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Brief report: A randomized controlled trial examining peer support and behavioral weight loss treatment
Institution:1. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior, 358A Rosenau Hall, 135 Dauer Drive, Campus Box 7440, Chapel Hill 27599-7440, USA;2. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Nutrition, 2202 McGavran-Greenberg Hl, 135 Dauer Drive, Campus Box 7461, Chapel Hill 27599-7461, USA;3. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior, 309 Rosenau Hall, 135 Dauer Drive, Campus Box 7440, 27599-7440, USA;4. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior, 336A Rosenau Hall, Campus Box 7440, Chapel Hill, NC 27599-7440, USA;5. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior & Department of Nutrition, Rosenau Hall, 135 Dauer Drive, Campus Box 7440, Chapel Hill, NC 27599-7440, USA;1. Department of Veterans Affairs (VA), Research Service, Edward Hines Jr. VA Hospital, Hines, IL;2. VA, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL;3. Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL;4. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL;5. Southern Arizona VA Health Care System, Tucson, AZ;6. Department of Preventive Medicine and Center for Healthcare Studies, Institute of Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL;7. Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL;8. Department of Veterans Affairs, Mental Health Service, Edward Hines Jr. VA Hospital, Hines, IL;9. Lexington VA Medical Center, Somerset, KY;10. Departments of Physical Medicine and Rehabilitation, Neurosurgery, and Psychology, University of Kentucky College of Medicine, Lexington, KY;1. American Institutes for Research, 1000 Thomas Jefferson St., NW, Office 3263, Washington, DC 20007-3835, United States;2. School of Social Work, University of Southern California, 669 W. 34th St., Los Angeles, CA 90089-0411, United States;3. Division of Hospital Medicine, Children''s Hospital Los Angeles, 4650 Sunset Blvd, MS #94, Los Angeles, CA 90027, United States;1. Prevention Research Center, Pacific Institute for Research and Evaluation, 180 Grand Avenue, Suite 1200, Oakland, CA 94612, USA;2. Monash University, Department of Epidemiology and Biostatistics, 99 Commercial Rd, Melbourne, VIC 3004, Australia;3. University of Pennsylvania, Perelman School of Medicine, Department of Biostatistics and Epidemiology, Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA;4. Indiana University School of Medicine, Indianapolis, IN, USA;5. Indiana University Purdue University, Indianapolis, IN, USA;6. Regenstrief Institute for Health Care, Fairbanks Hall, 340 West 10th Street, Suite 6200, Indianapolis, IN 46202-3082, USA
Abstract:Peer support among adolescents has been positively associated with heath behaviors; however, enhancing peer support for weight loss has rarely been studied among adolescents. This study examined whether a peer support training component delivered to enhance a standard weight loss program led to improved outcomes. Forty-one overweight adolescent females were randomly assigned to a Standard or Enhanced Peer Support intervention. The Enhanced group received in person peer support skills training and practiced skills using social networking. At 16 weeks, participants in the Enhanced condition reported significantly increased perceptions of friend support. Both groups demonstrated significant weight loss (6.4 lbs, ± 8.3). Attendance and self-monitoring were associated with weight loss. Perceptions of peer support can be increased with a peer training component, but did not increase weight loss during the short term.
Keywords:Weight loss  Adolescent  Social support  Obesity  Peer support  Intervention
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