Health-related quality of life after camp-based family obesity treatment: an RCT
Objective To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.Design Randomised controlled trial.Setting Rehabilitation clinic, tertiary care hospital a...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/3/1/e000413.full |
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| author | Beate Benestad Tor-Ivar Karlsen Milada Cvancarova Småstuen Samira Lekhal Jens Kristoffer Hertel Silje Steinsbekk Ronette L Kolotkin Rønnaug Astri Ødegård Jøran Hjelmesæth |
| author_facet | Beate Benestad Tor-Ivar Karlsen Milada Cvancarova Småstuen Samira Lekhal Jens Kristoffer Hertel Silje Steinsbekk Ronette L Kolotkin Rønnaug Astri Ødegård Jøran Hjelmesæth |
| author_sort | Beate Benestad |
| collection | DOAJ |
| description | Objective To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.Design Randomised controlled trial.Setting Rehabilitation clinic, tertiary care hospital and primary care.Patients Families with at least one child (7–12 years) and one parent, both with obesity.Interventions Summer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measures Children’s and parents’ HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.Results Ninety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.Conclusions A 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children’s self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration number NCT01110096. |
| format | Article |
| id | doaj-art-589986dfb6a94d5b911eebba1bbc04f4 |
| institution | OA Journals |
| issn | 2399-9772 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj-art-589986dfb6a94d5b911eebba1bbc04f42025-08-20T02:07:12ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722019-09-013110.1136/bmjpo-2018-000413Health-related quality of life after camp-based family obesity treatment: an RCTBeate Benestad0Tor-Ivar Karlsen1Milada Cvancarova Småstuen2Samira Lekhal3Jens Kristoffer Hertel4Silje Steinsbekk5Ronette L Kolotkin6Rønnaug Astri Ødegård7Jøran Hjelmesæth82 Faculty of Medicine, University of Oslo, Oslo, Norway3 Faculty of Health and Sports Sciences, University of Agder, Grimstad, NorwayDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, Norway1 Department of Medicine, Vestfold Hospital Trust, The Morbid Obesity Centre (MOC), Tønsberg, Norway2 Department of Endocrinology, Obesity and Nutrition, Vestfold Hospital Trust, Tønsberg, Norway4 Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway1 Department of Medicine, Vestfold Hospital Trust, The Morbid Obesity Centre (MOC), Tønsberg, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway2 Department of Endocrinology, Obesity and Nutrition, Vestfold Hospital Trust, Tønsberg, NorwayObjective To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.Design Randomised controlled trial.Setting Rehabilitation clinic, tertiary care hospital and primary care.Patients Families with at least one child (7–12 years) and one parent, both with obesity.Interventions Summer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measures Children’s and parents’ HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.Results Ninety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.Conclusions A 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children’s self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration number NCT01110096.https://bmjpaedsopen.bmj.com/content/3/1/e000413.full |
| spellingShingle | Beate Benestad Tor-Ivar Karlsen Milada Cvancarova Småstuen Samira Lekhal Jens Kristoffer Hertel Silje Steinsbekk Ronette L Kolotkin Rønnaug Astri Ødegård Jøran Hjelmesæth Health-related quality of life after camp-based family obesity treatment: an RCT BMJ Paediatrics Open |
| title | Health-related quality of life after camp-based family obesity treatment: an RCT |
| title_full | Health-related quality of life after camp-based family obesity treatment: an RCT |
| title_fullStr | Health-related quality of life after camp-based family obesity treatment: an RCT |
| title_full_unstemmed | Health-related quality of life after camp-based family obesity treatment: an RCT |
| title_short | Health-related quality of life after camp-based family obesity treatment: an RCT |
| title_sort | health related quality of life after camp based family obesity treatment an rct |
| url | https://bmjpaedsopen.bmj.com/content/3/1/e000413.full |
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