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. Author manuscript; available in PMC: 2018 Jan 1.
Published in final edited form as: Obesity (Silver Spring). 2016 Dec 7;25(1):16–29. doi: 10.1002/oby.21712

Table 2.

Identified team roles for delivering family-based obesity treatment for children and adolescents.

Team Member Role Suggested Types of Providers**
Pediatrician or primary care provider*
  • Screens for obesity

  • Refers/provides treatment services

  • Provides ongoing medical oversight

  • Oversees care coordination in the medical home

  • Physician

  • Nurse practitioner

  • Physician assistant

Behavioral interventionist*
  • Delivers the family-based behavioral treatment program

  • Location/site of delivery can vary

  • Could be done virtually pending evidence of efficacy

  • Behavioral/mental health specialist (e.g., psychologist, social worker, master’s level counselor )

  • Registered dietitian

  • Exercise physiologist

  • Health coach/educator

Sub-specialist(s)*
  • Provides treatment oversight as needed depending on patient’s comorbidities

    • Support can be provided virtually or in-person to providers or patients

  • Medical sub-specialist

  • Mental health specialist

  • Exercise physiologist

  • Registered dietitian

Care coordinator
  • Facilitates patient’s linkages with the referring primary care provider, the behavioral interventionist, and sub-specialists

  • Ensures ongoing communication among the healthcare team

  • Behavioral interventionist

  • Navigator

  • Case worker

  • Office staff

  • Registered nurse

*

Although required roles for treatment delivery are not explicitly stated in the USPSTF recommendations, these roles were identified among treatments deemed successful (i.e., >25 contact hours within 6 to 12 months, multicomponent, comprehensive).

**

Supervision or ongoing consultation might not be needed for all providers; however, implementation of evidence-based interventions in clinical settings have resulted in better treatment outcomes with implementation plans that include training to competency with ongoing supervision or consultation with an expert in the intervention. Additional roles that are not required but may be helpful include community outreach liaison, parent/patient advisory committee, and a business manager.