Maryam Kebbe1, Arnaldo Perez1, Annick Buchholz2, Shannon D Scott3, Tara-Leigh F McHugh4, Caroline Richard5, Michele P Dyson1, Geoff D C Ball6. 1. Department of Pediatrics, University of Alberta, Edmonton, Canada. 2. Centre for Healthy Active Living, Children's Hospital of Eastern Ontario, Ottawa, Canada. 3. Faculty of Nursing, University of Alberta, Edmonton, Canada. 4. Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada. 5. Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, Canada. 6. Department of Pediatrics, University of Alberta, Edmonton, Canada. Electronic address: gdball@ualberta.ca.
Abstract
OBJECTIVE: To explore adolescents' and health care providers' (HCPs) perspectives on adolescents' involvement in decision-making within multidisciplinary clinical care for pediatric weight management. METHODS: In this multi-centre, qualitative description study, we purposefully recruited 13-17-year-olds with overweight or obesity and HCPs from two pediatric weight management clinics in Edmonton and Ottawa, Canada. Participants completed one-on-one, in-person, semi-structured interviews (adolescents) or focus groups (HCPs), which were audio-recorded, transcribed verbatim, and managed using NVivo 11. Data were analyzed by two independent researchers using inductive thematic analysis and the congruent methodological approach for group interactions. RESULTS: A total of 19 adolescents and 16 HCPs participated. Three themes were identified in relation to adolescents' decision-making for weight management, including (i) conditions for adolescent involvement, (ii) preferences for adolescent involvement, and (iii) extent of parental involvement. CONCLUSIONS: Although adolescents and HCPs positively valued adolescents' involvement in making decisions regarding their weight and health, the extent to which adolescents wished to be involved in the decision-making process varied between individuals and families. PRACTICE IMPLICATIONS: HCPs are encouraged to include adolescents and families in their health services delivery, including consulting individually with adolescents and tailoring care to their expectations regarding decision-making.
OBJECTIVE: To explore adolescents' and health care providers' (HCPs) perspectives on adolescents' involvement in decision-making within multidisciplinary clinical care for pediatric weight management. METHODS: In this multi-centre, qualitative description study, we purposefully recruited 13-17-year-olds with overweight or obesity and HCPs from two pediatric weight management clinics in Edmonton and Ottawa, Canada. Participants completed one-on-one, in-person, semi-structured interviews (adolescents) or focus groups (HCPs), which were audio-recorded, transcribed verbatim, and managed using NVivo 11. Data were analyzed by two independent researchers using inductive thematic analysis and the congruent methodological approach for group interactions. RESULTS: A total of 19 adolescents and 16 HCPs participated. Three themes were identified in relation to adolescents' decision-making for weight management, including (i) conditions for adolescent involvement, (ii) preferences for adolescent involvement, and (iii) extent of parental involvement. CONCLUSIONS: Although adolescents and HCPs positively valued adolescents' involvement in making decisions regarding their weight and health, the extent to which adolescents wished to be involved in the decision-making process varied between individuals and families. PRACTICE IMPLICATIONS: HCPs are encouraged to include adolescents and families in their health services delivery, including consulting individually with adolescents and tailoring care to their expectations regarding decision-making.
Authors: Lilianna Suarez; Asheley C Skinner; Tracy Truong; Jessica R McCann; John F Rawls; Patrick C Seed; Sarah C Armstrong Journal: Child Obes Date: 2021-11-09 Impact factor: 2.867
Authors: Melanie K Bean; Jessica Gokee LaRose; Hollie A Raynor; Elizabeth L Adams; Ronald K Evans; Sarah Farthing; Edmond P Wickham; Suzanne E Mazzeo Journal: Pediatr Obes Date: 2021-10-03 Impact factor: 4.000