Extended brief interventions (EBIs) for weight management and obesity prevention in children: a rapid evidence review

Elisabeth Grey (Lead Author), Tania Griffin, Kate Jolly , Miranda Pallan, Helen Parretti, Ameeta Retzer, Fiona Gillion

Research output: Contribution to journalReview articlepeer-review

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Abstract

Uptake of child weight management (CWM) support is typically low, and services are not available in all areas. Extended brief interventions (EBIs) have been proposed as an affordable way to provide enhanced support, at a level between one-off brief advice and intensive CWM programmes. This rapid systematic review sought to synthesise evidence on the efficacy of EBIs for weight management and obesity prevention in children (2-18 years). Embase and Web of Science were searched from January 2012 to January 2022. Nineteen studies, reporting on 17 separate EBIs, were included. The quality of studies was variable and the EBIs were heterogeneous. The majority of EBIs (n=14) were based on motivational interviewing. Five of the included studies reported significant improvements in parent or child determinants of health behaviour change. However, robust measures of behavioural determinants were rarely used. No studies reported significant positive effects on child weight. No clear patterns in outcomes were identified. There is currently insufficient evidence for EBIs to be adopted as part of CWM services. To improve the evidence base, EBIs that are currently being implemented by local health services, should be evaluated to establish the most effective content, how it should be delivered and by whom.
Original languageEnglish
Article numbere13633
JournalObesity Reviews
Volume24
Issue number12
Early online date21 Aug 2023
DOIs
Publication statusPublished - Dec 2023

Keywords

  • childhood obesity
  • extended brief interventions
  • overweight
  • rapid review

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