Abstract
Many families that participate in weight management treatment have multiple health behavior changes they could be making, but making all the changes at once can be overwhelming, especially when the youth who has been referred for weight management also has a diagnosis of autism spectrum disorder or other neurodevelopmental disorder. A comprehensive treatment approach involves understanding the youth and the caregivers’ level of motivation and readiness to change with each goal, the potential barriers and the strengths and challenges of the family. Families and healthcare providers will need to work together in establishing the goals for treatment and which goal to begin addressing first. Taking small steps toward the ultimate goal will be necessary for many of the youths and their caregivers. Healthcare providers will need to utilize motivational interviewing, problem-solving strategies, and behavioral strategies to assist families in being successful in making health behavior changes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Allison, D. B., Packer-Munter, W., Pietrobelli, A., Alfonso, V. C., & Faith, M. S. (1998). Obesity and developmental disabilities: Pathogenesis and treatment. Journal of Developmental and Physical Disabilities, 10(3), 215–255. doi:10.1023/A:1022888323684
Alqahtani, A. R., Elahmedi, M. O., Al Qahtani, A. R., Lee, J., & Butler, M. G. (2016). Laparoscopic sleeve gastrectomy in children and adolescents with Prader-Willi syndrome: A matched-control study. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 12(1), 100–110. doi:10.1016/j.soard.2015.07.014
Altman, M., & Wilfley, D. E. (2015). Evidence update on the treatment of overweight and obesity in children and adolescents. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 44(4), 521–537. doi:10.1080/15374416.2014.963854
Austin, H., Smith, K. C., & Ward, W. L. (2012). Bariatric surgery in adolescents: What’s the rationale? What’s rational? International Review of Psychiatry (Abingdon, England), 24(3), 254–261. doi:10.3109/09540261.2012.678815
Austin, H., Smith, K., & Ward, W. L. (2013). Psychological assessment of the adolescent bariatric surgery candidate. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 9(3), 474–480. doi:10.1016/j.soard.2012.12.004
Barlow, S. E. (2007). Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics, 120(Suppl 4), S164–S192. doi:10.1542/peds.2007-2329C
Bonde, A. H., Bentsen, P., & Hindhede, A. L. (2014). School nurses’ experiences with motivational interviewing for preventing childhood obesity. The Journal of School Nursing: The Official Publication of the National Association of School Nurses, 30(6), 448–455. doi:10.1177/1059840514521240
Brei, M. N., & Mudd, S. (2014). Current guidelines for weight loss surgery in adolescents: A review of the literature. Journal of Pediatric Health Care: Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 28(4), 288–294. doi:10.1016/j.pedhc.2013.04.005
Cadieux, A., Testa, E. G., Baughcum, A., Shaffer, L. A., Santos, M., Gaffka, B. J. S., … Ward, W. L. (2016). Recommendations for psychologists in Stage III pediatric obesity program. Children’s Health Care, 45(1), 126–145. doi:10.1080/02739615.2014.979919
Crabtree, V. M., Moore, J. B., Jacks, D. E., Cerrito, P., & Topp, R. V. (2010). A transtheoretical, case management approach to the treatment of pediatric obesity. Journal of Primary Care & Community Health, 1(1), 4–7. doi:10.1177/2150131909357069
Fitch, A., Fox, C., Bauerly, K., Gross, A., Heim, C., Judge-Dietz, J., … Webb, B. (2013, July). Prevention and management of obesity for children and adolescents. Institute for Clinical Systems Improvement.
Fitzgerald, D. A., & Baur, L. (2014). Bariatric surgery for severely obese adolescents. Paediatric Respiratory Reviews, 15(3), 227–230. doi:10.1016/j.prrv.2014.06.001
Flattum, C., Draxten, M., Horning, M., Fulkerson, J. A., Neumark-Sztainer, D., Garwick, A., … Story, M. (2015). HOME Plus: Program design and implementation of a family-focused, community-based intervention to promote the frequency and healthfulness of family meals, reduce children’s sedentary behavior, and prevent obesity. The International Journal of Behavioral Nutrition and Physical Activity, 12, 53. doi:10.1186/s12966-015-0211-7
Giannisi, F., Pervanidou, P., Michalaki, E., Papanikolaou, K., Chrousos, G., & Yannakoulia, M. (2014). Parental readiness to implement life-style behaviour changes in relation to children’s excess weight. Journal of Paediatrics and Child Health, 50(6), 476–481. doi:10.1111/jpc.12500
Gibbons, E., Casey, A. F., & Brewster, K. Z. (2017). Bariatric surgery and intellectual disability: Furthering evidence-based practice. Disability and Health Journal, 10(1), 3–10. doi:10.1016/j.dhjo.2016.09.005
Golan, M., Kaufman, V., & Shahar, D. R. (2006). Childhood obesity treatment: Targeting parents exclusively v. parents and children. The British Journal of Nutrition, 95(5), 1008–1015.
Ham, O. K., Sung, K. M., Lee, B. G., Choi, H. W., & Im, E.-O. (2016). Transtheoretical model based exercise counseling combined with music skipping rope exercise on childhood obesity. Asian Nursing Research, 10(2), 116–122. doi:10.1016/j.anr.2016.03.003
Hinckson, E. A., Dickinson, A., Water, T., Sands, M., & Penman, L. (2013). Physical activity, dietary habits and overall health in overweight and obese children and youth with intellectual disability or autism. Research in Developmental Disabilities, 34(4), 1170–1178. doi:10.1016/j.ridd.2012.12.006
Hock, R., Kinsman, A., & Ortaglia, A. (2015). Examining treatment adherence among parents of children with autism spectrum disorder. Disability and Health Journal, 8(3), 407–413. doi:10.1016/j.dhjo.2014.10.005
Irby, M. B., Kolbash, S., Garner-Edwards, D., & Skelton, J. A. (2012). Pediatric obesity treatment in children with neurodevelopmental disabilities: A case series and review of the literature. Infant, Child & Adolescent Nutrition, 4(4), 215–221. doi:10.1177/1941406412448527
Janicke, D. M., Steele, R. G., Gayes, L. A., Lim, C. S., Clifford, L. M., Schneider, E. M., … Westen, S. (2014). Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity. Journal of Pediatric Psychology, 39(8), 809–825. doi:10.1093/jpepsy/jsu023
Kalavainen, M., Korppi, M., & Nuutinen, O. (2011). Long-term efficacy of group-based treatment for childhood obesity compared with routinely given individual counselling. International Journal of Obesity (2005), 35(4), 530–533. doi:10.1038/ijo.2011.1
Kitzmann, K. M., Dalton, W. T., Stanley, C. M., Beech, B. M., Reeves, T. P., Buscemi, J., … Midgett, E. L. (2010). Lifestyle interventions for youth who are overweight: A meta-analytic review. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 29(1), 91–101. doi:10.1037/a0017437
Marceau, P., Marceau, S., Biron, S., Hould, F.-S., Lebel, S., Lescelleur, O., … Kral, J. G. (2010). Long-term experience with duodenal switch in adolescents. Obesity Surgery, 20(12), 1609–1616. doi:10.1007/s11695-010-0262-4
Michalsky, M. P., Inge, T. H., Teich, S., Eneli, I., Miller, R., Brandt, M. L., … Teen-LABS Consortium. (2014). Adolescent bariatric surgery program characteristics: The Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study experience. Seminars in Pediatric Surgery, 23(1), 5–10. doi:10.1053/j.sempedsurg.2013.10.020
Michalsky, M., Reichard, K., Inge, T., Pratt, J., Lenders, C., & American Society for Metabolic and Bariatric Surgery. (2012). ASMBS pediatric committee best practice guidelines. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 8(1), 1–7. doi:10.1016/j.soard.2011.09.009
Musella, M., Milone, M., Leongito, M., Maietta, P., Bianco, P., & Pisapia, A. (2014). The mini-gastric bypass in the management of morbid obesity in Prader–Willi syndrome: A viable option? Journal of Investigative Surgery, 27(2), 102–105. doi:10.3109/08941939.2013.832824
Santos, M., Cadieux, A., Gray, J., & Ward, W. (2016). Pediatric obesity in early childhood: A physician screening tool. Clinical Pediatrics, 55(4), 356–362. doi:10.1177/0009922815591885
Savoye, M., Shaw, M., Dziura, J., Tamborlane, W. V., Rose, P., Guandalini, C., … Caprio, S. (2007). Effects of a weight management program on body composition and metabolic parameters in overweight children. JAMA: The Journal of the American Medical Association, 297(24), 2697–2704. doi:10.1001/jama.297.24.2697
Schaaf, R. C., Cohn, E. S., Burke, J., Dumont, R., Miller, A., & Mailloux, Z. (2015). Linking sensory factors to participation: Establishing intervention goals with parents for children with autism spectrum disorder. The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association, 69(5), 6905185005. doi:10.5014/ajot.2015.018036
Sealy, Y. M., & Farmer, G. L. (2011). Parents’ stage of change for diet and physical activity: Influence on childhood obesity. Social Work in Health Care, 50(4), 274–291. doi:10.1080/00981389.2010.529384
Wulkan, M. L., & Walsh, S. M. (2014). The multi-disciplinary approach to adolescent bariatric surgery. Seminars in Pediatric Surgery, 23(1), 2–4. doi:10.1053/j.sempedsurg.2013.10.012
Zwintscher, N. P., Azarow, K. S., Horton, J. D., Newton, C. R., & Martin, M. J. (2013). The increasing incidence of adolescent bariatric surgery. Journal of Pediatric Surgery, 48(12), 2401–2407. doi:10.1016/j.jpedsurg.2013.08.015
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Cadieux, A.M. (2017). Developing a Comprehensive Treatment Approach. In: Assessing and Treating Pediatric Obesity in Neurodevelopmental Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-55924-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-55924-7_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-55922-3
Online ISBN: 978-3-319-55924-7
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)