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Perceptions Held by Obese Children and their Parents: Implications for Weight Control Intervention

Division of Pediatric Cardiology, C.S. Mott Children's Hospital, University of Michigan Medical Center

Marshall H. Becker, MPH, PhD

Department of Health Behavior and Health Education, University of Michigan School of Public Health

T.E. Dielman, MA, PhD

Department of Postgraduate Medicine, University of Michigan

Albert P. Rocchini, MD

Division of Pediatric Cardiology, C.S. Mott Children's Hospital, University of Michigan Medical Center

Victor Katch, EdD

Division of Physical Education, University of Michigan

The study was designed to identify some of the psychosocial barriers to compliance in a hospital-based weight control intervention program for adolescents. Forty obese adolescents, 10 to 16 years of age, and their parents were surveyed prior to participa tion in a behavioral change weight control program at a major teaching hospital. Significant correlations were obtained between weight loss outcome and six factors. In obese adolescents, weight loss was significantly associated with their beliefs regarding: (1) personal control over weight, (2) barriers or difficulty of losing weight, (3) medical problems as a cause of their obesity, (4) family problems as a cause of their obesity, and (5) perceived willingness of family members to diet. It is suggested that greater weight loss in children who perceived more barriers/difficulty and less family willing ness to diet may reflect the importance of having realistic expectations related to be havioral compliance. In addition, a positive parental attitude or expectation that the child was less likely to be overweight in the future was associated with greater weight loss compliance. Other parental health beliefs, however, did not generally predict the child's weight loss response to the intervention. The findings lend support to the sig nificance of the adolescent's beliefs regarding weight and family support in explaining weight loss response to a behavioral change intervention program.

Health Education & Behavior, Vol. 15, No. 2, 185-198 (1988)
DOI: 10.1177/109019818801500204


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