Abstract
Self-monitoring combined with contingency contracting resulted in weight loss, modification of dysfunctional eating habits, and increased or sustained exercise rates for two obese, mentally retarded adolescent females with Prader-Willi syndrome. Contingency contracting between clients and their parents/caregivers was used to specify consequences for daily self-monitoring, reduced caloric intake, weight loss, and exercise. Punishment for food stealing was also employed. Results suggest that contingency contracting is an effective technique for producing long-term weight loss in obese mentally retarded adolescents. Further, these techniques offer an alternative to the clinician considering solely dietary restriction or surgical intervention.
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Salary support for this project was provided by DHEW Grants MCT-000407-20-0 and MCT-5P01HD00870-14. Space in which to conduct the project was made possible by NIH Grant No. HD-0258/10.
Authors are listed alphabetically. It is the opinion of the authors that credit should be shared equally for this publication.
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Altman, K., Bondy, A. & Hirsch, G. Behavioral treatment of obesity in patients with Prader-Willi syndrome. J Behav Med 1, 403–412 (1978). https://doi.org/10.1007/BF00846696
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DOI: https://doi.org/10.1007/BF00846696