Childhood obesity treatment programs only result in moderate outcomes in the short term and do not reduce risk for future weight gain. Therefore, in the current study, Approach Avoidance Training (AAT) with motivational game elements will be added to an inpatient childhood obesity program with the aim of improving outcomes. Forty-one children (10–15 years) in the final months of an inpatient treatment program were randomised to either the AAT plus care-as-usual condition group or to a care-as-usual-only control group. During the 10 sessions, the children were trained to approach healthy food stimuli and to avoid unhealthy food stimuli. Treatment outcomes were child performances on tasks of AAT, implicit attitudes and attentional bias, self-report ratings on craving symptoms, and weight loss maintenance after leaving the clinic (12-week follow-up). Changes over time were not significantly different between conditions for the measures of automatic processes, craving, and weight loss maintenance. Possible accounts for the null findings, including sample size, influence of game elements, point of time in therapeutic process, limitations of the setting, and the control group are discussed. More research is needed before firm conclusions can be drawn about the clinical usefulness of CBM for weight control in childhood obesity.

中文翻译：

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在住宅儿童肥胖治疗中添加带有游戏元素的方法避免训练的可行性和有效性 - 一项试点研究

儿童肥胖治疗计划仅在短期内产生中等结果，并且不会降低未来体重增加的风险。因此，在当前的研究中，带有动机游戏元素的方法避免训练 (AAT) 将被添加到住院儿童肥胖计划中，以改善结果。住院治疗计划最后几个月的 41 名儿童（10-15 岁）被随机分配到 AAT 加照常护理组或仅照常护理对照组。在 10 节课中，孩子们接受了接受健康食物刺激和避免不健康食物刺激的培训。治疗结果是儿童在 AAT 任务中的表现、内隐态度和注意偏见、对渴望症状的自我报告评分以及离开诊所后的体重减轻维持（12 周随访）。自动过程、渴望和减肥维持的测量条件之间随时间的变化没有显着差异。讨论了无效结果的可能原因，包括样本量、游戏元素的影响、治疗过程中的时间点、设置的限制和对照组。在得出关于 CBM 对儿童肥胖症体重控制的临床有用性的确切结论之前，需要进行更多的研究。