Abstract
Purpose
Psychosocial interventions (PSIs) are characterized by three phases: (1) an initial
in-depth assessment, (2) an intensive multifaceted intervention to stem a condition,
and (3) an extensive maintenance program. PSIs are often used for treatment of mental
health conditions; however, applicability in the treatment of adolescent obesity is
unknown. This article sought to evaluate the service-level outcomes of a PSI for young
people (aged 10–17) with severe obesity.
Methods
A retrospective evaluation of participants attending the Self Help, Independence,
Nutrition and Exercise program between 2011 and 2016 (n = 435; age: 13.1 ± 2.1 years, male: 51%, white: 87.4%, body mass index [BMI]: 33.5
± 7.5 kg/m2, standardized BMI [BMI SDS]: 3.1 ± .5 units). Anthropometric measurements (BMI and
waist circumference) were collected at baseline, 3, 6, 9, and 12 months. Psychosocial
measures (anxiety, depression, and self-esteem) were collected at baseline and 3 months.
Participant retention was also assessed.
Results
After 3 months, 95% of participants remained with a mean BMI SDS reduction of .19
units (95% confidence interval: .17, .21). Anxiety, depression, and self-esteem improved
by 50%, 54%, and 38%, respectively. BMI SDS reductions of .29, .35, and .41 units
were found at 6, 9, and 12 months. Fifty-four percent of participants chose to attend
the final intervention phase. A higher baseline BMI SDS and a greater reduction in
BMI SDS predicted final intervention phase attendance.
Conclusions
The Self Help, Independence, Nutrition and Exercise PSI demonstrated positive mean
reductions in all measurements across all time points. In contrast to other community-based
weight management services, these results suggest the utility of, and further exploration
of, PSIs in the treatment of severe adolescent obesity.
Keywords
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Article info
Publication history
Published online: August 18, 2016
Accepted:
June 15,
2016
Received:
April 8,
2016
Footnotes
Conflicts of Interest: J.N. and D.R. are independent to the SHINE program and do not hold any conflicts of interest. K.S. is the managing director of SHINE Health Academy. P.D., and the Sheffield Children's Hospital, accept referrals from SHINE when more specialist services are required (i.e., tier 4, bariatric surgery, or pharmacotherapy). SHINE also accept referrals from Sheffield Children's Hospital. Leeds Beckett University completed the evaluation of the data and consulted with K.S. and P.D. in the development of the article.
Identification
Copyright
© 2016 Society for Adolescent Health and Medicine. All rights reserved.
