Article Clinician Counseling Diet Obesity Pediatric Primary Care Physical Activity Treatment
• Source:
  J Child Adolesc Behav. 3.
• Pubmed ID:
  30364825
• Pubmed Central ID:
  PMC6198822
• Document Type:
  Journal Article
• Funding:
  U48 DP001933/DP/NCCDPHP CDC HHS/United States
• Volume:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f76afebb344736b449ec45aebf906e0cc394d6ab5401dee32e5aaa223cd121f5
• Download URL:
  https://stacks.cdc.gov/view/cdc/60134/cdc_60134_DS1.pdf
• File Type:
  [PDF - 544.75 KB ]