It’s often said that behaviour change is the cornerstone of successful obesity management.
Much research has been dedicated to understanding what and how changes to lifestyle habits can lead to weight management. Larger (longer) lifestyle-based intervention doses tend to be most effective at promoting healthy changes; however, we know from clinical experience that many children and families, upon presentation, are not ready, willing, and able to participate in intensive interventions, which typically require substantial time and effort to derive health benefits. To date, we know little about whether smaller doses, or even one clinical encounter, can yield downstream benefits in pediatric weight management.
We’re currently leading a primary care-based study (RIPPLE) to explore whether a brief encounter can be a cue-to-action to help prevent unhealthy weight gain in children. Much of the background/rationale for RIPPLE came from the addictions literature, and problem drinking, in particular. For perspective on the influence that brief interventions, or even one thoughtful discussion with a clinician can have on patients’ lifestyle habits, this paper (No More Waiting Lists) is an interesting and unironically brief read.