Clinical Child Psychology Program, University of Kansas, USA.
J Pediatr Psychol. 2012 Jan-Feb;37(1):53-63. doi: 10.1093/jpepsy/jsr057. Epub 2011 Aug 18.
To examine the effectiveness of a family-based behavioral group intervention (Positively Fit; PF) for pediatric obesity relative to a brief family intervention (BFI) in a sample of treatment-seeking children and adolescents.
Families (n = 93) were randomized to treatment condition. Assessments were conducted at pre- and posttreatment and at 12-month follow-up. Outcome indices included standardized body mass index (BMI) and quality of life (QOL).
Results indicated a significant reduction in zBMI at posttreatment and follow-up across both conditions. At follow-up, BFI and PF participants evidenced average reductions of .12 and .19 zBMI units, respectively. Children demonstrated better outcomes than adolescents across both conditions. Results indicated clinically significant improvements in parent-reported QOL at postintervention and in self-reported QOL at follow-up for PF participants.
Results suggest the effectiveness of family-based interventions for pediatric obesity in clinical settings among younger children. Neither intervention was effective in terms of reducing zBMI among adolescents.
在接受治疗的儿童和青少年样本中，检验基于家庭的行为小组干预（积极适应；PF）相对于简短家庭干预（BFI）对小儿肥胖的有效性。
将家庭（n=93）随机分配到治疗条件。在治疗前、治疗后和 12 个月随访时进行评估。结果指标包括标准化体重指数（BMI）和生活质量（QOL）。
结果表明，两种治疗条件下 zBMI 在治疗后和随访时均显著降低。在随访时，BFI 和 PF 参与者的 zBMI 分别平均降低了.12 和.19 个单位。两种治疗条件下，儿童的结果均优于青少年。结果表明，PF 参与者在干预后报告的父母 QOL 和随访时自我报告的 QOL 均有临床显著改善。
结果表明，在临床环境中，针对小儿肥胖的基于家庭的干预措施对年龄较小的儿童有效。两种干预措施在降低青少年 zBMI 方面均无效。
