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Family weight loss program will treat more than 1,000 parents and children - UB Now: News and views for UB faculty and staff - University at Buffalo

“The purpose of this grant is to implement and evaluatehighly successful, family-based obesity treatment in the primarycare setting, an optimal setting given the established relationshipbetween patients and their primary care providers,” Epsteinsays. He is division chief of behavioral medicine in the Department ofPediatrics at the Jacobs School of Medicine and BiomedicalSciences, an internationally recognized expert on childhood weightcontrol and family intervention, and one of the most productiveinvestigators in behavioral medicine and nutrition. During one10-year study of overweight children who had participated inEpstein’s research, the percentage able to maintain a healthyweight at 10-year follow-up was 50 percent, far higher than theusual percentage, which is typically 10 percent or less. Steven Lana, managing partner of Delaware Pediatrics, one of theBuffalo practices that will participate, explains there is acompelling need for interventions that promote weight loss andmaintenance in children. “The UB study of family-basedbehavioral treatment offers us a unique opportunity to provide anevidence-based, multicomponent intervention to improve treatmentoutcomes for our patients. We are eager to support this projectbecause we witness the early start of obesity complications thatcan significantly influence the children and families in ourpractice,” Lana says. Amherst-based Integrity Health Group and Williamsville PediatricCenter are the other participating primary care practices locatedin Western New York. The new study will compare two weight-control approaches in morethan a dozen primary care providers’ offices. One group willget an enhanced version of the standard treatment, where parent andchild receive information on healthy eating and are seen by thephysician four times over two years. Families receiving the intervention will be seen in thedoctor’s office by their own physician, as well as by healthcounselors trained to deliver family-based weight-control programstailored to the needs of each family. “With this grant, we are placing health coaches on thefront lines,” Epstein says. A key goal of the grant is to find out how primary careproviders’ offices can best deliver weight-control assistanceto their patients.  “We want to know how to overcome some of thebarriers — such as staffing, space, funding and attitudes— that primary care practices may face when using empiricallytested research in treatment programs,” Epstein says.“We will have to find ways to help them provide services thatthey traditionally haven’t had the time to provide at thepace the families need for ultimate success and on a flexibleschedule that can best accommodate patients.” The grant is an example of translational research that aims toaccelerate or “translate” findings from the laboratoryinto the real-world clinical setting. That was the focus of the $16million Clinical and Translational Science Award (CTSA) receivedlast fall by UB and its partners, which put UB into a select groupof medical schools nationwide that are leading translationalresearch. Epstein notes his current grant will take a multidisciplinary“team science” approach, which is characteristic oftranslational research.

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