Lauren Brown1, Sarah-Bianca Dolisca2, Jennifer K Cheng3. 1. New York University School of Medicine, New York, NY, USA Harvard University School of Public Health, Boston, MA, USA Lauren.E.Brown@mail.harvard.edu. 2. Harvard Medical School, Boston, MA, USA. 3. Harvard Medical School, Boston, MA, USA Boston Children's Hospital, Boston, MA, USA.
Abstract
OBJECTIVE: To describe barriers and facilitators relevant to pediatric weight management from the perspective of at-risk overweight children and families. METHODS: Systematic thematic analysis of semistructured interviews with overweight children and families from diverse backgrounds at a large, urban academic pediatrics practice. RESULTS: Twenty-five parents and their children ages 2 to 18 years with mean body mass index percentile of 96th% (standard deviation 4.3) participated. Fifty-six percent were Black; 40% were Hispanic/Other race. Perceived barriers to successful weight management included (a) inadequate resources (financial, time, access to programming, knowledge), (b) challenging social contexts (cultural practices and expectations, interpersonal dynamics), (c) negative emotional state (lack of confidence, defeat, loneliness), and (d) denial. Participants described linkages to resources, child-parent--provider partnerships, and consistent support as key elements in successful weight management. Participants also endorsed technology use for weight management support. CONCLUSIONS: Multiple barriers and facilitators affect weight management among at-risk families, which should be considered in future obesity interventions.
OBJECTIVE: To describe barriers and facilitators relevant to pediatric weight management from the perspective of at-risk overweight children and families. METHODS: Systematic thematic analysis of semistructured interviews with overweight children and families from diverse backgrounds at a large, urban academic pediatrics practice. RESULTS: Twenty-five parents and their children ages 2 to 18 years with mean body mass index percentile of 96th% (standard deviation 4.3) participated. Fifty-six percent were Black; 40% were Hispanic/Other race. Perceived barriers to successful weight management included (a) inadequate resources (financial, time, access to programming, knowledge), (b) challenging social contexts (cultural practices and expectations, interpersonal dynamics), (c) negative emotional state (lack of confidence, defeat, loneliness), and (d) denial. Participants described linkages to resources, child-parent--provider partnerships, and consistent support as key elements in successful weight management. Participants also endorsed technology use for weight management support. CONCLUSIONS: Multiple barriers and facilitators affect weight management among at-risk families, which should be considered in future obesity interventions.
Authors: Denise E Wilfley; Lauren A Fowler; Sarah E Hampl; Meredith L Dreyer Gillette; Amanda E Staiano; Andrea K Graham; Anne Claire Grammer; Lisa Nelson; Jordan A Carlson; Derek S Brown; Sherri Gabbert; Kelly Springstroh; Fanice Thomas; Melissa Ramel; Robinson Welch; William Johnson Journal: Child Obes Date: 2021-09 Impact factor: 2.867