Ginger Nicol1, Elizabeth Worsham2, Debra Haire-Joshu3, Alexis Duncan4, Julia Schweiger5, Michael Yingling6, Eric Lenze7. 1. 1 Department of Psychiatry, Washington University School of Medicine in St. Louis , St. Louis, MO. 2. 2 Department of Psychiatry, Forensic Institute, University of Florida , Gainesville, FL. 3. 3 Joyce Wood Professor and Associate Dean for Research & Faculty, George Warren Brown School of Social Work Director, Center for Diabetes Translation Research and the Center for Obesity Prevention and Policy Research, Washington University , St. Louis, MO. 4. 4 Assistant Professor of Public Health, George Warren Brown School of Social Work, Washington University, St. Louis, MO and Department of Psychiatry, Washington University School of Medicine , St. Louis, MO. 5. 5 Clinical Lab Manager, Department of Psychiatry, Washington University School of Medicine , St. Louis, MO. 6. 6 Senior Data Analyst, Department of Psychiatry, Washington University School of Medicine , St. Louis, MO. 7. 7 Professor of Psychiatry, Department of Psychiatry, Washington University School of Medicine , St. Louis, MO.
Abstract
BACKGROUND: Mentally ill youth are at risk for developing obesity, especially when they require antipsychotic treatment; moreover, they may face unique challenges in adhering to behavioral weight loss interventions. The aims of this project were to characterize the challenges families of youth with psychiatric disorders face when engaging in weight loss treatment and to gather information on attitudes and preferences for weight management interventions in this population. METHODS: We devised a telephone survey to evaluate caregiver-perceived barriers/challenges to and preferences for behavioral weight loss treatment in overweight or obese mentally ill youth ages 6-18 treated with an antipsychotic agent in an outpatient setting. RESULTS: A total of 26 parents or primary caregivers completed the survey. The most commonly cited barriers to participation in physical activity (PA) and maintaining a healthy diet were child's dislike of PA and child's preference for energy-dense foods, respectively, which were impacted by psychiatric symptoms. Preferences for weight loss treatment included individualized, prescribed meal plans and shopping lists, and exercise support/demonstration, with a preference for Internet or cell phone applications to help with monitoring food intake and exercise. CONCLUSIONS: These results suggest that targets for obesity treatment in this population include individualized, specific support that takes into account the child's motivation, which is effected by psychiatric symptoms. Tools for providing support may include the use of telehealth visits and mobile device applications for self-monitoring.
BACKGROUND: Mentally ill youth are at risk for developing obesity, especially when they require antipsychotic treatment; moreover, they may face unique challenges in adhering to behavioral weight loss interventions. The aims of this project were to characterize the challenges families of youth with psychiatric disorders face when engaging in weight loss treatment and to gather information on attitudes and preferences for weight management interventions in this population. METHODS: We devised a telephone survey to evaluate caregiver-perceived barriers/challenges to and preferences for behavioral weight loss treatment in overweight or obese mentally ill youth ages 6-18 treated with an antipsychotic agent in an outpatient setting. RESULTS: A total of 26 parents or primary caregivers completed the survey. The most commonly cited barriers to participation in physical activity (PA) and maintaining a healthy diet were child's dislike of PA and child's preference for energy-dense foods, respectively, which were impacted by psychiatric symptoms. Preferences for weight loss treatment included individualized, prescribed meal plans and shopping lists, and exercise support/demonstration, with a preference for Internet or cell phone applications to help with monitoring food intake and exercise. CONCLUSIONS: These results suggest that targets for obesity treatment in this population include individualized, specific support that takes into account the child's motivation, which is effected by psychiatric symptoms. Tools for providing support may include the use of telehealth visits and mobile device applications for self-monitoring.
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