Community, Health and Education Studies (CHESs) Research Centre, Coach Lane Campus East, Northumbria University, Newcastle-upon-Tyne NE7 7XA, UK.
J Public Health (Oxf). 2013 Jun;35(2):246-54. doi: 10.1093/pubmed/fds075. Epub 2012 Sep 11.
Childhood obesity is linked to a range of health and social problems. Solutions include the delivery of appropriate weight management interventions for those aged 16 and under. The 'Balance It! Getting the Balance Right' programme appears to be effective for those who complete the intervention, but the non-completion rate remains high. A qualitative evaluation was undertaken to explore the views of key stakeholders in the programme and identify possible reasons for non-completion.
Semi-structured interviews were conducted with a purposive sample of 16 NHS and local authority staff, and with 20 children (aged 4-16 years) and their families. A mosaic methodology was used, involving visual and verbal techniques employed to enable children of all ages to take an active role in expressing their opinions.
Key themes included the challenges of approaching overweight children; positive outcomes for some families; and issues relating to communication and coordination. Participants spoke positively about the multi-disciplinary approach of 'Balance It!', but felt it could better meet the needs of its target population.
Structured interventions help to ensure consistency and coherence in terms of approaches to childhood overweight and obesity. Whole family approaches may be most effective in enhancing the user experience.
儿童肥胖与一系列健康和社会问题有关。解决方案包括为 16 岁及以下的人群提供适当的体重管理干预。“平衡它！把握平衡”计划似乎对完成干预的人有效，但未完成率仍然很高。进行了定性评估，以探讨该计划的主要利益相关者的意见，并确定未完成的可能原因。
对 NHS 和地方当局的 16 名工作人员以及 20 名儿童（年龄在 4-16 岁之间）及其家庭进行了有针对性的半结构式访谈。采用马赛克方法，使用视觉和语言技术，使所有年龄段的儿童都能积极表达自己的意见。
主要主题包括接触超重儿童的挑战；一些家庭的积极结果；以及与沟通和协调有关的问题。参与者对“平衡它！”的多学科方法给予了积极的评价，但认为它可以更好地满足目标人群的需求。
结构化干预有助于确保在儿童超重和肥胖问题上的方法保持一致和连贯。全家庭方法可能最有效地增强用户体验。
