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 Stakeholder’s views of adolescent weight management programmes: a qualitative study.

2020 ◽  
Author(s):  
Helen M Jones ◽  
Oyinlola Oyebode ◽  
G.J. Melendez-Torres ◽  
Lena Al-Khudairy
Keyword(s):  
Qualitative Study ◽  
Weight Management ◽  
Qualitative Content Analysis ◽  
Health Concern ◽  
Structured Interviews ◽  
Leisure Services ◽  
Significant Public Health Concern ◽  
Hands On ◽  
Significant Public Health ◽  
Family Based

Abstract Background Child and adolescent obesity is a significant public health concern. Family-based multi-component weight management programmes are recommended, however recruitment and retention in these programmes are poor. Understanding stakeholders’ views of these programmes may lead to improvements in delivery, and in turn, improve engagement and success in treating adolescents with obesity in the future. The aim of this study is to explore stakeholders’ views on adolescent weight management programmes.Methods A qualitative study of stakeholders (n = 11), recruited by purposive sampling was conducted. Semi-structured interviews were audio recorded, transcribed and analysed using qualitative content analysis. Codes were grouped into sub-categories, which were combined into higher order categories.Results Stakeholders recognised the importance of support for adolescents from experienced professionals, as well as family and peers. There was agreement amongst stakeholders that longer-term support was needed for adolescents with obesity; suggestions included integrating follow-up support with schools and leisure services. The need for the educational side of a programme to be practical and hands on was recognised. Emotional and psychological support must be prioritised. Having a variety of delivery modes, such as group and 1-2-1, particularly in the home environment, were recommended. Stakeholders agreed that weight management programmes for adolescents need to be more proactive at incorporating technology.Conclusions This study identified key categories, which should be considered when developing successful weight management programmes for adolescents with overweight or obesity. By taking on board the views of those that work closely with this group, attrition and dropout rates for weight management programmes may be improved.

scholarly journals Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033534 ◽  
Author(s):  
Tania Griffin ◽  
Yongzhong Sun ◽  
Manbinder Sidhu ◽  
Peymane Adab ◽  
Adrienne Burgess ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Controlled Trial ◽  
Intervention Group ◽  
Management Programme ◽  
Feasibility Trial ◽  
Minority Ethnic Group ◽  
Weight Management Programme ◽  
Overweight Or Obesity

ObjectiveTo assess (1) the feasibility of delivering a culturally adapted weight management programme, Healthy Dads, Healthy Kids United Kingdom (HDHK-UK), for fathers with overweight or obesity and their primary school-aged children, and (2) the feasibility of conducting a definitive randomised controlled trial (RCT).DesignA two-arm, randomised feasibility trial with a mixed-methods process evaluation.SettingSocioeconomically disadvantaged, ethnically diverse localities in West Midlands, UK.ParticipantsFathers with overweight or obesity and their children aged 4–11 years.InterventionParticipants were randomised in a 1:2 ratio to control (family voucher for a leisure centre) or intervention comprising 9 weekly healthy lifestyle group sessions.OutcomesFeasibility of the intervention and RCT was assessed according to prespecified progression criteria: study recruitment, consent and follow-up, ability to deliver intervention, intervention fidelity, adherence and acceptability, weight loss, using questionnaires and measurements at baseline, 3 and 6 months, and through qualitative interviews.ResultsThe study recruited 43 men, 48% of the target sample size; the mean body mass index was 30.2 kg/m2 (SD 5.1); 61% were from a minority ethnic group; and 54% were from communities in the most disadvantaged quintile for socioeconomic deprivation. Recruitment was challenging. Retention at follow-up of 3 and 6 months was 63%. Identifying delivery sites and appropriately skilled and trained programme facilitators proved difficult. Four programmes were delivered in leisure centres and community venues. Of the 29 intervention participants, 20 (69%) attended the intervention at least once, of whom 75% attended ≥5 sessions. Sessions were delivered with high fidelity. Participants rated sessions as ‘good/very good’ and reported lifestyle behavioural change. Weight loss at 6 months in the intervention group (n=17) was 2.9 kg (95% CI −5.1 to −0.6).ConclusionsThe intervention was well received, but there were significant challenges in recruitment, programme delivery and follow-up. The HDHK-UK study was not considered feasible for progression to a full RCT based on prespecified stop–go criteria.Trial registration numberISRCTN16724454.

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 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.

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