Nutritional Disorders Telehealth Network Project

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Interaction/Management Interventions - Overweight

Positive Reinforcement

Reinforcement is one of the most powerful strategies to teach a child what to do. A reinforcer is anything that increases or strengthens a behavior.

Extinction

Systematically discontinuing a reward following a response to decrease the future probability of the response occurring.

Mealtime Structure/Schedule

Providing a consistent daily meal and snack schedule. It is necessary to stick to the routine despite potential behavioral resistance and variance with intake.

Elimination of Juice/Empty Calories

Eliminate the dietary practice of excess consumption of sweetened beverages (including fruit juice).

Behavioral Contracting

Behavioral Contracting

Stimulus Control

Stimulus control strategies are a type of behavioral interventions for weight management that are supported by research as being efficacious. Stimulus control strategies involve identification and modification of environmental factors that influence eating patterns. The goal of stimulus control strategies is to reduce environmental characteristics or situations that serve to trigger maladaptive eating behaviors, such as excessive oral caloric intake.

Education on Physical Activity

Overweight or obese youth who have been cleared for physical activity (i.e., those with no medical or developmental factors that restrict their activity) are recommended to obtain 60 minutes per day of moderate to vigorous activity and to limit their screen time (TV, computer, videogame, etc. time) to 2 hours or less per day. The goal of increasing physical activity and reducing sedentary activity is to maximize caloric expenditure and promote healthy physical development

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