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dc.contributor.authorMitchell, Tarrah B.
dc.contributor.authorAmaro, Christina M.
dc.contributor.authorSteele, Ric G.
dc.identifier.citationMitchell, T. B., Amaro, C. M., & Steele, R. G. (2016). Pediatric Weight Management Interventions in Primary Care Settings: A Meta-Analysis.en_US
dc.description.abstractObjective: Although the primary care setting has been recommended as an acceptable environment for pediatric overweight/obesity treatment, a quantitative analysis has not been conducted to determine the effectiveness of pediatric weight management interventions delivered in these settings. Therefore, the purpose of the current study was to conduct a meta-analysis of weight management interventions for youth in primary care settings. Method: A literature search using PsycINFO and PubMed was conducted to identify articles published through October 2015. Eighteen studies (3,358 participants) met inclusion criteria; studies included a treatment and comparison group and targeted individuals or families for treatment. Study characteristics were coded, and study rigor of articles was assessed. Results: The overall effect size for change in body mass index (BMI) in primary care weight management interventions compared to control groups was small but statistically significant (d = 0.26, 95% CI [.14, .38]). The number of treatment contacts, treatment months, and visits with a pediatrician emerged as significant moderators of outcome, such that BMI reduction was positively related to greater contact. Conclusions: In comparison to control conditions, weight management programs in primary care settings can be effective for BMI reduction, suggesting that primary care is a suitable setting for treatment of pediatric overweight/obesity. Additionally, treatments that were longer in duration, included more contacts (in person or phone), and included more contacts by a pediatrician had greater impact on BMI reduction. Future studies should continue to examine other aspects of acceptability and accessibility as well as demonstrate the effectiveness of interventions on improving psychosocial outcomes. (PsycINFO Database Record (c) 2016 APA, all rights reserved)en_US
dc.publisherAmerican Psychological Associationen_US
dc.rightsThis article may not exactly replicate the final version published in the APA journal. It is not the copy of record.en_US
dc.titlePediatric weight management interventions in primary care settings: A meta-analysisen_US
kusw.kuauthorMitchell, Tarrah B.
kusw.kuauthorAmaro, Christina M.
kusw.kuauthorSteele, Ric G.
kusw.kudepartmentApplied Behavioral Scienceen_US
kusw.oanotesPer SHERPA/RoMEO 10/14/2016: Author's Pre-print: green tick author can archive pre-print (ie pre-refereeing) Author's Post-print: green tick author can archive post-print (ie final draft post-refereeing) Publisher's Version/PDF: cross author cannot archive publisher's version/PDF General Conditions:

Authors' pre-print on a web-site Authors' pre-print must be labeled with date and accompanied with statement that paper has not (yet) been published Copy of authors final peer-reviewed manuscript as accepted for publication Authors' post-print on author's web-site, employers server or institutional repository, after acceptance Publisher copyright and source must be acknowledged Must link to publisher version with DOI Article must include the following statement: 'This article may not exactly replicate the final version published in the APA journal. It is not the copy of record.' Publisher's version/PDF cannot be used APA will submit NIH author articles to PubMed Central, after author completion of form
kusw.oaversionScholarly/refereed, author accepted manuscripten_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US

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