scholarly journals Understanding engagement in a family-focused, multicomponent, childhood weight management programme delivered in the community setting

2019 ◽  
Vol 22 (8) ◽  
pp. 1471-1482
Author(s):  
Emily Kelleher ◽  
Sheena M McHugh ◽  
Janas M Harrington ◽  
Ivan J Perry ◽  
Frances Shiely
Keyword(s):  
Weight Management ◽  
Community Setting ◽  
Management Programme ◽  
Medical Terminology ◽  
Structured Interviews ◽  
Future Health ◽  
Childhood Weight ◽  
Weight Management Programme ◽  
Geographical Regions ◽  
Complete Treatment

AbstractObjectiveTo describe public health nurses’ (PHN) experiences of referring to, and families’ experiences of being referred to, a multicomponent, community-based, childhood weight management programme and to provide insight into families’ motivation to participate in and complete treatment.DesignQualitative study using semi-structured interviews and the draw-and-write technique.SettingTwo geographical regions in the south and west of Ireland.ParticipantsNine PHN involved in the referral process, as well as ten parents and nine children who were referred to and completed the programme, participated in the present study.ResultsPHN were afraid of misclassifying children as obese and of approaching the subject of excess weight with parents. Peer support from other PHN as well as training in how best to talk about weight with parents were potential strategies suggested to alleviate these fears. Parents recalled the anxiety provoked by the ‘medical terminology’ used during referral and their difficulty interpreting what it meant for the health of their child. Despite initial fears, concern for their children’s future health was a major driver behind their participation. Children’s enjoyment, the social support experienced by parents as well as staff enthusiasm were key to programme completion.ConclusionsThe present study identifies the difficulties of referring families to community weight management programmes and provides practical suggestions on how to support practitioners in making referrals. It also identifies key positive factors influencing parents’ decisions to enrol in community weight management programmes. These should be maximised by staff and policy makers when developing similar programmes.

scholarly journals Using personalised avatars in a weight loss management programme: participants’ perspectives

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Horne ◽  
A Hill ◽  
H Ugail ◽  
T Murrells ◽  
M Hardy
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Real World ◽  
Healthy Lifestyle ◽  
Management Programme ◽  
Structured Interviews ◽  
Computer Gaming ◽  
Sustained Weight Loss ◽  
Weight Management Programme ◽  
Reduce Weight Loss

Abstract Background Obesity interventions rely predominantly on managing dietary intake and/or increasing physical activity but sustained adherence to behavioural regimens is often poor. Avatar technology is well established within the computer gaming industry and evidence suggests that virtual representations of self may impact real-world behaviour, acting as a catalyst for sustained weight loss behaviour modification. We explore patient's experiences of using an avatar as an adjunct to a weight management programme. Methods Exploratory, qualitative research design with a sub sample of participants to explore uncertainties and develop intervention optimisation and conduct of a future trial. Semi-structured interviews, with a purposive sub sample of obese and overweight patients a undergoing weight management programme (n = 12) from two settings in West Yorkshire, England (November-March 2020). Ethical approval was granted. Data were analysed using framework approach of verbatim transcripts. Results Three main themes emerged through data analysis (i) avatar appearance (ii) added benefits and (iii) areas of development. Visual perception of the personalised avatar could positively or negatively influence current and future realities. Patients generally found that using a personalised avatar provided added motivation to continue with the weight management programme and increased their confidence in their ability to work towards a healthy lifestyle to reduce weight loss. Several areas of development were identified for both the weight loss programme and the personalised avatar in relation to accessing psychological support and ways of developing and strengthening their own personal resilience. Conclusions The findings suggest that using personalised avatars could be a useful technique to increase engagement, motivation and adherence to weight loss management programmes among individuals who are obese or overweight. Key messages There appears to be some added motivational benefits to using personalised avatars. Virtual representations of self may impact real-world behaviour, acting as a catalyst for sustained weight loss behaviour.

scholarly journals Professional stakeholder’s views of adolescent weight management programmes: a qualitative study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Helen M. Jones ◽  
Oyinlola Oyebode ◽  
G. J. Melendez-Torres ◽  
Lena Al-Khudairy
Keyword(s):  
Weight Management ◽  
Qualitative Content Analysis ◽  
Management Programme ◽  
Structured Interviews ◽  
Attrition Rates ◽  
Leisure Services ◽  
Weight Management Programme ◽  
Intervention Content ◽  
Family Based

Abstract Objective Family-based multi-component weight management programmes are recommended for adolescents with obesity in England and Wales, however, these programmes suffer from poor uptake and high attrition rates. This study aimed to gather the views of professional stakeholders in a UK weight management programme to identify potential areas to target to improve engagement and success for such programmes. Results Semi-structured interviews were conducted with those involved in the commissioning, referral, coordination or delivery of a weight management programme (n = 11). Interviews were analysed using qualitative content analysis. Three main categories developed: professional support, tailoring and intervention content. Participants recognised the importance of support from experienced professionals, as well as family and peers. There was agreement that longer-term support was needed for adolescents with obesity; suggestions included integrating follow-up support with schools and leisure services. Emotional and psychological support must be prioritised. Having a variety of delivery modes, such as group and one to one, particularly in the home environment, were recommended. Stakeholders agreed that weight management programmes for adolescents need to be more proactive at incorporating technology. By acting on the views of those that work closely with adolescents, engagement with weight management programmes may be improved.

scholarly journals Barriers and facilitators to the implementation of a community-based, multidisciplinary, family-focused childhood weight management programme in Ireland: a qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016459 ◽  
Author(s):  
Emily Kelleher ◽  
Janas M Harrington ◽  
Frances Shiely ◽  
Ivan J Perry ◽  
Sheena M McHugh
Keyword(s):  
Weight Management ◽  
Management Programme ◽  
Barriers And Facilitators ◽  
Practical Training ◽  
Community Based ◽  
Organisational Context ◽  
Childhood Weight ◽  
Weight Management Programme ◽  
The Individual ◽  
Individual Professional

ObjectiveTo explore the barriers and facilitators experienced by those implementing a government-funded, community-based childhood weight management programme.DesignQualitative using semistructured interviews.SettingTwo geographical regions in the south and west of Ireland.Participants29 national-level and local-level stakeholders responsible for implementing the programme, including professionals from dietetics, psychology, public health nursing, physiotherapy, health promotion and administration.MethodsFramework analysis was used to identify barriers and facilitators, which were mapped onto six levels of factors influencing implementation outlined by Grol and Wensing: the innovation, the individual professional, the patient, the social context, the organisational context and the external environment.ResultsMost barriers occurred at the level of the organisational context. For all stakeholders, barriers arose due to the multidisciplinary nature of the programme, including the lack of role clarity and added complexity of working in different locations. Health professionals’ low-perceived self-efficacy in approaching the subject of weight with parents and parental resistance to hearing about their child’s weight status were barriers to programme implementation at the individual professional and patient levels, respectively. The main facilitators of implementation, occurring at the level of the health professional, included stakeholders’ recognition of the need for a weight management programme and personal interest in the area of childhood obesity. Having a local lead and supportive colleagues were further implementation drivers.ConclusionsThis study highlights the complexities associated with implementing a multidisciplinary childhood weight management programme, particularly translating such a programme to a community setting. Our results suggest the assignment of clear roles and responsibilities, the provision of sufficient practical training and resources, and organisational support play pivotal roles in overcoming barriers to change. This evidence can be used to develop an implementation plan to support the translation of interventions into real-world settings.

scholarly journals Employees' experiences of participating in a workplace-supported weight management service: a qualitative inquiry

2020 ◽  
Vol 13 (2) ◽  
pp. 203-221
Author(s):  
Leanne Jane Staniford ◽  
Duncan Radley ◽  
Paul Gately ◽  
Jamie Blackshaw ◽  
Lisa Thompson ◽  
...  
Keyword(s):  
Weight Management ◽  
Academic Research ◽  
Health And Safety ◽  
Qualitative Inquiry ◽  
Management Programme ◽  
Management Service ◽  
Management Support ◽  
Structured Interviews ◽  
Content Type ◽  
Weight Management Programme

PurposeThe purpose of this study is to explore public health employees' experiences of participating in a commercial weight management programme supported by their employers over a 12-week period.Design/methodology/approachSemi-structured interviews were conducted with 28 employees who had participated in the programme (group-based or online).FindingsThe main motivators for enquiring about and attending the programme were: the offer to attend the programme free of charge, the opportunity to kick start their weight loss efforts, to take part in an academic research study and the opportunity for “shared experiences” with their colleagues.Research limitations/implicationsThis study did not allow us to explore the reasons why some employees opted not to take up the opportunity for weight management support through their workplace. Further qualitative research with non-engagers would allow us to inquire about why employees might not engage with WM support and offer alternative strategies.Practical implicationsEmployers should facilitate their employees' efforts to lead a healthier lifestyle in the long-term creating employer health and safety policies that actively encourage healthy living and weight management. Improving employee health can contribute to increasing productivity, reducing stress and absenteeism.Originality/valueThis paper presents a novel approach to facilitating employees' weight management. Employees perceived their employer-supported participation in a commercial weight management programme outside of their work setting as a positive experience that assisted their weight management efforts suggesting the acceptability and feasibility of this approach to addressing weight in the workplace.

Paediatric weight-management programme for children 5–18 years old in Landskrona, Sweden

2005 ◽  
Vol 94 (0) ◽  
pp. 54b-54
Author(s):  
C Barth ◽  
A Cederström ◽  
H Mannerstråle-Paradisi
Keyword(s):  
Weight Management ◽  
Management Programme ◽  
Weight Management Programme
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