Understanding Family Motivations and Barriers to Participation in Community-Based Programs for Overweight Youth

Grow, H. Mollie; Hsu, Clarissa; Liu, Lenna L.; Briner, Leslie; Jessen-Fiddick, Tricia; Lozano, Paula; Saelens, Brian E.

doi:10.1097/phh.0b013e31825ceaf9

Cited by 46 publications

(77 citation statements)

References 23 publications

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“…27 Additionally, parents who engage in childhood obesity treatment programs cite a desire to improve their child’s long-term health outcomes as motivation to initiate behavior change. 28, 29 The evidence on the relationship between risk perception and behavior change among adults is mixed 8, 30, 31 , but little is known about this relationship in child populations. Future research should assess whether more accurate health risk perception around specific obesity-related comorbidities would improve health behaviors.…”

Section: Discussionmentioning

confidence: 99%

Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks

Wright

Lozano

Dawson-Hahn

et al. 2016

Academic Pediatrics

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Objectives To assess how parents perceive long-term risks for developing obesity-related chronic health conditions. Methods A web-based nationally representative survey was administered to 502 U.S. parents with a 5–12 year old child. Parents reported whether their child was most likely to be at a healthy weight or overweight, and the probability that their child would develop hypertension, heart disease, depression, or type 2 diabetes in adulthood. Responses of parents of children with overweight and obesity were compared to those of healthy weight children using multivariate models. Results The survey had an overall response rate of 39.2%. The mean (SD) unadjusted parent predicted health risks were 15.4% (17.7%), 11.2% (14.7%), 12.5% (16.2%), and 12.1% (16.1%) for hypertension, heart disease, depression, and diabetes, respectively. Despite under-perceiving their child’s current BMI class, parents of children with obesity estimate their children to be at greater risk for obesity-related health conditions than parents of healthy weight children by 5–6 percentage points. Having a family history of a chronic disease, higher quality of care, and older parent age were also significant predictors of estimating higher risk probabilities. Conclusions Despite evidence that parents of overweight children may not perceive these children as being overweight, parents unexpectedly estimate greater future risk of weight-related health conditions for these children. Focusing communication about weight on screening for and reducing the risk of weight-related diseases may prove useful in engaging parents and children in weight management

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Section: Discussionmentioning

confidence: 99%

Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks

Wright

Lozano

Dawson-Hahn

et al. 2016

Academic Pediatrics

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“…Parents report that a child's lack of internal motivation is a primary reason for treatment nonadherence. 24 Parent-level barriers include pragmatic issues, such as cost, transportation, and appointment availability; parents also cite a lack of alignment with the provider regarding the goals of treatment as a barrier. 16,25 Predictors of treatment nonadherence in pediatric behavioral weight loss studies include lack of intrinsic motivation to change health behaviors and pragmatic challenges preventing families from attending visits.…”

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confidence: 99%

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

et al. 2016

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Background: Mentally ill youth are at risk for developing obesity, especially when they require antipsychotic treatment; moreover, they may face unique challenges in adhering to behavioral weight loss interventions. The aims of this project were to characterize the challenges families of youth with psychiatric disorders face when engaging in weight loss treatment and to gather information on attitudes and preferences for weight management interventions in this population.Methods: We devised a telephone survey to evaluate caregiver-perceived barriers/challenges to and preferences for behavioral weight loss treatment in overweight or obese mentally ill youth ages 6-18 treated with an antipsychotic agent in an outpatient setting.Results: A total of 26 parents or primary caregivers completed the survey. The most commonly cited barriers to participation in physical activity (PA) and maintaining a healthy diet were child's dislike of PA and child's preference for energy-dense foods, respectively, which were impacted by psychiatric symptoms. Preferences for weight loss treatment included individualized, prescribed meal plans and shopping lists, and exercise support/demonstration, with a preference for Internet or cell phone applications to help with monitoring food intake and exercise.Conclusions: These results suggest that targets for obesity treatment in this population include individualized, specific support that takes into account the child's motivation, which is effected by psychiatric symptoms. Tools for providing support may include the use of telehealth visits and mobile device applications for self-monitoring.

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“…It is possible that ACT! 6 Some families responded to opportunities for greater program contact by reenrolling and/or continuing a Y membership. A program such as ACT!…”

Section: Discussionmentioning

confidence: 99%

“…3,4 RE-AIM highlights 5 dimensions of a community or public healthlevel program's impact and value to the community, Reach, Effectiveness, Adoption, Implementation, and Maintenance, all of which are considered important components. 6 To achieve these goals, we used principles of community-based participatory research 7 and continuous process improvement in our approach. A key underlying premise was to ensure that our program stayed true to its core intervention components (further described later) and offered an accessible model, since the perceived extremes of more intensive weight loss programs are often difficult or aversive for some families.…”

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Partnering for Success and Sustainability in Community-Based Child Obesity Intervention

Grow

Hencz

Verbovski

et al. 2014

Family &Amp; Community Health

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Sustaining community-based obesity interventions for families represents an ongoing challenge. Many initially grant-funded initiatives lack a sustainable model to continue. After initial grant funding ended, we continued a partnership between Seattle Children's Hospital and YMCA of Greater Seattle to enhance and expand a community-based family obesity program, "ACT! Actively Changing Together." We used principles of continuous process improvement, community-based participatory research, and the RE-AIM framework to successfully transition from a grant-funded to a community-supported program. Our pilot evaluation demonstrated promising results in parent behaviors, youth quality of life, ongoing family participation at the Y, and youth body mass index.

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Understanding Family Motivations and Barriers to Participation in Community-Based Programs for Overweight Youth

Abstract: To meet different families' needs, public health and health care agencies offering youth health promotion programs should consider providing program options that vary intensity level and weight loss emphasis.

Cited by 46 publications

References 23 publications

Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks

Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

Partnering for Success and Sustainability in Community-Based Child Obesity Intervention

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