Evidence & Practice
Using a stepped-care approach to help severely obese children and young people
James Nobles PhD researcher at Leeds Beckett University, Leeds, Yorkshire
Kath Sharman Managing director, SHINE Health Academy, Sheffield
Weight management is a game of chance for most children and young people, and is dependent on service availability and the expertise of the provider. Many localities are without established weight-management services, and the effectiveness of those provided is often not well-known.
SHINE (Self Help, Independence, Nutrition and Exercise) is the only documented tier 3 community-based service provider in the UK. It offers a plethora of interventions tailored to each child or young person using a stepped-care approach (SCA) to treat severe obesity: as the severity of obesity increases, so does the intensity of intervention.
This article describes an SCA and uses this model to demonstrate a range of appropriate, available interventions. A SCA can provide a holistic and integrative care pathway for children and young people with severe obesity when implemented at tier 3.
Primary Health Care. doi: 10.7748/phc.2016.e1136Correspondence
This article has been subject to double-blind review and has been checked for plagiarism using automated software
Received: 25 February 2016
Accepted: 14 March 2016
Published online: 27 July 2016