The prevalence of obesity is increasing amongst children in Norway. The purpose of this study was to examine the choice of treatment in a community health services – and a hospital setting, examining the content of the different treatment projects, their underlying theoretical perspectives and the interventions that are chosen in treating obese children. Method: This study is an embedded multiple case study of two units of analyses. Data were collected via focus group discussions and interviews. The findings were analysed by developing a case description for each of the cases and doing a cross case analysis by pattern matching. Findings support that multidisciplinary specialists, family involvement and physical activity are important in the treatment. Neither treatment program saw weight loss as an important factor in the criteria of a successful outcome, but rather the child’s feelings of self-worth. Conclusion: Health professionals need guidelines and recommendations for content, perspectives, and responsibility for the promotion and treatment of overweight – and obese children. There is uncertainty at which point a child’s weight should be treated and whether the necessary competence and treatment exist for the majority of obese children in Norway.

Keywords: competence, health services, perspectives, recommendations, responsibility