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Table 8 Summary of Sessions with Social Worker

From: Lifestyle modification and metformin as long-term treatment options for obese adolescents: study protocol

Foundational Psychosocial Sessions (2)  
Month 1 Assess participant and family in relation to commitment, motivation, support available
  Identify participant's areas of need, interest, talent and strength
  Clarify participant's psychosocial goals
  Introduce concept of healthy goal-setting, emphasizing that goals should be realistic and achievable
Month 2 Social barriers to changing lifestyle
  Family response to barriers (coping strategies, problem-solving)
  Celebrating success with appropriate reward systems
  Increase understanding of behaviour modification techniques (monitor thoughts and feelings to increase self-control)
  Ongoing provision of support and encouragement (positive reinforcement, encourage family involvement)