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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)