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Rapid versus Gradual Scheduling of Therapeutic Contact in a Family Based Behavioural Weight Control Programme for Children

Published online by Cambridge University Press:  16 June 2009

Christine Senediak  and
Susan H. Spence
Christine Senediak
Affiliation:
Merrylands Health and Teaching Centre, 14 Memorial Avenue, Merrylands, 2160, New South Wales
Susan H. Spence
Affiliation:
Clinical Psychology Unit, University of Sydney, New South Wales
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Extract

Forty-five overweight children aged 6 to 13 were randomly assigned to one of four conditions: a behavioural programme occurring on a rapid schedule, the same behavioural programme presented on a schedule of gradually decreasing frequency, a non-specific control procedure and a waiting list control group. Experimental procedures required subjects to attend eight sessions, accompanied by a parent. The behavioural approach was found to lead to significantly greater reductions in obese status as measured by absolute weight loss and percentage overweight for age, sex and height, in comparison to both the non-specific control procedure and the waiting list group during treatment. This difference was maintained at the 11 week follow-up. Comparison between the rapid and gradual scheduling of behavioural sessions revealed little difference in outcome in the long term, other than effects which reflected differences in duration since the onset of treatment. Skinfold measures were found to be less sensitive to change, with differences between groups being evident only in the longer term assessments.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 4 , October 1985 , pp. 265 - 287
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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References

Aragona, J., Cassady, J. and Drabman, R. (1975). Treating overweight children through parental training and contingency contracting. Journal of Applied Behaviour Analysis 8, 269–278.CrossRefGoogle ScholarPubMed
Asby, W. and Wilson, G. (1977). Behaviour therapy for obesity: booster sessions and long-term maintenance of weight loss. Behaviour Research and Therapy 15, 451–464.CrossRefGoogle Scholar
Beneke, W. and Paulsen, B. (1979). Long-term efficacy of a behaviour modification weight loss program: A comparison of two follow-up maintenance weight loss strategies. Behaviour Therapy 10, 8–13.CrossRefGoogle Scholar
Bernstein, D. and Borkovec, T. (1973). Progressive Relaxation Training: A Manual for the Helping Professions. Illinois: Research Press.Google Scholar
Brownell, K. and Stunkard, A. (1983). Behavioural treatment for obese children and adolescents. In Pediatric and Adolescent Behavioural Medicine: Issues in Treatment, McGrath, P. and Firestone, P. (Eds), New York: Springer Publishing Company.Google Scholar
Cameron, C. (1980). Obesity. In Behavioural Analysis and the Problems of Childhood, Hudson, A. and Griffen, M. (Eds), Vic: Pit Publishing.Google Scholar
Coates, T. and Thoresen, C. (1978). Treating obesity in children and adolescents: a review. American Journal of Public Health 68, 143–149.CrossRefGoogle ScholarPubMed
Coates, T., Jeffery, R., Slinkard, L., Kullen, J. and Danaker, B. (1982). Frequency of contact and monetary reward in weight loss, lipid change, and blood pressure reduction with adolescents. Behaviour Therapy 13, 175–185.CrossRefGoogle Scholar
Court, J., Dunlop, M., Reynolds, M., Russell, J. and Griffiths, L. (1976). Growth and development of fat in adolescent school children in Victoria. Part 2. Influence of ethnic, geographic and socio-economic factors. Australian Pediatrics Journal 12, 305–312.Google ScholarPubMed
Deschamps, I., Desjeux, J., Machmat, S., Rqlland, F. and Lestradet, H. (1978). Effects of diet and weight loss on plasma glucose, insulin and free fatty acids in obese children. Pediatric Research 12, 757–760.CrossRefGoogle ScholarPubMed
Dinoff, M., Rickard, H. and Colwick, J. (1972). Weight reduction through successive contracts. American Journal of Orthopsychiatry 42, 110–113.CrossRefGoogle ScholarPubMed
Edwards, K. A. (1978). An index for assessing weight change in children: Weight/height ratios. Journal of Applied Behaviour Analysis 11, 421–429.CrossRefGoogle ScholarPubMed
Epstein, L. and Wing, R. (1980). Aerobic exercise and weight. Addictive Behaviour 5, 371–388.CrossRefGoogle ScholarPubMed
Epstein, L., Masek, B. and Marshall, W. (1978a). A nutritionally based school program for control of eating in obese children. Behaviour Therapy 9, 766–778.CrossRefGoogle Scholar
Epstein, L.Masek, B. and Marshall, W. (1978b). Pre-lunch exercise and lunchtime caloric intake. The Behaviour Therapist 1, 15–16.Google Scholar
Franzini, L. R. and Grines, W. B. (1976). Skinfold measures as the criterion of change in weight control studies. Behaviour Therapy 7, 256–260.CrossRefGoogle Scholar
Getchell, B. (1979). Physical Fitness: A Way of Life. New York: John Wiley.Google Scholar
Grande, F. (1973). Assessment of body fat in man. In Obesity in Perspective, Bray, G. (Ed.), DHEW Publications No. (NIH) 75–708.Google Scholar
Hanson, R., Borden, B., Hall, S. and Hall, R. (1976). Use of programmed instruction in teaching self-management skills to overweight adults. Behaviour Therapists 7, 366–373.CrossRefGoogle Scholar
Israel, A. and Stolmaker, L. (1980) Behavioural treatment of obesity in children and adolescents. In Progress in Behaviour Modification, Hersen, M., Eisler, R. and Miller, P. (Eds), vol. 10. New York: Academic Press.Google Scholar
Jeffrey, B. and Christensen, E. (1975). Behaviour therapy versus “will power” in the management of obesity. The Journal of Psychology 90, 303–311.CrossRefGoogle ScholarPubMed
Jeffrey, R. and Wing, R. (1979). Frequency of therapist contact in the treatment of obesity. Behaviour Therapy 10, 186–192.CrossRefGoogle Scholar
Jones, D., Hemphill, W. and Meyers, E. (1973). Height, Weight and other Physical Characteristics of New South Wales Children, Part 1: Children aged Five Years and Older. Sydney: New South Wales Department of Health.Google Scholar
Kingsley, R. and Shapiro, J. (1977). A comparison of three behaviour programs for the control of obesity in children. Behaviour Therapy 8, 30–36.CrossRefGoogle Scholar
Kingsley, R. and Wilson, G. T. (1977). Behaviour therapy for obesity: a comparative investigation of long-term efficacy. Journal of Consulting and Clinical Psychlogy 45, 288–298.CrossRefGoogle ScholarPubMed
Knauss, M., Jeffrey, D., Knauss, G. and Harowski, K. (1983). Therapeutic contact and individual differences in a comprehensive weight loss program. The Behaviour Therapist 6, 124–128.Google Scholar
Langeluddecke, P., Birrell, P. and Lovibond, S. (1979). Manual for the University of New South Wales Behavioural Change Programme. (Unpublished manuscript).Google Scholar
Londe, S., Bourgoignie, J., Robson, A. and Goldring, D. (1979). Hypertension in apparently normal children. Journal of Pediatrics 78, 569–577.CrossRefGoogle Scholar
Rivinus, T., Drummond, T. and Combrinck-Graham, L. (1976). A group-behaviour treatment programme for overweight children: results of a pilot study. Pediatric Adolescent Endocrinology 11, 212–218.Google Scholar
Sallade, J. (1973). A comparison of the psychological adjustment of obese vs nonobese children. Journal of Psychosomatic Research 17, 89–96.CrossRefGoogle Scholar
Stuart, R. and Davis, B. (1972). Slim Chance in a Fat World. Champaign, Illinois: Research Press.Google Scholar
Stunkard, A., D'Aquili, E., Fox, S. and Filion, R. (1972). Influence of social class on obesity and thinness in children. Journal of the American Medical Association 221, 579–584.CrossRefGoogle ScholarPubMed
Tanner, J. and Whitehouse, R. (1975). Revised standards for triceps and subscapular skinfolds in British children. Archives of Disease in Childhood 50, 142–145.CrossRefGoogle ScholarPubMed
Wahlquist, M. and Flint, D. (1981). Nutritional assessment. Medical Journal of Australia 1, 505–512.CrossRefGoogle Scholar
Wilson, G. T. (1978). Methodological considerations in treatment outcome research on obesity. Journal of Consulting and Clinical Psychology 46, 687–702.CrossRefGoogle ScholarPubMed
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