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.