Evaluating a Web-Based Cognitive Behavioral Intervention for the Prevention and Treatment of Pediatric Obesity

  • Brie A. Moore
  • William T. O’Donohue


The prevalence of childhood obesity is increasing at an alarming rate. In the past 30 years, the percentage of overweight children has more than tripled (National Center for Health Statistics, 2002). This increase is seen in both sexes and in children of all ages, with Mexican-, African-, and Native-American children disproportionately affected (Dietz, 2004). Effective weight control treatments are needed to address this national health-care priority and serious public health concern (American Academy of Pediatrics, 2003; Healthy People, 2010).


Childhood Obesity Screen Time Overweight Child Watchful Waiting Family Meal 
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  1. American Academy of Pediatrics. Policy Statement: prevention of pediatric overweight and obesity. Pediatrics. 2003;112(2):424–30.CrossRefGoogle Scholar
  2. Barlow S, Dietz W. Obesity evaluation and treatment: expert committee recommendations. Pediatrics. 1998;102(3):e29.CrossRefPubMedGoogle Scholar
  3. Barlow S, Dietz W. Management of child and adolescent obesity: summary and recommendations based on reports from pediatricians, pediatric nurse practitioners and registered dieticians. Pediatrics. 2002;110(1):236–8.PubMedGoogle Scholar
  4. Campbell K, Waters E, O’Meara S, Summerbell C. Interventions for preventing obesity in children (Cochrane review). Cochrane Database Syst Rev. 2001;1:CD001871.PubMedGoogle Scholar
  5. Centers for Disease Control and Prevention. Overweight and Obesity: defining overweight and obesity. Nutrition and Physical Activity. 2004. Accessed August 1, 2009.
  6. Cote MP, Byczkowski T, Kotagal U, Kirk S, Zeller M, Daniels S. Service quality and attrition: an examination of a pediatric obesity program. Int J Qual Health C. 2004;16(2):165–73.CrossRefGoogle Scholar
  7. Dietz WH. Overweight in childhood and adolescence. New Engl J Med. 2004;350(9):855–7.CrossRefPubMedGoogle Scholar
  8. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(3):554–70.Google Scholar
  9. DiLillo V, Siegfried N, West D. Incorporating motivational interviewing into behavioral obesity treatment. Cogn Behav Pract. 2003;10(2):120–30.CrossRefGoogle Scholar
  10. Ebbeling CB, Pawlak D, Ludwig D. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;10(360):473–83.CrossRefGoogle Scholar
  11. Epstein LH, Gordy C, Raynor H, Beddome M, Kilanowski C, Paluch R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res. 2001;9(3):171–8.CrossRefPubMedGoogle Scholar
  12. Epstein LH, Klein KR, Wisniewski L. Child and parent factors that influence psychological problems in obese children. Int J Eat Disord. 1994;15:151–7.CrossRefPubMedGoogle Scholar
  13. Epstein LH, McCurley J, Wing RR, Valoski A. Five-year follow up of family based behavioral treatments for childhood obesity. J Consult Clin Psychol. 1990;58:661–4.CrossRefPubMedGoogle Scholar
  14. Epstein LH, Myers MD, Raynor HA, Saelens BE. Treatment of pediatric obesity. Pediatrics. 1998;101(3):554–70.PubMedGoogle Scholar
  15. Epstein LH, Paluch RA, Gordy C, Saelens BE, Ernst MM. Problem solving in the treatment of childhood obesity. J Consult Clin Psychol. 2000;68(4):717–21.CrossRefPubMedGoogle Scholar
  16. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychol. 1994;13:373–83.CrossRefPubMedGoogle Scholar
  17. Epstein LH, Wing RR, Koeske R, Valoski A. Effects of parent weight on weight loss in obese children. J Consult Clin Psychol. 1986;54:400–1.CrossRefPubMedGoogle Scholar
  18. Fagot-Campagna A, Pettitt D, Engelgan M, Burrow N, Geiss L, Valdez R, et al. Type 2 diabetes among North American children and adolescents: an epidemiologic review and a public health perspective. J Pediatr. 2000;136(5):664–72.CrossRefPubMedGoogle Scholar
  19. Goldfield G, Epstein L, Kilanowski C, Paluch R, Kogut-Bossler B. Cost-effectiveness of group and mixed family-based treatment for childhood obesity. Int J Obes Relat Metabol Disord. 2001;25(12):1843–9.CrossRefGoogle Scholar
  20. Haddock CK, Shadish WR, Klesges RC, Stein RJ. Treatments for childhood and adolescent obesity. Ann Behav Med. 1994;16(3):235–44.Google Scholar
  21. Harvey-Berino J, Pintauro S, Buzzell P, Gold E. Effect of internet support on the long-term maintenance of weight loss. Obes Res. 2004;12:320–9.
  22. Healthy People. Chapter 19, Volume 2: nutrition and overweight. 2010. Retrieved on November 3, 2004 from,
  23. Jelalian E, Saelens B. Empirically supported treatments in pediatric psychology: pediatric obesity. J Pediatr Psychol. 1999;24(3):223–48.CrossRefPubMedGoogle Scholar
  24. Kazdin AE, Weisz JR. Identifying and developing empirically supported child and adolescent treatments. J Consult Clin Psychol. 1998;66(1):19–36.CrossRefPubMedGoogle Scholar
  25. Kelley M, Heffer R, Gresham F, Elliot S. Development of a modified treatment evaluation inventory. J Psychopathol Behav Assessment. 1989;11:235–47.CrossRefGoogle Scholar
  26. Kirk S, Scott BJ, Daniels S. Pediatric obesity epidemic: treatment options. Suppl J Am Diet Assoc. 2005;105:S44–51.CrossRefGoogle Scholar
  27. Landgraf JL, Abetz L, Ware JE. The CHQ user’s manual. The Health Institute, New England Medical Center, Boston, MA; 1996.Google Scholar
  28. McNamara C, et al. Setting the stage: an introduction to NIDA’s stage model for behavioral treatment development research. Symposium presented at the annual meeting of the association for the advancement of behavior therapy, Reno, NV; 2002.Google Scholar
  29. Miller WR. Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York: Guilford; 2002.Google Scholar
  30. Nader PR, O’Brien M, Houts R, Bradley R, Belsky J. et al. Identifying risk for obesity in early childhood. Pediatrics. 2006;118:594–601.CrossRefGoogle Scholar
  31. National Center for Health Statistics. 2002. Retrieved on October 30, 2004 from,
  32. Parks GA, Marlatt GA. Relapse prevention therapy: A cognitive-behavioral approach. Natl Psychol. 2000;9(5).
  33. Perri MG. The maintenance of treatment effects in the long-term management of obesity. Clin Psychol Sci Pract. 1998;5:526–43.CrossRefGoogle Scholar
  34. Rollnick S. Behavior change in practice: targeting individuals. Int J Obes Relat Metabol Disord. 1996;20(1):22–6.Google Scholar
  35. Rounsaville BJ, Carroll KM, Onken LS. A stage model of behavioral therapies research: getting started and moving from stage 1. Clin Psychol Sci Pract. 2001;8:133–42.CrossRefGoogle Scholar
  36. Wadden T, Sarwer D, Berkowitz R. Behavioral treatment of the overweight patient. Balliere’s Clin Endocrinol Metabol. 1999;13:93–107.Google Scholar
  37. Young-Hyman D, Schlundt DG, Herman L, DeLuca F, Counts D. Evaluation of the insulin resistance syndrome in 5- to 10-year old overweight/obese African-American children. Diabetes Care. 2001;24:1359–64.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Nevada, Reno Pinecrest Children’s Behavioral HealthRenoUSA
  2. 2.Department of PsychologyUniversity of Nevada-RenoRenoUSA

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