Pediatric Weight Management

PWM: Comparing Treatment Formats for Adolescents (2006)

• Intervention
  How does adolescent-only treatment of obesity compare to interventions including both adolescent and parent in a mixed treatment format (sometimes together sometimes separate)?

  • Conclusion

    No studies meeting the inclusion criteria for this question were found for treatment of adolescent obesity.
    
    Thus, there is insufficient evidence to determine whether interventions, including both adolescent and parent in a mixed treatment format (sometimes together sometimes separate), is more effective than treating adolescents for obesity without their parents.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
  • Search Plan and Results: Treatment Format: Family Format 2004
     
  How does adolescent-only treatment of obesity compare to interventions with both adolescents and their parents (separately)?

  • Conclusion

    There is insufficient evidence to determine whether targeting parents and adolescents separately to treat childhood obesity works any better than targeting only the adolescents.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
  • Evidence Summary: How does adolescent-only treatment of obesity compare to interventions with both adolescents and their parents (separately)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Brownell KD, Kelman JH, Stunkard AJ. Treatment of obese children with and without their mothers: changes in weight and blood pressure. Pediatrics 1983; 71: 515-23.
      • Coates TJ, Killen JD, Slinkard LA. Parent participation in a treatment program for overweight adolescents. Int J Eat Disord 1982; 1: 37-48.
      • Wadden, T., Stunkard, A., Rich, L., Rubin, C., Sweidel, G, McKinney, S. Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics. 1990, 85(3): 345-352.
  • Search Plan and Results: Treatment Format: Family Format 2004
     
  How does adolescent-only treatment of obesity compare to interventions with both adolescents and their parents (together)?

  • Conclusion

    Studies directly comparing parent-and-adolescent together vs. adolescent-only obesity treatment formats are inconsistent in their findings about the different effects of these two treatment formats. Thus, there is insufficient evidence to determine whether one treatment format is better than the other in bringing about weight loss outcomes.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
  • Evidence Summary: How does adolescent-only treatment of obesity compare to interventions with both adolescents and their parents (together)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Brownell KD, Kelman JH, Stunkard AJ. Treatment of obese children with and without their mothers: changes in weight and blood pressure. Pediatrics 1983; 71: 515-23.
      • Flodmark CE, Ohlsson T, Ryden O, Sveger T. Prevention of progression to severe obesity in a group of obese schoolchildren treated with family therapy. Pediatrics 1993; 91: 880-84.
      • Kirschenbaum DS, Harris ES, Tomarken AJ. Effects of parental involvement in behavioral weight loss therapy for preadolescents. Behavior Therapy 1984;15:485-500. 
      • Wadden, T., Stunkard, A., Rich, L., Rubin, C., Sweidel, G, McKinney, S. Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics. 1990, 85(3): 345-352.
  • Search Plan and Results: Treatment Format: Family Format 2004
     
  How does treatment of adolescent obesity by interventions with parents and adolescents together compare to interventions with parents and adolescents separate?

  • Conclusion

    There is not enough research to be able to determine whether treating adolescent obesity by treating parents and adolescents together may be better or worse than treating them separately. It is possible that neither treatment format is preferable to a format that includes parents and adolescents together for some aspects of treatment, while keeping them separate for other aspects of treatment.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
  • Evidence Summary: Comparing parent and adolescent together versus parent and adolescent separate for treating childhood obesity
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Brownell KD, Kelman JH, Stunkard AJ. Treatment of obese children with and without their mothers: changes in weight and blood pressure. Pediatrics 1983; 71: 515-23.
      • Wadden, T., Stunkard, A., Rich, L., Rubin, C., Sweidel, G, McKinney, S. Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics. 1990, 85(3): 345-352.
  • Search Plan and Results: Treatment Format: Family Format 2004