RT Journal Article
SR Electronic
T1 Perceptions of a Pragmatic Family-Centered Approach to Childhood Obesity Treatment
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 30
OP 40
DO 10.31486/toj.19.0126
VO 21
IS 1
A1 Betty M. Kennedy
A1 Genevieve Davison
A1 Lauren A. Fowler
A1 Erika Rodriguez-Guzman
A1 Myra L. Collins
A1 Alison Baker
A1 Stephen Cook
A1 Jeanne Lindros
A1 Denise E. Wilfley
A1 Ava J. Zebrick
A1 Amanda E. Staiano
YR 2021
UL http://www.ochsnerjournal.org/content/21/1/30.abstract
AB Background: Few studies have examined both parent and child preferences regarding family-based weight management programs (WMPs) delivered in primary care settings, especially among racial minority populations. The purpose of this study was to determine the perceptions that parents and their children/adolescents have about the components that should be included in a family-based WMP and to identify perceived preferences, benefits, and/or barriers to participation.Methods: A sample of 60 participants (30 parents and 30 children/adolescents) participated in 1 of 5 separate structured focus groups, using probing questions and the nominal group technique (NGT). Parents reported demographics for themselves and their children/adolescents. Themes from probing questions were identified using thematic analysis.Results: Parents were primarily African American (93%) and diverse in income. NGT sessions revealed that parents across all groups perceived that education on healthy eating, parental involvement, and effective program leaders are most important and have the greatest impact, while parental involvement was perceived as the easiest method to implement in a family-based WMP for childhood obesity. Children/adolescents perceived that education on healthy eating and exercise would have the greatest impact, while healthy eating and meal plans were perceived as the easiest methods to implement with a family. Parents and children/adolescents also identified improved psychological well-being (eg, decreased bullying, increased self-esteem, and motivation) as a desired program outcome.Conclusion: Parents and their children/adolescents highlighted the importance of physical and psychological health as targets in treatment. Feedback from patients can inform the design and implementation of family-based WMPs delivered in primary care settings.