The effect of family-based multidisciplinary cognitive behavioral treatment on health-related quality of life in childhood obesity

2011 ◽  
Vol 21 (9) ◽  
pp. 1587-1594 ◽  
Author(s):  
Rimke C. Vos ◽  
Sasja D. Huisman ◽  
Euphemia C. A. M. Houdijk ◽  
Hanno Pijl ◽  
Jan M. Wit
Keyword(s):  
Quality Of Life ◽  
Childhood Obesity ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Family Based

scholarly journals Comparing the effectiveness of cognitive-behavioral art-play and cognitive-behavioral story therapy on health related quality of life among children with cancer

2020 ◽  
Vol 22 (2) ◽  
pp. 244-254
Author(s):  
Zohreh Shojaei ◽  
Mohsen Golparvar ◽  
Asghar Aghaei ◽  
Mohammad Reza Bordbar ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral ◽  
Health Related Quality ◽  
Children With Cancer ◽  
Related Quality ◽  
Health Related

Effects of a nine-month occupational intervention on health-related quality of life

2017 ◽  
Vol 45 (4) ◽  
pp. 452-458
Author(s):  
Birgitta Ojala ◽  
Clas-Håkan Nygård ◽  
Heini Huhtala ◽  
Seppo T. Nikkari
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Base Line ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

The aim of this study was to evaluate the effectiveness of vocationally outpatient oriented rehabilitation on an intervention group, compared with a control group that did not take part in the intervention. The groups were compared for health-related quality of life (HRQoL) by the quantitative indicator RAND 36. Data were obtained by a self-report at baseline and at nine months follow-up. Differences between base-line and follow-up were analyzed within group and between the groups. The study population consisted of 751 municipal employees aged between 26 and 64 years; an intervention with 463 women and 115 men ( n = 578), and a control group with 138 women and 35 men ( n = 173). In this study we focused on those who had answered to all questions in RAND 36, thus 581 remained. Of these, 388 were in the intervention group (mean age 49.0 years) and 110 in the control group (mean age 48.4 years). Intervention was based on cognitive behavioral therapy. Participants in the 9-month outpatient intervention group showed statistically significant increase in all eight RAND 36 areas. Most improvement was seen in the psychosocial functioning index ( p = 0.002). Although there were no statistically significant changes in RAND 36 components in the control group, difference in changes between groups were seen in energy and fatigue ( p < 0.001), social functioning ( p = 0.032) and general health perceptions 0.027 in favor of the intervention group. The results suggest that a cognitive behavioral intervention as an early rehabilitation program is effective in increasing employees’ quality of life, as measured by RAND 36.

scholarly journals Four-year Behavioural, Health Related Quality of Life and BMI Outcomes From a Cluster Randomized Whole of Systems Trial of Prevention Strategies for Childhood Obesity (Whostops Childhood Obesity)

2020 ◽  
Author(s):  
Steven Allender ◽  
Liliana Orellana ◽  
Nic Crooks ◽  
Kristy Bolton ◽  
Penny Fraser ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Childhood Obesity ◽  
Food Consumption ◽  
Health Related Quality ◽  
Prevention Strategies ◽  
Behavioural Health ◽  
Related Quality ◽  
Health Related ◽  
Cluster Randomized

Abstract Objectives: To test the effectiveness of the Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHOSTOPS) for behavioural, health related quality of life and Body Mass Index (BMI) outcomes.Design :Cluster randomized trial of ten communities randomly allocated (1:1) to start intervention in 2015(step one) or in 2019 (after 4-years).Setting:Community based trial in South West Victoria, Australia, including all major health and local council agencies.Participants: Data were collected from 59 participating primary schools April-June of 2015 (73% school participation rate); 2017 (69%), and 2019 (63%). Student participation rates were 80% in 2015 (1,792/2,516 invited), 81% in 2017 (2,411/2,963), and 79% in 2019 (2,177/2,720).Interventions: Local leaders, organisations and community members developed obesity prevention interventions and implementation measures using a five phase process to change existing conditions that lead to childhood obesity.Main outcome measures: Measured height and weight (Grades two, four and six), self-reported behavioural, and health-related quality of life (Grade four and six).Results: There was an intervention by time interaction in both age and sex standardizedBMI (BMIz) (p=0.031)and obesity/overweight prevalence (p=0.006). The control communities remained unchanged whereas BMIz and overweight/obesity prevalence decreased between 2015 and 2017 and increased between 2017 and 2019 in intervention communities. The intervention reduced take away food consumption (p=0.006) and improved physical (p=0.036) and global (p=0.036) health related quality of life. Water consumption increased among girls (p=0.019)as did energy-dense and nutrient poor snack consumption (p=0.015) and take-away food consumption among boys (p= 0.012). BMIz of the grade two cohort steadily increased.Conclusions: WHOSTOPS had a positive impact on takeaway food intake and health-related quality of life.Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR): 12616000980437.Registered 26 July 2016 - Retrospectively registered https://www.anzctr.org.au/Trial/Registration/

scholarly journals Preferences on how to measure and discuss health related quality of life within integrated care for children with obesity

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Minke M. A. Eilander ◽  
Marieke M. A. van Mil ◽  
Leandra W. Koetsier ◽  
Jacob C. Seidell ◽  
Jutka Halberstadt
Keyword(s):  
Quality Of Life ◽  
Childhood Obesity ◽  
The Netherlands ◽  
Integrated Care ◽  
Health Related Quality ◽  
Structured Interviews ◽  
Psychosocial Wellbeing ◽  
Related Quality ◽  
Health Related

Abstract Background Childhood obesity can affect physical as well as psychosocial wellbeing. Therefore, childhood obesity care aims to improve all dimensions of health related quality of life (HRQoL). HRQoL can be measured with the generic questionnaire PedsQL4.0 and the weight-specific IWQOL-Kids. In the Netherlands, HRQoL assessment is conducted by the coordinating professional (CP). The aim of this qualitative study was to examine how and when to implement the measurement and discussion of HRQoL using the PedsQL4.0 and IWQOL-Kids within the integrated care for children with obesity in the Netherlands. Semi-structured interviews were conducted with fourteen CPs, in which the following was discussed: a) familiarity and attributions with regard to the assessment of HRQoL; b) wishes and needs with regard to the usage of the questionnaires; c) its practical incorporation. Results Interviews revealed that most CPs gained insight into the HRQoL by talking with families. One CP used the PedsQL4.0, the remaining CPs were unfamiliar with the two questionnaires. Even though some barriers, for instance a lack of time, might hinder the implementation of the PedsQL4.0 and IWQOL-Kids, all participants think the usage of either one or both questionnaires would have additional value to the support and care for children with obesity. There was no consensus about the questionnaire of preference. Conclusions When the right preconditions are met, HRQoL questionnaires have the potential to support CPs in improving the care for children with obesity, tailored to each individual child.

scholarly journals The impact of a community-based intervention on weight, weight-related behaviours and health-related quality of life in primary school children in Victoria, Australia, according to socio-economic position

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jane Jacobs ◽  
Claudia Strugnell ◽  
Steven Allender ◽  
Liliana Orellana ◽  
Kathryn Backholer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Childhood Obesity ◽  
School Children ◽  
Primary School Children ◽  
Health Related Quality ◽  
Community Based ◽  
Related Quality ◽  
Health Related

Abstract Background Approximately a quarter of Australian children are classified as overweight or obese. In high-income countries, childhood obesity follows a socio-economic gradient, with greater prevalence amongst the most socio-economically disadvantaged children. Community-based interventions (CBI), particularly those using a systems approach, have been shown to be effective on weight and weight-related behaviours. They are also thought to have an equitable impacts, however there is limited evidence of their effectiveness in achieving this goal. Methods Secondary analysis was conducted on data collected from primary school children (aged 6–13 years) residing in ten communities (five intervention, five control) involved in the Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHO STOPS) cluster randomised trial in Victoria, Australia. Outcomes included Body Mass Index z-score (BMI-z) derived from measured height and weight, self-reported physical activity and dietary behaviours and health related quality of life (HRQoL). Repeat cross-sectional data from 2015 (n = 1790) and 2019 (n = 2137) were analysed, stratified by high or low socio-economic position (SEP). Multilevel linear models and generalised estimating equations were fitted to assess whether SEP modified the intervention effect on the outcomes. Results There were no overall changes in BMI-z for either SEP strata. For behavioural outcomes, the intervention resulted in a 22.5% (95% CI 5.1, 39.9) point greater improvement in high-SEP compared to low-SEP intervention schools for meeting physical activity guidelines. There were also positive dietary intervention effects for high SEP students, reducing takeaway and packaged snack consumption, although there was no significant difference in effect between high and low SEP students. There were positive intervention effects for HRQoL, whereby scores declined in control communities with no change in intervention communities, and this did not differ by SEP. Conclusion The WHO STOPS intervention had differential effects on several weight-related behaviours according to SEP, including physical activity. Similar impacts on HRQoL outcomes were found between high and low SEP groups. Importantly, the trial evaluation was not powered to detect subgroup differences. Future evaluations of CBIs should be designed with an equity lens, to understand if and how these types of interventions can benefit all community members, regardless of their social and economic resources.

Family-Based Predictors of Health-Related Quality of Life in Children With Spina Bifida

2012 ◽  
Author(s):  
Caitlin B. Murray ◽  
Christina Amaro ◽  
Nick Seivert ◽  
Kimberly Klages ◽  
Alexandra Psihogios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spina Bifida ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Family Based

scholarly journals Health-related quality of life after camp-based family obesity treatment: an RCT

2019 ◽  
Vol 3 (1) ◽  
pp. e000413
Author(s):  
Beate Benestad ◽  
Tor-Ivar Karlsen ◽  
Milada Cvancarova Småstuen ◽  
Samira Lekhal ◽  
Jens Kristoffer Hertel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Summer Camp ◽  
Treatment Programme ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Family Based Treatment ◽  
Family Based ◽  
Parent Proxy

ObjectiveTo compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.DesignRandomised controlled trial.SettingRehabilitation clinic, tertiary care hospital and primary care.PatientsFamilies with at least one child (7–12 years) and one parent, both with obesity.InterventionsSummer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measuresChildren’s and parents’ HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.ResultsNinety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.ConclusionsA 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children’s self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration numberNCT01110096.

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