Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials
Abstract
Objective To conduct a descriptive systematic review into the nature and effectiveness of family involvement in weight control, weight maintenance and weight-loss interventions. Method We searched Medline and Psyclit for English language papers describing randomised trials with at least 1-y follow-up that evaluated interventions incorporating a family-based component. Studies involving people with eating disorders, learning disabilities and undernutrition or malnutrition were excluded. Data were extracted on characteristics of the participants, study design, target behaviours, nature of the intervention and study outcomes. A taxonomy was developed and used to classify family involvement in behaviour change interventions. Interventions were also classified according to an existing taxonomy that characterised the behaviour change techniques employed. Results A total of 21 papers describing 16 intervention studies were identified. Studies were small (mean sample size: 52), heterogeneous, poorly described but with few losses to follow-up (median 15%). The majority were North American and aimed at weight loss. Few studies described a theoretical underpinning to the behaviour change techniques employed. There was a suggestion that spouse involvement increased effectiveness but that adolescents achieved greater weight loss when treated alone. In studies including children, beneficial effects were seen when greater numbers of behaviour change techniques were taught to both parents and children. Conclusion Relatively few intervention studies exist in this important area, particularly studies targeting adolescents, and they highlight continued uncertainty about how best to involve family members. The studies provide limited support for the involvement of spouses. They suggest that parental involvement is associated with weight loss in children, and that use of a greater range of behaviour change techniques improves weight outcomes for both parents and children. The development of future interventions and assessment of factors influencing effectiveness may be improved by paying careful attention to which family members are targeted and how they are involved in the intervention in terms of setting goals for behaviour change, providing support and training in behaviour change techniques.
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The social networking feature of MFP may be important given prior studies demonstrating the benefits of social support on weight loss.
“The social networking feature of MFP may be important given prior studies demonstrating the benefits of social support on weight loss (11).”
From Effectiveness of a Smartphone Application for Weight Loss Compared With Usual Care in Overweight Primary Care Patients: A Randomized, Controlled Trial (2014) · cites this paper as [11]
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- Authors
- McLean, N., Griffin, S., Toney, K., & Hardeman, W.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- McLean, N
- Venue
- International Journal of Obesity
- Published
- 2003-08-14
- Volume
- 27
- Issue
- 9
- Pages
- 987-1005
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W1967383364
- Cited by
- 418
- References
- 32
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 8 · 2023: 6 · 2022: 8 · 2021: 14 · 2020: 57 · 2019: 25 · 2018: 15 · 2017: 19 · 2016: 21 · 2015: 22 · 2014: 27 · 2013: 18 · 2012: 22
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- family involvement, weight management, weight maintenance, weight loss interventions, behaviour change techniques, spouse involvement, parental involvement, adolescent weight loss, family intervention, intervention effectiveness
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Behavior Therapy, Child, Child Behavior, Family, Female, Humans, Male, Obesity, Weight Loss, Randomized Controlled Trials as Topic
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