Welche Faktoren beeinflussen die Gewichtsstabilisierung nachhaltig? Eine qualitative Befragung von Kindern und Jugendlichen sowie deren Eltern, nach Teilnahme an einem Gewichtsreduktionsprogramm

Hemetek, Ursula; Ernert, Andrea; Wiegand, Susanna; Bau, Anne-Madeleine

doi:10.1055/s-0034-1384564

Cited by 2 publications

(1 citation statement)

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“…Specifically, "personal value" supports a recent review (n = 11 studies with a maintenance phase) that found continuous intrinsic motivation was strongly linked with successful weight maintenance (van der Heijden et al, 2018). Themes of "achievement" and "support" align with another recent study that highlighted self-efficacy as key in weight maintenance (Hemetek et al, 2015). Although recent (qualitative) research with parents of school-age children (Jacob-Files et al, 2018) acknowledged that moderate incentives alone could not overcome lifestyle barriers to engaging in weight management programs, including multiple components that enhance engagement can help overcome lifestyle barriers such as "overwhelm."…”

Section: > > Discussionmentioning

confidence: 77%

What Motivates Engagement in a Community-Based Behavior Change Strategy for Overweight Children?

Enright

Gyani²,

Hyun

et al. 2020

Health Promotion Practice

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Introduction. The success of family-based community programs for childhood obesity may be increased by promoting social-cognitive factors that influence motivation and participant engagement. Incentivizing behavior can potentially enhance engagement and encourage behavior change. This research investigated motivators to engagement with a multicomponent incentive-based strategy to improve attendance and health-related behavior change in a family community-based weight management program for overweight and obese children. Method. Qualitative analysis combining; demographic data ( n = 512), survey of parents ( n = 273), and stakeholder ( n = 10) and family interviews ( n = 24). Participants were selected from program providers and families participating in an Australian community weight management program during a randomized controlled trial ( n = 512 children). Maximum variation sampling (demographics and group characteristics) and inductive thematic analysis were used. Results/Conclusion. Four factors influencing engagement were (1) personal value, (2) achievement, (3) support, and (4) overwhelm. These themes corroborated with social-cognitive factors, fostered by a combination of behavior change components in the program that increased participant accountability and intrinsic motivation. Focusing on autonomous goal planning with parental involvement, tracking of goals, and reviewing of goals may complement existing strategies in child-focused treatment programs. Low-value noncash incentives linked to goal setting for encouraging healthy eating and physical activity were well accepted and may enhance family engagement and attendance.

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Section: > > Discussionmentioning

confidence: 77%