The Transtheoretical Model (TTM) provides an excellent framework within which to assess the child's and the parent's awareness and acceptance of the problem of obesity and their level of desire to change their behavior to address the problem. The TTM describes four stages of change through which people progress in making health-related changes. Based upon the parent's and the child's stage of change, this model can be employed by the practitioner to direct appropriate interventions. The case management approach may be an effective mechanism for introducing TTM-based interventions designed to reduce childhood obesity. The case management approach allows the interventions to be individualized, taking the