Program

Feb 12, 2010

OVERVIEW

The Viktoriastift Obesity Training program was added to an exercise and diet approach and used cognitive-behavioral techniques not only to help children learn specific skills to be more fit, but to understand why they had become overweight and what they can do to improve their health. The program is for children and adolescents at least nine years of age with a minimum percentage overweight of 20%. The program was found to ameliorate self-reported eating behaviors and self-efficacy.

DESCRIPTION OF PROGRAM

Target Population: Children and adolescents were evaluated who were at least nine years of age at a hospital exercise and diet program with an IQ in the normal range and a weight at minimum 20% over the normal weight based on sex, height, and age.

This program uses cognitive-behavioral methods to encourage specific skills related to healthy eating and exercise. In six sessions over six weeks, the children learn self-monitoring, contract-management, stimulus-control, modeling, eating-management and reinforcement principles. The children are in groups of about eight to ten of the same sex and age.

The basic regimen at the hospital is a calorie-reduced diet and an exercise program specifically for children and adolescents at risk of overweight.

EVALUATION(S) OF PROGRAM

Warschburger, P., Fromme, C., Petermann, F., Wojtalla, N., & Oepen, J. (2001). Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity. International Journal of Obesity, 25(Suppl 1), S93-S95.

Evaluated Population: Obese children and adolescents (N=197) in a hospital for a dietr and exercise program were evaluated.

Approach: Children were randomly assigned to either the treatment group or a control group that received muscle relaxation training. Both groups received an exercise and diet program.

Self-reported eating behaviors, percentage overweight, self-efficacy, and quality of life were measured.

Results: Compared with children in the control group, treatment-group children reported significant progress at post-test in self-reported eating behaviors and self-efficacy. Treatment-group children also reported higher quality of life in the first six months and a similar trend was found at the one-year follow-up. Both groups reduced the proportion overweight, and no significant differences were found between the treatment and comparison groups for percentage overweight.

SOURCES FOR INFORMATION

References:

Warschburger, P., Fromme, C., Petermann, F., Wojtalla, N., & Oepen, J. (2001). Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity. International Journal of Obesity, 25(Suppl 1), S93-S95.

Program categorized in this guide according to the following:

Evaluated Participant Ages: Mid. Childhood (6-11), Adolescence (12-14), Youth (15-21)

Program Components: Counseling/therapy, Clinic/provider-based

Measured Outcomes: Life Skills, Physical Health

KEYWORDS: Children (3-11); Adolescents (12-17); Youth (16+), Clinic/Provider-based, Males and Females (co-ed), Counseling/Therapy, Skills Training, Obesity; Self Esteem/Self Concept.

Program information last updated 2/12/10