Using a stepped-care approach to help severely obese children and young people
Evidence & Practice Previous     Next

Using a stepped-care approach to help severely obese children and young people

James Nobles PhD researcher, 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. 26, 7, 32-38. doi: 10.7748/phc.2016.e1136

Correspondence

j.d.nobles@leedsbeckett.ac.uk

Peer review

This article has been subject to double-blind review and has been checked for plagiarism using automated software

Conflict of interest

None declared

Received: 25 February 2016

Accepted: 14 March 2016