Cost-effectiveness of Family Based Pediatric Obesity Treatment
To determine the cost effectiveness of treating the child alone and parent alone to traditional family-based method of obesity treatment. It is hypothesized that a family-based approach will be more cost effective, and will support the savings and effectiveness of treating multiple family members together.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
|Official Title:||Cost-effectiveness of Family Based Pediatric Obesity Treatment|
- Standardized BMI [ Time Frame: baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
- quality adjusted life years [ Time Frame: baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
|Study Start Date:||October 2007|
|Study Completion Date:||November 2009|
|Primary Completion Date:||November 2009 (Final data collection date for primary outcome measure)|
Individual weight control behavioral treatment; parent and child are treated separately
Behavioral: Behavior Modification
Individual child and parent behavioral treatment
Active Comparator: 2
Traditional family-based weight control behavioral treatment; parent and child are treated together as a family
Behavioral: Behavior Modification
Family-based behavioral treatment
Research has shown that family-based treatment programs produce significant short and long-term decreases in weight relative to height. Reductions in relative weight are observed for both parents and their children, with a significant relationship between parent and child relative weight changes.
Usual care for families with obesity is for the parent and child to be treated separately by their individual physicians, often with different types of treatment plans. This may be less efficacious for the parent and child than a family-based intervention in which the parent and child are treated together. The separate treatments may also be more expensive than concurrent treatment following the same treatment plan.
There are many reasons to hypothesize that a family-based treatment will be more efficacious and more cost effective than other formats for treating families with multiple generations of obesity. If family members are treated together, they have the same treatment goals. They can learn to support each other, model positive behaviors, work together to change behaviors and modify the shared family environment. The simultaneous treatment of parents and children in a group format, which is how family-based treatments are administered, reduces the time therapists provide treatment in comparison to the usual format in which each parent and child would be seen individually.
An important challenge for obesity treatment is to develop efficacious and cost-effective interventions to treat pediatric obesity. The goal of this study is to evaluate the efficacy and cost effectiveness over 12 month follow-up for 50 families with overweight parents and children randomized to family-based behavioral treatment in comparison to the treatment of the parents and children separately, by different therapists, which represent usual care for families with obese parents and children.
|United States, New York|
|SUNY @ Buffalo|
|Buffalo, New York, United States, 14214|
|Principal Investigator:||Leonard H Epstein, PhD||SUNY @ Buffalo|