{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:29:37Z","timestamp":1788269377983,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","award":["Project grant 911964"],"award-info":[{"award-number":["Project grant 911964"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005036","name":"Universitetet i Bergen","doi-asserted-by":"publisher","award":["PhD grant"],"award-info":[{"award-number":["PhD grant"]}],"id":[{"id":"10.13039\/501100005036","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>To compare the effectiveness of family\u2010based behavioural social facilitation treatment (FBSFT) versus treatment as usual (TAU) in children with severe obesity. Parallel\u2010design, nonblinded, randomized controlled trial conducted at a Norwegian obesity outpatient clinic. Children aged 6\u201318\u2009years referred to the clinic between 2014 and 2018 were invited to participate. Participants were randomly allocated using sequentially numbered, opaqued, sealed envelopes. FBSFT (<jats:italic>n<\/jats:italic>\u00a0=\u200959) entailed 17 sessions of structured cognitive behavioural treatment, TAU (<jats:italic>n<\/jats:italic>\u00a0=\u200955) entailed standard lifestyle counselling sessions every third month for 1\u00a0year. Primary outcomes included changes in body mass index standard deviation score (BMI SDS) and percentage above the International Obesity Task Force cut\u2010off for overweight (%IOTF\u201025). Secondary outcomes included changes in sleep, physical activity, and eating behaviour. From pre\u2010 to posttreatment there was a statistically significant difference in change in both BMI SDS (0.19\u2009units, 95% confidence interval [CI]: 0.10\u20130.28, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001) and %IOTF\u201025 (5.48%, 95%CI: 2.74\u20138.22, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001) between FBSFT and TAU groups. FBSFT participants achieved significant reductions in mean BMI SDS (0.16\u2009units, (95%CI: \u22120.22 to \u22120.10, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001) and %IOTF\u201025 (6.53%, 95% CI: \u22128.45 to \u22124.60, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001), whereas in TAU nonsignificant changes were observed in BMI SDS (0.03\u2009units, 95% CI: \u22120.03 to 0.09, <jats:italic>p<\/jats:italic>\u00a0=\u2009.30) and %IOTF\u201025 (\u22121.04%, 95% CI: \u22122.99 to \u22120.90, <jats:italic>p<\/jats:italic>\u00a0=\u2009.29). More FBSFT participants (31.5%) had clinically meaningful BMI SDS reductions of \u22650.25 from pre\u2010 to posttreatment than in TAU (13.0%, <jats:italic>p<\/jats:italic>\u00a0=\u2009.021). Regarding secondary outcomes, only changes in sleep timing differed significantly between groups. FBSFT improved weight\u2010related outcomes compared to TAU.<\/jats:p>","DOI":"10.1111\/cob.12513","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T06:19:32Z","timestamp":1645856372000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Family\u2010based treatment of children with severe obesity in a public healthcare setting: Results from a randomized controlled trial"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6340-7348","authenticated-orcid":false,"given":"Hanna F.","family":"Skj\u00e5k\u00f8deg\u00e5rd","sequence":"first","affiliation":[{"name":"Department of Clinical Science University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-1146","authenticated-orcid":false,"given":"Rachel P. K.","family":"Conlon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigurd W.","family":"Hystad","sequence":"additional","affiliation":[{"name":"Department of Psychosocial Science University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Roelants","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, KU Leuven University of Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven J. G.","family":"Olsson","sequence":"additional","affiliation":[{"name":"Independent Researcher  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bente","family":"Frisk","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning Western Norway University of Applied Sciences  Bergen Norway"},{"name":"Department of Physiotherapy Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise E.","family":"Wilfley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4117-8900","authenticated-orcid":false,"given":"Yngvild S.","family":"Danielsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7064-1407","authenticated-orcid":false,"given":"Petur B.","family":"Juliusson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science University of Bergen  Bergen Norway"},{"name":"Children and Youth Clinic Haukeland University Hospital  Bergen Norway"},{"name":"Department of Health Registry Research and Development Norwegian Institute of Public Health  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-018-0230-y"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1614362"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-018-3285-x"},{"issue":"11","key":"e_1_2_9_5_1","first-page":"Cd012436","article-title":"Drug interventions for the treatment of obesity in children and adolescents","volume":"11","author":"Mead E","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"e_1_2_9_6_1","first-page":"Cd012691","article-title":"Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17\u2009years","volume":"6","author":"Al\u2010Khudairy L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"e_1_2_9_7_1","first-page":"Cd011740","article-title":"Surgery for the treatment of obesity in children and adolescents","volume":"6","author":"Ells LJ","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"e_1_2_9_8_1","first-page":"Cd012651","article-title":"Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11\u2009years","volume":"6","author":"Mead E","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.0332"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000497121"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000293"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.0085"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0209746"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13132"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.425"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106497"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.26.5.521"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.26.4.381"},{"key":"e_1_2_9_19_1","unstructured":"Helsedirektoratet.Nasjonale faglige retningslinjer for prim\u00e6rhelsetjenesten. 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