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Pediatric Obesity: The Division of Responsibility Model As It Relates To Parental Roles and Expectations

1 January 2017


Pediatric obesity rates continue to be of concern despite concerted efforts by researchers, medical professionals, and psychologists. Involvement of the parent in pediatric treatment interventions continues to show promising effects in recent research studies. However, in order for parents to maintain the intervention techniques after treatment has ended, feasibility of integrating the treatment techniques into the family unit and parental preference and support of the intervention must be considered. This study examines the Targeting Lifestyle Change (TLC) program conducted at Boston Children’s Hospital between the years 2007 and 2010 and the utilization of Ellyn Satter’s Eating Competence and Division of Responsibility (DoR) models. The DoR model seeks to regulate maladaptive eating patterns and allows for dual participation by parent and child. Parental preference for these models is assessed using pretest and posttest surveys of those who had at least one child complete the program. Results indicated that implementation of DoR skills was mixed; for example, overall eating competence levels and parental satisfaction with nutrition of the child[ren] showed statistically significant improvement, whereas other factors including consumption of snacks between meals and enjoyment of family meals, were statistically insignificant. However, item level analyses showed trends that moved toward implementation of DoR skills even when results were not statistically significant.


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