{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:19:16Z","timestamp":1789676356897,"version":"4.0.1"},"reference-count":62,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Treatment-seeking adolescents with obesity may have diverse dietetic, psychological, or medical needs that require support during obesity treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To characterize initial referral reasons, content, and outcome of support visits provided in addition to protocolized visits during an obesity treatment trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Fast Track to Health trial was a 52-week multi-site randomized trial conducted between 2018 and 2023 in Australia, comparing intermittent and continuous energy restricted dietary interventions delivered as part of an intensive behavioral intervention in adolescents with obesity and \u22651 obesity-related complications. Alongside protocolized mental health screening and medical and dietetic reviews, additional support was provided by the study dietitian, pediatrician or psychologist if needed or requested by families. Two reviewers independently coded deidentified clinical notes for each additional support visit to identify referral reasons, content and outcome of each visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 141 adolescents enrolled, 51 (36.2%) attended at least one additional support session, with most (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 31) having one visit. Most referrals were initiated by a clinician (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 34) and included requests for dietetic review (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 16), motivation and\/or support during COVID-19 lockdowns (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 15), general psychological review (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 14) and anxiety (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Understanding the diverse needs of adolescents with obesity is essential to inform obesity treatment interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2025.0023","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T03:27:14Z","timestamp":1749439634000},"page":"608-617","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Additional Support Needs of Adolescents with Obesity During an Obesity Treatment Trial: Fast Track to Health"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0387-1058","authenticated-orcid":false,"given":"Cathy","family":"Kwok","sequence":"first","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"The Children\u2019s Hospital at Westmead, Weight Management Services, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie B.","family":"Lister","sequence":"additional","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"The Children\u2019s Hospital at Westmead, Institute of Endocrinology and Diabetes, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve T.","family":"House","sequence":"additional","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"The Children\u2019s Hospital at Westmead, Institute of Endocrinology and Diabetes, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise A.","family":"Baur","sequence":"additional","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"The Children\u2019s Hospital at Westmead, Weight Management Services, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah P.","family":"Garnett","sequence":"additional","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"Kids Research, The Children\u2019s Hospital at Westmead, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiba","family":"Jebeile","sequence":"additional","affiliation":[{"name":"Sydney Medical School, The University of Sydney, Westmead, Australia."},{"name":"The Children\u2019s Hospital at Westmead, Institute of Endocrinology and Diabetes, Westmead, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Fast Track to Health study team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-023-00435-4"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2019.00568"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/17477160903473697"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0568-5"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.01.154"},{"issue":"2","key":"e_1_3_5_7_2","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1038\/ijo.2010.238","article-title":"Psychological correlates of childhood obesity","volume":"34","author":"Puder JJ","year":"2010","unstructured":"Puder JJ, , Munsch S. 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