scholarly journals Perceived Barriers and Facilitators to Healthy Lifestyles and Weight Loss Among Adolescents with Overweight and Obesity: A Qualitative Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1614-1614
Author(s):  
Michelle Cardel ◽  
Alexandra Lee ◽  
Jackson Dillard ◽  
Abhaya Dilip ◽  
Darci Miller ◽  
...  
Keyword(s):  
Weight Loss ◽  
Qualitative Study ◽  
Weight Status ◽  
Healthy Lifestyle ◽  
Treatment Options ◽  
Overweight And Obesity ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Blood Institute ◽  
Management Interventions

Abstract Objectives Obesity in adolescence has reached epidemic proportions around the world, with the prevalence of severe obesity increasing at least four-fold over the last 35 years. Provision of evidence-based treatment options that are tailored and relevant to the needs of adolescents is paramount, yet difficult to tailor because little is known regarding barriers and facilitators to adolescent weight loss. Thus, identification of barriers and facilitators to weight loss among adolescents with overweight/obesity (OW/OB) is needed. The objective of this qualitative study was to assess perceived barriers and facilitators to a healthy lifestyle and weight loss among adolescents with OW/OB. Methods Using 2018–2019 data from eleven focus groups among adolescents aged 14–19 with OW/OB (n = 41; n = 11 boys and n = 30 girls), a moderated, semi-structured focus group guide was used to identify perceived barriers and facilitators to a healthy lifestyle and weight loss. Results Adolescents reported time, access to healthful foods, food cravings, stress, and weight stigma/shaming as barriers to weight loss. Themes around internal and external psychosocial states (support, motivation) and behaviors including modeling, sports, and other physical activities were identified as both barriers and facilitators. Parents were recognized by teens as both helping and hindering weight loss, but overall teens felt their parents were more so facilitators than barriers, particularly as it related to modeling behaviors. Differences were noted by sex, among which girls reported experiencing weight struggles, whereas boys generally stated they did not struggle with weight, despite all participants meeting criterion for OW/OB. Conclusions Adolescent boys and girls with OW/OB perceive their weight status differently and identify a variety of barriers and facilitators to a healthy lifestyle and weight loss. Tailoring adolescent weight management interventions to address these perceived barriers and facilitators, along with noted sex differences, has the potential to improve the quality and effectiveness of adolescent obesity interventions. Funding Sources National Heart, Lung, and Blood Institute, National Institute of Health, WellCare Health Plans.

scholarly journals Views and Experiences of Adults who are Overweight and Obese on the Barriers and Facilitators to Weight Loss in Southeast Brazil: A Qualitative Study

2020 ◽  
Vol 15 (1) ◽  
pp. 1852705
Author(s):  
Caroline Morgan ◽  
Gilles de Wildt ◽  
Renata Billion Ruiz Prado ◽  
Nisha Thanikachalam ◽  
Marcos Virmond ◽  
...  
Keyword(s):  
Weight Loss ◽  
Qualitative Study ◽  
Barriers And Facilitators ◽  
Southeast Brazil

scholarly journals Barriers and facilitators in implementing a pilot, pragmatic, telemedicine-delivered healthy lifestyle program for obesity management in a rural, academic obesity clinic

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
John A. Batsis ◽  
Auden C. McClure ◽  
Aaron B. Weintraub ◽  
Diane Sette ◽  
Sivan Rotenberg ◽  
...  
Keyword(s):  
Weight Loss ◽  
Healthy Lifestyle ◽  
Video Conferencing ◽  
Tertiary Care ◽  
Physical Space ◽  
Individual Characteristics ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Intervention Delivery ◽  
Link Type

Abstract Purpose Few evidence-based strategies are specifically tailored for disparity populations such as rural adults. Two-way video-conferencing using telemedicine can potentially surmount geographic barriers that impede participation in high-intensity treatment programs offering frequent visits to clinic facilities. We aimed to understand barriers and facilitators of implementing a telemedicine-delivered tertiary-care, rural academic weight-loss program for the management of obesity. Methods A single-arm study of a 16-week, weight-loss pilot evaluated barriers and facilitators to program participation and exploratory measures of program adoption and staff confidence in implementation and intervention delivery. A program was delivered using video-conferencing within an existing clinical infrastructure. Elements of Consolidated Framework for Implementation Research (CFIR) provided a basis for assessing intervention characteristics, inner and outer settings, and individual characteristics using surveys and semi-structured interviews. We evaluated elements of the RE-AIM model (reach, adoption) to assess staff barriers to success for future scalability. Findings There were 27 patients and 8 staff completing measures. Using CFIR, the intervention was valuable from a patient participant standpoint; staff equally had positive feelings about using telemedicine as useful for patient care. The RE-AIM framework demonstrated limited reach but willingness to adopt was above average. A significant barrier limiting sustainability was physical space for intervention delivery and privacy and dedicated resources for staff. Scheduling stressors were also a challenge in its implementation. Conclusions The need to engage staff, enhance organizational culture, and increase reach are major factors for rural health obesity clinics to enhance sustainability of using telemedicine for the management of obesity. Trial registration Clinicaltrials.gov NCT03309787. Registered on 16 October 2017.

scholarly journals Impact of adult weight management interventions on mental health: a systematic review and meta-analysis protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e031857
Author(s):  
Rebecca A Jones ◽  
Emma R Lawlor ◽  
Simon J Griffin ◽  
Esther M F van Sluijs ◽  
Amy L Ahern
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Weight Loss ◽  
Weight Management ◽  
English Language ◽  
Meta Analysis ◽  
Overweight And Obesity ◽  
Primary Data ◽  
Management Interventions ◽  
The Impact

IntroductionThe effects of interventions targeting weight loss on physical health are well described, yet the evidence for mental health is less clear. It is essential to better understand the impact of weight management interventions on mental health to optimise care and minimise risk of harm. We will assess the effect of behavioural weight management interventions on mental health in adults with overweight and obesity.Methods and analysisThe systematic review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance. We will include behavioural weight management interventions with a diet and/or physical activity component focusing on weight loss for adults with a body mass index ≥25 kg/m2. Randomised controlled trials (RCTs) and cluster RCTs will be the only eligible study designs. Outcomes of interest will be related to mental health. The following databases were searched from inception to 07 May 2019: MEDLINE, Embase, Cochrane database (CENTRAL), PsycINFO, ASSIA, AMED and CINAHL. The search strategy was based on four concepts: (1) adults, defined as ≥18 years, with overweight/obesity, defined as BMI ≥25kg/m², (2) weight management interventions, (3) mental health outcomes and (4) study design. The search was restricted to English-language published papers, with no other restrictions applied. Two stage screening for eligibility will be completed by two independent reviewers, with two independent reviewers completing data extraction and risk of bias assessment. Data permitting, a random-effects meta-analysis of outcomes, subgroup analyses and meta-regression will be conducted. If not appropriate, narrative synthesis and ‘levels of evidence’ assessment will be completed.Ethics and disseminationEthical approval is not required as primary data will not be collected. The completed systematic review will be disseminated in a peer-reviewed journal, at conferences and contribute towards the lead author’s PhD thesis.PROSPERO registration numberCRD42019131659.

scholarly journals Cooking Beliefs and Culinary Program Interest of College Students with Overweight and Obesity from Different Environments (P21-012-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Miriam Mahmood ◽  
Jennifer Kleiman ◽  
Rachel Ryan ◽  
Kayla Wong ◽  
Ronald Lu ◽  
...  
Keyword(s):  
College Students ◽  
Weight Loss ◽  
Self Efficacy ◽  
Weight Status ◽  
Undergraduate Research ◽  
Overweight And Obesity ◽  
Weight Loss Program ◽  
New York University ◽  
Tertiary Institution ◽  
Significant Difference

Abstract Objectives College students with overweight/obesity previously reported a lack of confidence in meal planning/production, which may contribute to current weight status and subsequent weight gain. The objectives of this study were to: 1) determine cooking beliefs of students with overweight/obesity from different environments and 2) assess interest in a culinary-focused, weight loss program. Methods Students with overweight or obesity (BMI > 25), ages 18–24, enrolled in New York University (NYU) or LaGuardia Community College (LCC) were recruited. Participants completed a Qualtrics survey that included: 1) Cooking Attitudes Subscale, 2) Cooking Behaviors Subscale, 3) Cooking Self-Efficacy Scale (SEC), 4) Self-Efficacy for Using Basic Cooking Techniques Scale (SECT) and 5) a culinary program preference questionnaire. Height and weight were objectively measured. Descriptive, Chi square, Kruskal-Wallis, and post hoc Dunn test statistics were conducted. Results Students (N = 91; 19.6 ± 1.6 years; BMI 31.7 ± 5.6) were 64% female and 24% non-Hispanic. Institution type was associated with ethnicity (P = 0.03), with a higher percentage of non-Hispanic students from NYU. NYU students had a significantly lower BMI (P = 0.01) and were younger (P = 0.005). There was a significant difference in the Cooking Behaviors Subscale between institutions, with NYU students having overall lower scores (P = 0.0001). For LCC, there was a significant difference in BMI between the lowest and third quartiles of SECT scores (P = 0.04); students with a higher BMI had lower scores. At NYU, there was a significant difference in BMI between the lowest and second (P = 0.004) and third (P = 0.01) quartiles of the Cooking Behaviors Subscale; the lowest quartile had a higher mean BMI. Regardless of institution, the majority of students were interested in participating in a culinary-focused weight loss program for 6–8 weeks. However, NYU students reported a greater interest in weekly group meetings (P = 0.0001). Conclusions There is heterogeneity in cooking beliefs by college environment and BMI. However, interest in a culinary-focused, weight loss program is high for both 2- and 4-year tertiary institution students with overweight/obesity. Focus groups will be used for the development of population specific interventions. Funding Sources NYU College of Arts and Science Dean's Undergraduate Research Fund Grant (Spring 2018).

scholarly journals Mindful Eating and Active Living: Development and Implementation of a Multidisciplinary Pediatric Weight Management Intervention

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1425 ◽  
Author(s):  
E. Thomaseo Burton ◽  
Webb A. Smith
Keyword(s):  
Weight Status ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Healthcare Providers ◽  
Overweight And Obesity ◽  
Lessons Learned ◽  
Mindful Eating ◽  
Active Living ◽  
Pediatric Overweight ◽  
Family Based

Pediatric overweight and obesity are significant individual and public health issues that require an innovative approach. While evidence suggests that intensive family-based behavioral lifestyle modification can improve weight status, practical and logistical realities limit the ability of primary healthcare providers to intervene effectively. MEALs (Multidisciplinary Engagement and Learning/Mindful Eating and Active Living) is a family-based mindfulness intervention developed to address pediatric overweight and obesity, while improving healthy lifestyle behaviors through cooking classes. The incorporation of mindfulness, a psychological strategy associated with increased awareness of internal experiences, allows for a focus on the importance of healthy eating along with safe and efficacious kitchen practices. The Template for Intervention Description and Replication (TIDieR) checklist and guide is used to describe the intervention with the intention of providing necessary details to implement the intervention in clinical practice or replicate the intervention for further study. Lessons learned from pilot iterations of the intervention are provided.

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