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    CAFAP: A multi-disciplinary, family-centred community-based intervention for overweight/obese adolescents

    Access Status
    Fulltext not available
    Authors
    Straker, Leon
    McManus, Alexandra
    Kerr, Deborah
    Smith, Kyla
    Davis, Melissa
    Weiss, M.
    Fielding, Angela
    Fidzewicz, Alinta
    Stewart, Catherine
    Hamilton, N.
    Date
    2010
    Type
    Journal Article
    
    Metadata
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    Citation
    Straker, Leon and McManus, Alexandra and Kerr, Deborah and Smith, Kyla and Davis, Melissa and Weiss, M. and Fielding, Angela and Fidzewicz, Alinta and Stewart, Catherine and Hamilton, N. 2010. CAFAP: A multi-disciplinary, family-centred community-based intervention for overweight/obese adolescents. Journal of Science and Medicine in Sport. 13 (S1): pp. e11-e12.
    Source Title
    Journal of Science and Medicine in Sport
    DOI
    10.1016/j.jsams.2010.10.485
    ISSN
    1440-2440
    Remarks

    Abstract of paper presented at: 2010 Asics Conference of Science and Medicine in Sport ''Hot topics in the tropics'', 3-6 November 2010.

    URI
    http://hdl.handle.net/20.500.11937/39446
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Around one quarter of Australian adolescents are overweight or obese. This presents a serious individual and community problem due to the related short term and long term physical and mental health issues. Adolescence is seen as a critical period in the development of overweight and obesity. Despite this, there is limited evidence of effective interventions. A number of recent reviews have highlighted the gap in evidence but have also recommended key intervention aspects based on the available evidence; multi-disciplinary, family-centred and community-based targeting sedentary and vigorous activity and diet and cognitive and emotional aspects. Therefore the aim of this study was to develop and evaluate a multi-disciplinary, family-centred, community-based intervention targeting activity, food and attitudes in overweight/obese adolescents.Method: A tertiary hospital based program for adolescent obesity (Princess Margaret Hospital “Fitmatters” program) was adapted for multi-disciplinary community-based delivery. The Curtin University’s Activity, Food and Attitudes Program consisted of twice weekly sessions for adolescents and their parents for an 8 week period. Each session was 2 h in duration with adolescents participating in a gym based exercise program for 1 h and education and support sessions for the second hour. Parents participated in education and support sessions for both hours, some of which were with the adolescents. Sessions were facilitated by physiotherapy, dietetics, psychology and social work professionals and undergraduate/postgraduate students. The program, promoted via the children’s hospital, GP networks, school community health nurses, community newspapers and posters in community centres, was offered during school terms 2, 3 and 4 in 2009. The goal of the program was not weight change but rather to change behaviours to enable sustained improvement in health. Evaluation included qualitative assessment of process and participation along with quantitative assessment of key outcomes. Sedentary and moderate/vigorous activity behaviour was assessed by accelerometer and questionnaire. Diet behaviour was assessed by 3 day food diary.Results: In total 31 obese adolescents were invited to participate, 24 accepted and started the program and 16 completed the program. Qualitative feedback from both adolescent and parent participants found high levels of satisfaction with the program. Attendance rates were high. Clinically useful improvements in activity and diet behaviours were recorded by most, though not all, participants. Conclusion: This initial study demonstrated the acceptability and feasibility of a multi-disciplinary, family-centred, community-based intervention targeting activity, food and attitudes in overweight/obese adolescents. Further research using this approach will evaluate the sustainability of behavioural changes.

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    • Behaviour changes following a multidisciplinary intervention for overweight and obese adolescents
      Ward, Emily; Straker, Leon; Smith, Kyla; Kerr, Deborah; Davis, Melissa; Fielding, Angela; McManus, Alexandra (2011)
      Introduction: Around one quarter of Australian adolescents are overweight or obese. Recent reviews have highlighted the gap in evidence around the effectiveness of interventions to prevent the progression to morbid obesity, ...
    • The impact of Curtin University's Activity, Food and Attitudes Program on physical activity, sedentary time and fruit, vegetable and junk food consumption among overweight and obese adolescents: A waitlist controlled trial
      Straker, Leon; Howie, Erin; Smith, K.; Smith, K.; Fenner, Ashley; Kerr, Deborah; Olds, T.; Abbott, R.; Smith, Anne (2014)
      Background: To determine the effects of participation in Curtin University's Activity, Food and Attitudes Program (CAFAP), a community-based, family-centered behavioural intervention, on the physical activity, sedentary ...
    • Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (Curtin University's Activity, Food and Attitudes Program)
      Fenner, Ashley; Howie, E.; Davis, M.; Straker, L. (2016)
      Background: Limited studies have investigated relationships in psychosocial outcomes between adolescents who are obese and their parents and how psychosocial outcomes change during participation in a physical activity and ...
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