A Transtheoretical, Case Management Approach to the Treatment of Pediatric Obesity

Objective: The percentage of obese children in the United States has increased dramatically over the past three decades, particularly among ethnic/ racial minorities. This study sought to examine the impact of a clinical case-management intervention based upon the Transtheoretical Model (TTM) to red...

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Bibliographic Details
Main Authors: Valerie McLaughlin Crabtree PhD, Justin B. Moore PhD, MS, Dean E. Jacks PhD, Patricia Cerrito PhD, Robert V. Topp PhD, RN
Format: Article
Language:English
Published: SAGE Publishing 2010-04-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150131909357069
Description
Summary:Objective: The percentage of obese children in the United States has increased dramatically over the past three decades, particularly among ethnic/ racial minorities. This study sought to examine the impact of a clinical case-management intervention based upon the Transtheoretical Model (TTM) to reduce obesity and increase physical activity in children. Methods: Nineteen obese African-American children ages 8-12 were recruited from two pediatric clinics and were randomized to either a 12-week intervention group or a control group. Dependent variables included body mass index (BMI) percentile, physical activity, and stage of change for the child and parent. Results: In comparison to the control group, the intervention group demonstrated significant decreases in BMI and improvements in daily vigorous physical activity. The children in the intervention group demonstrated movement toward action/maintenance stages of change. Conclusions: A 12-week TTM-based case management intervention can have a favorable impact on obesity and physical activity in African-American child.
ISSN:2150-1327