Studies reviewed for this report examined a range of modalities of behavioral therapy. No single method or combination of behavioral methods proved to be clearly superior. Thus, various strategies can be used by the practitioner to modify patient behavior. The aim is to change eating and physical activity behaviors over the long term. Such change can be achieved either on an individual basis or in group settings.
Group therapy has the advantage of lower cost.
Patients should be taught to record the amount and types of food they eat, the caloric values, and nutrient composition. Keeping a record of the frequency, intensity, and type of physical activity likewise will add insight to personal behavior. Coping strategies, meditation, and relaxation techniques all have been successfully employed to reduce stress. Verbal as well as tangible rewards can be useful, particularly for adults. Rewards can come from either the professional team or from the patients themselves.