BOOK
New Directions in Behavioral Intervention Development for Pediatric Obesity, An Issue of Pediatric Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
Almost one out of every three US children is overweight or obese, with minority youth at highest risk. There are limited efficacious pediatric obesity interventions available for clinicians, and successful weight loss trials for minority youth are rare. Even fewer interventions have been shown to significantly improve clinical health outcomes such as adiposity, blood pressure, and cholesterol level, and maintenance of behavior change over the long-term remains a challenge Translation I research in which "bench" findings are applied to the "bedside" is uncommon in the behavioral arena. Thus, advances in our understanding of fundamental human processes such as motivation, emotion, cognition, self-regulation, decision-making, stress, and social networks are not being optimally applied to our most pressing behavioral health problems. This issue of Pediatric Clinics will focus on promising behavioral treatments "in the pipeline" that have been translated from basic behavioral science and are the process of refinement and proof of concept testing.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| New Directions in Behavioral Intervention Development for\rPediatric Obesity | i | ||
| Copyright | ii | ||
| CME Accreditation Page | iii | ||
| PROGRAM OBJECTIVE | iii | ||
| TARGET AUDIENCE | iii | ||
| LEARNING OBJECTIVES | iii | ||
| ACCREDITATION | iii | ||
| DISCLOSURE OF CONFLICTS OF INTEREST | iii | ||
| UNAPPROVED/OFF-LABEL USE DISCLOSURE | iii | ||
| TO ENROLL | iii | ||
| METHOD OF PARTICIPATION | iv | ||
| CME INQUIRIES/SPECIAL NEEDS | iv | ||
| Contributors | v | ||
| CONSULTING EDITOR | v | ||
| EDITOR | v | ||
| AUTHORS | v | ||
| Contents | ix | ||
| Foreword: New Directions in Behavioral Intervention Development for Pediatric Obesity | ix | ||
| Preface: From Bench to Bedside: T1 Translation of Basic Behavioral Science into Novel Pediatric Obesity Interventions | ix | ||
| National Institutes of Health Update: Translating Basic Behavioral Science into New Pediatric Obesity Interventions | ix | ||
| From Bench to Bedside: Understanding Stress-Obesity Research Within the Context of Translation to Improve Pediatric Behavio ... | ix | ||
| Behavioral Economic Factors Related to Pediatric Obesity | ix | ||
| Neurocognitive Processes and Pediatric Obesity Interventions: Review of Current Literature and Suggested Future Directions | x | ||
| Physical Activity Interventions for Neurocognitive and Academic Performance in Overweight and Obese Youth: A Systematic Rev ... | x | ||
| Treating Obesity in Preschoolers: A Review and Recommendations for Addressing Critical Gaps | x | ||
| Development of a Behavioral Sleep Intervention as a Novel Approach for Pediatric Obesity in School-aged Children | xi | ||
| Effective Patient–Provider Communication in Pediatric Obesity | xi | ||
| Advances in Motivational Interviewing for Pediatric Obesity: Results of the Brief Motivational Interviewing to Reduce Body ... | xi | ||
| PEDIATRIC CLINICS OF\rNORTH AMERICA | xii | ||
| FORTHCOMING ISSUES | xii | ||
| August 2016 | xii | ||
| October 2016 | xii | ||
| December 2016 | xii | ||
| RECENT ISSUES | xii | ||
| April 2016 | xii | ||
| February 2016 | xii | ||
| December 2015 | xii | ||
| Foreword:\rNew Directions in Behavioral Intervention Development for Pediatric Obesity | xiii | ||
| Preface:\rFrom Bench to Bedside: T1 Translation of Basic Behavioral Science into Novel Pediatric Obesity Interventions | xv | ||
| REFERENCES | xvi | ||
| Errata | xvii | ||
| National Institutes of Health Update: Translating Basic Behavioral Science into New Pediatric Obesity Interventions | 389 | ||
| Key points | 389 | ||
| INTRODUCTION | 389 | ||
| SUPPORT FROM THE NATIONAL INSTITUTES OF HEALTH FOR BASIC AND EARLY PHASE TRANSLATIONAL BEHAVIORAL RESEARCH IN PEDIATRIC OBESITY | 390 | ||
| National Institutes of Health Basic Behavioral and Social Science Opportunity Network | 390 | ||
| Transdisciplinary Research on Energetics and Cancer | 391 | ||
| Obesity-Related Behavioral Intervention Trials | 392 | ||
| The Obesity-Related Behavioral Intervention Trials Model | 392 | ||
| Science of Behavior Change Common Fund Program | 393 | ||
| HIGHLIGHTS OF NATIONAL INSTITUTES OF HEALTH–FUNDED BASIC AND EARLY PHASE TRANSLATIONAL BEHAVIORAL RESEARCH IN CHILDHOOD OBESITY | 394 | ||
| Infancy and Early Childhood | 394 | ||
| Later Childhood and Adolescence | 395 | ||
| SUMMARY/DISCUSSION | 396 | ||
| REFERENCES | 397 | ||
| From Bench to Bedside | 401 | ||
| Key points | 401 | ||
| LINKING STRESS AND RISK FOR PEDIATRIC OBESITY: EVIDENCE FROM THE CHRONIC STRESS AND ACUTE STRESS REACTIVITY LITERATURES | 402 | ||
| Chronic Stress | 402 | ||
| Acute Stress | 403 | ||
| UNDERSTANDING CORTISOL EXPOSURE: AN EXPLANATION FOR WHY STRESS IS ASSOCIATED WITH EATING BEHAVIOR AND OBESITY RISK IN ADOLE ... | 409 | ||
| Cortisol Exposure | 409 | ||
| Cortisol and Eating | 410 | ||
| IMPLICATIONS OF LABORATORY STRESS-OBESITY RESEARCH FOR THE DEVELOPMENT AND REFINEMENT OF PEDIATRIC BEHAVIORAL WEIGHT CONTRO ... | 411 | ||
| Addressing Stress-Related Barriers | 411 | ||
| Recognizing Patterns of Emotional Eating | 411 | ||
| Decreasing Physiologic Stress Reactivity | 412 | ||
| MINDFULNESS: AN APPROACH FOR REDUCING STRESS AND IMPROVING OUTCOMES WITHIN THE CONTEXT OF PEDIATRIC BEHAVIORAL WEIGHT CONTROL | 412 | ||
| Reduction of Stress and Eating in Response to Stress | 413 | ||
| Improved Self-regulatory Behaviors | 417 | ||
| Increased Acceptance of Discomfort | 417 | ||
| FUTURE DIRECTIONS: ADDRESSING THE ROLE OF STRESS TO INFORM THE DEVELOPMENT OF PEDIATRIC BEHAVIORAL WEIGHT CONTROL INTERVENTION | 417 | ||
| REFERENCES | 418 | ||
| Behavioral Economic Factors Related to Pediatric Obesity | 425 | ||
| Key points | 425 | ||
| INTRODUCTION | 425 | ||
| WHAT IS A BEHAVIORAL ECONOMIC APPROACH? | 426 | ||
| HOW MAY A BEHAVIORAL ECONOMIC APPROACH COMPLEMENT OTHER TREATMENT APPROACHES? | 426 | ||
| CONTINUUM OF BEHAVIORAL ECONOMIC APPROACHES | 429 | ||
| Public Policy Stance | 429 | ||
| Third-party Payers | 429 | ||
| Increasing the Availability of Healthy Foods | 429 | ||
| Behavioral Commitment | 440 | ||
| Developmental Considerations | 440 | ||
| CURRENT STATE OF THE BASIC, TRANSLATIONAL, AND INTERVENTION LITERATURE ON BEHAVIORAL ECONOMICS–RELATED FACTORS IN PEDIATRIC ... | 440 | ||
| Increasing Consumption of Healthy Foods | 440 | ||
| Increasing Physical Activity | 441 | ||
| Nudging | 441 | ||
| Individual Differences as Mediators/Moderators of Behavioral Economics–Inspired Interventions | 441 | ||
| CURRENT AND FUTURE DIRECTIONS | 442 | ||
| SUMMARY/DISCUSSION | 443 | ||
| REFERENCES | 444 | ||
| Neurocognitive Processes and Pediatric Obesity Interventions | 447 | ||
| Key points | 447 | ||
| INTRODUCTION | 447 | ||
| EXECUTIVE FUNCTIONING IN CHILDREN | 448 | ||
| DETERMINANTS OF EXECUTIVE FUNCTIONING IN CHILDREN | 449 | ||
| DEVELOPMENT OF EXECUTIVE FUNCTIONING | 449 | ||
| POOR EXECUTIVE FUNCTION IS ASSOCIATED WITH CHILDHOOD OBESITY | 450 | ||
| POSSIBLE PATHWAYS OF ASSOCIATION IN CHILDREN | 450 | ||
| MECHANISMS OF EXECUTIVE FUNCTIONING–PEDIATRIC OBESITY ASSOCIATION ARE POORLY UNDERSTOOD | 451 | ||
| INTERVENTION IMPLICATIONS | 451 | ||
| SUMMARY/DISCUSSION | 452 | ||
| REFERENCES | 453 | ||
| Physical Activity Interventions for Neurocognitive and Academic Performance in Overweight and Obese Youth | 459 | ||
| Key points | 459 | ||
| INTRODUCTION | 460 | ||
| METHODS | 460 | ||
| RESULTS | 460 | ||
| Acute Bout Studies | 460 | ||
| Regular Physical Activity | 461 | ||
| Quasi-experimental studies | 461 | ||
| Randomized controlled trials | 462 | ||
| DISCUSSION | 471 | ||
| SUMMARY AND FUTURE DIRECTIONS | 474 | ||
| REFERENCES | 475 | ||
| Treating Obesity in Preschoolers | 481 | ||
| Key points | 481 | ||
| INTRODUCTION | 482 | ||
| Reach of Preschool Weight Control Trials | 482 | ||
| Future directions to improve reach | 490 | ||
| Treatment Components | 491 | ||
| Diet | 491 | ||
| Physical activity | 496 | ||
| Sedentary activity | 496 | ||
| Sleep | 497 | ||
| Future directions to optimize preschool obesity interventions | 498 | ||
| Determining Intervention Effectiveness | 498 | ||
| Obesity reduction | 500 | ||
| Cardiovascular risk reduction | 501 | ||
| Future directions to increase understanding of intervention effectiveness | 503 | ||
| SUMMARY | 503 | ||
| REFERENCES | 503 | ||
| Development of a Behavioral Sleep Intervention as a Novel Approach for Pediatric Obesity in School-aged Children | 511 | ||
| Key points | 511 | ||
| INTRODUCTION | 511 | ||
| Commonalities Across Studies | 513 | ||
| Study 1 Development: Can Sleep Be Enhanced in Otherwise Healthy Children? | 513 | ||
| Study 2 Preliminary Testing: Experimental Changes in Sleep, Eating, and Weight | 516 | ||
| Study 3 Efficacy: Does a Brief Behavioral Intervention Lead to Short-term Changes in Sleep, Eating and Activity Behaviors, ... | 517 | ||
| SUMMARY/DISCUSSION | 518 | ||
| ACKNOWLEDGMENTS | 520 | ||
| REFERENCES | 520 | ||
| Effective Patient–Provider Communication in Pediatric Obesity | 525 | ||
| Key points | 525 | ||
| INTRODUCTION | 525 | ||
| Benefits of Patient–Provider Communication | 526 | ||
| Patient–Provider Communication in Pediatrics | 526 | ||
| The Skill of Communicating Well | 527 | ||
| Motivational Interviewing, a Framework for Patient–Provider Communication | 527 | ||
| Motivational Interviewing’s Causal Mechanisms | 527 | ||
| Sequential Analysis | 528 | ||
| Effective Provider Communication with Minority Families in Pediatric Obesity | 529 | ||
| Recommendation: Reflect Patients’ Change Talk | 530 | ||
| Recommendation: Emphasize Patients’ Decision-Making Autonomy | 531 | ||
| Use Caution: Providing Information May Not Always Be Necessary | 531 | ||
| FUTURE DIRECTIONS | 531 | ||
| Patient–Provider Communication in Triadic Encounters | 531 | ||
| Accelerating Communication Science with Computer Science | 532 | ||
| SUMMARY | 532 | ||
| REFERENCES | 532 | ||
| Advances in Motivational Interviewing for Pediatric Obesity | 539 | ||
| Key points | 539 | ||
| INTRODUCTION | 540 | ||
| METHODS | 541 | ||
| Outcomes | 542 | ||
| Parent Questionnaire | 542 | ||
| Parent Grade of Child Behavior | 542 | ||
| Demographics | 542 | ||
| Study Sites | 543 | ||
| Identifying and Recruiting Dietitians | 543 | ||
| Motivational Interviewing Training | 543 | ||
| Assessing Practitioner Fidelity | 544 | ||
| Target Behaviors and Intervention Strategies in Groups 2 and 3 | 544 | ||
| Educational Materials | 544 | ||
| Sample Size Calculations | 545 | ||
| Outcome Analysis | 545 | ||
| RESULTS | 545 | ||
| Sample Description | 545 | ||
| Motivational Interviewing Dose in Groups 2 and 3 | 546 | ||
| Body Mass Index Percentile Results | 546 | ||
| Dose-Response Effects | 546 | ||
| Secondary Outcomes | 547 | ||
| PROCESS EVALUATION OF THE BRIEF MOTIVATIONAL INTERVIEWING TO REDUCE BODY MASS INDEX | 547 | ||
| Parent Survey Data | 547 | ||
| Parent Open-Ended Response | 548 | ||
| Registered Dietitian Interviews | 548 | ||
| Primary Care Provider Interviews | 548 | ||
| DISCUSSION AND FUTURE ENHANCEMENTS TO THE BRIEF MOTIVATIONAL INTERVIEWING TO REDUCE BODY MASS INDEX | 548 | ||
| Text Messaging to Boost Intervention Effects, Enhance Engagement, and Reduce Attrition | 549 | ||
| Move Registered Dietitian Counseling to a Centralized Telephonic Disease Management System | 549 | ||
| Integration of the Brief Motivational Interviewing to Reduce Body Mass Index into Electronic Health Records | 550 | ||
| Natural Language Processing to Automatically Code Clinician Responses | 550 | ||
| Methods | 551 | ||
| Reliability of the Human Coders | 551 | ||
| Statistical Classification of Motivational Interviewing Behaviors | 551 | ||
| N-grams | 551 | ||
| Semantic information | 552 | ||
| Similarity | 552 | ||
| Deep syntax | 552 | ||
| CLOSING | 554 | ||
| ACKNOWLEDGMENTS | 554 | ||
| REFERENCES | 554 | ||
| Index | 563 |