Cost-effectiveness of Family Based Pediatric Obesity Treatment
|Weight Change Quality of Life||Behavioral: Individual Behavior Modification Behavioral: Family-based behavior modification|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Participant)
Primary Purpose: Treatment
|Official Title:||Cost-effectiveness of Family Based Pediatric Obesity Treatment|
- Standardized BMI [ Time Frame: baseline, 6 months, 12 months ]
- quality adjusted life years [ Time Frame: baseline, 6 months, 12 months ]
|Study Start Date:||October 2007|
|Study Completion Date:||November 2009|
|Primary Completion Date:||November 2009 (Final data collection date for primary outcome measure)|
Experimental: Individual Behavioral Modification
Individual behavioral weight control treatment; parent and child are treated separately for 15 total sessions.
Behavioral: Individual Behavior Modification
Individual behavioral treatment for obesity. Children and parents meeting individually for 15 total behavioral modification intervention sessions.
Active Comparator: Family-based Behavioral Modification
Family-based behavioral weight control treatment; parent and child are treated together for 15 total sessions.
Behavioral: Family-based behavior modification
Family-base behavior treatment for obesity. Children and parents meeting together for 15 total behavioral modification intervention sessions.
Research has shown that family-based treatment programs produce significant short and long-term decreases in weight relative to height. Reductions in relative weight are observed for both parents and their children, with a significant relationship between parent and child relative weight changes.
Usual care for families with obesity is for the parent and child to be treated separately by their individual physicians, often with different types of treatment plans. This may be less efficacious for the parent and child than a family-based intervention in which the parent and child are treated together. The separate treatments may also be more expensive than concurrent treatment following the same treatment plan.
There are many reasons to hypothesize that a family-based treatment will be more efficacious and more cost effective than other formats for treating families with multiple generations of obesity. If family members are treated together, they have the same treatment goals. They can learn to support each other, model positive behaviors, work together to change behaviors and modify the shared family environment. The simultaneous treatment of parents and children in a group format, which is how family-based treatments are administered, reduces the time therapists provide treatment in comparison to the usual format in which each parent and child would be seen individually.
An important challenge for obesity treatment is to develop efficacious and cost-effective interventions to treat pediatric obesity. The goal of this study is to evaluate the efficacy and cost effectiveness over 12 month follow-up for 50 families with overweight parents and children randomized to family-based behavioral treatment in comparison to the treatment of the parents and children separately, by different therapists, which represent usual care for families with obese parents and children.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00717132
|United States, New York|
|SUNY @ Buffalo|
|Buffalo, New York, United States, 14214|
|Principal Investigator:||Leonard H Epstein, PhD||SUNY @ Buffalo|