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Erschienen in:
12.01.2017 | Original Article
Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program
Erschienen in: Sport Sciences for Health | Ausgabe 1/2017
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Purpose
To evaluate the effects of a Multidisciplinary Obesity
Treatment Program (PMTO) on parent-proxy perceptions and self-reported health-related quality of life (HRQoL) in overweight and obese adolescents.
Methods
Ninety-two overweight and obese adolescents aged 10–18 years were assigned to the PMTO. HRQoL was assessed with the Pediatric Quality of Life Inventory (PedsQLTM 4.0), administered to the adolescents and their parents/guardians at baseline and post-intervention. This intervention lasted 16 weeks and was based on cognitive behavioral therapy with the involvement of a psychologist, a nutritionist and exercise professionals.
Results
Adolescents reported improved physical [pre: 78.13 (21.1) to post: 84.38 (18.8); p < 0.001; effect size: 0.43], social [pre: 80.0 (30.0) to post: 85.0 (20.0); p = 0.033; effect size: 0.10], psychosocial [pre: 75.0 (22.8) to post: 76.67 (19.6); p = 0.013; effect size: 0.18], and total [pre: 75.0 (17.4) to post: 79.35 (16.8); p = 0.001; effect size: 0.28] domain scores. As for parent-proxy perceptions, improvements for all domains, except school domain, were noted (p < 0.05; effect sizes: from 0.26 to 0.34) post-intervention. At baseline, parents presented lower scores than the adolescents’ HRQoL for all domains (p < 0.05). However, following the intervention, parents only had lower scores than their children for the physical and total domains of the HRQoL scale.
Conclusions
In addition to improving HRQoL in the adolescents, the PMTO improved parent-proxy perceptions of their children’s HRQoL.