@article {Benestade000413, author = {Beate Benestad and Tor-Ivar Karlsen and Milada Cvancarova Sm{\r a}stuen and Samira Lekhal and Jens Kristoffer Hertel and Silje Steinsbekk and Ronette L Kolotkin and R{\o}nnaug Astri {\O}deg{\r a}rd and J{\o}ran Hjelmes{\ae}th}, title = {Health-related quality of life after camp-based family obesity treatment: an RCT}, volume = {3}, number = {1}, elocation-id = {e000413}, year = {2019}, doi = {10.1136/bmjpo-2018-000413}, publisher = {BMJ Specialist Journals}, abstract = {Objective To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.Design Randomised controlled trial.Setting Rehabilitation clinic, tertiary care hospital and primary care.Patients Families with at least one child (7{\textendash}12 years) and one parent, both with obesity.Interventions Summer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measures Children{\textquoteright}s and parents{\textquoteright} HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.Results Ninety children (50\% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95\% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95\% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.Conclusions A 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children{\textquoteright}s self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration number NCT01110096.}, URL = {https://bmjpaedsopen.bmj.com/content/3/1/e000413}, eprint = {https://bmjpaedsopen.bmj.com/content/3/1/e000413.full.pdf}, journal = {BMJ Paediatrics Open} }