Stay In Treatment for Pediatric Weight Management

Inclusion Criteria: * Child is 7-18 years of age * Participating child has been referred to one of the participating weight management programs, and the family (child-parent dyad) has chosen to participate in said program. * Participating child is obese (BMI ≥95th percentile for age and sex). * Participating child provides assent to participation in the research study. * At least one parent/guardian consents to participate (and consent to child participation). The parent should be the primary parent accompanying the child to treatment, and the child's primary residence must be with that parent. \- Both members of the parent-child dyad must speak either English or Spanish. Exclusion Criteria: * Participating child cannot complete measures and study activities (non-verbal, significant developmental and behavioral challenges). * Participating child has a chronic illness that impacts weight (i.e. cancer). * Participating child with a genetic condition (i.e. Prader-Willi) that is associated with excessive weight. * One member of the parent-child dyad refuses to participate in the study or does not wish to complete 6 months of treatment. * One member of the parent-child dyad is unable to participate in 6 month follow-up data collection.