Self-monitoring in the treatment of overweight adolescents

Sandilands, Mary, Brennan, Leah, Wallkley, Jeff, Fraser, Steve F. and Greenway, Kate 2011, Self-monitoring in the treatment of overweight adolescents, Behaviour change, vol. 28, no. 2, pp. 97-109.

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Title Self-monitoring in the treatment of overweight adolescents
Author(s) Sandilands, Mary
Brennan, Leah
Wallkley, Jeff
Fraser, Steve F.
Greenway, Kate
Journal name Behaviour change
Volume number 28
Issue number 2
Start page 97
End page 109
Total pages 13
Publisher Cambridge University Press
Place of publication Cambridge, England
Publication date 2011
ISSN 0813-4839
Keyword(s) obesity
treatment compliance
homework
selfmonitoring
adolescent development
cognitive behaviour therapy
Summary The aim of this study was to explore the relationship between the quantity and quality of self-monitoring and per cent fat loss in overweight and obese adolescents participating in a weight-loss intervention. Participants were 55 (33F) overweight and obese adolescents taking part in a 20-week cognitive–behavioural intervention aimed at improving eating and physical activity behaviours. Food and physical activity self-monitoring from the first 9 weeks of the intervention was coded using 24 components assessing the quantity (20) and quality (4) of selfmonitoring. Those who completed treatment (n = 42) were split into groups: Losers (n = 30) and Gainers (n = 12) of per cent body fat as measured by DXA. Group analyses showed that Losers and Gainers could be differentiated by both quantitative and qualitative measures of self-monitoring. The strongest associations were with the classifications of food and drink items into food groups. The number of days monitored and the average number of items recorded did not differentiate the groups. Quantity and quality measures of self-monitoring completed early in treatment could also differentiate those who completed treatment and those who did not complete treatment (n = 13), and the strongest associations were with the amounts of food and drink items recorded, an association not found with treatment outcome. The results indicate that both quantity and quality of self-monitoring may be important predictors of both treatment completion and outcome. Based on these findings a framework of self-monitoring requirements is offered to reduce homework burden while maximising treatment efficacy.
Language eng
Field of Research 110602 Exercise Physiology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30050897

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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Created: Thu, 28 Feb 2013, 12:02:44 EST by Steve Fraser

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