Pediatric Comprehensive Weight Management Center, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI 48109, USA.
Child Obes. 2013 Jun;9(3):200-7. doi: 10.1089/chi.2012.0106. Epub 2013 Apr 30.
A family-based multidisciplinary weight management program for obese children 7-11 years old was implemented by a pediatric weight management center and local YMCA. The purpose of this study was to explore parents' and children's perceptions of the program to gain insight about factors that may enhance engagement and retention of families in weight management treatment.
Families were invited to participate in a telephone interview after their participation in the program. The interviews assessed satisfaction with program components, acceptability of the intervention, barriers to treatment participation, and suggestions for improvement.
A total of 34 semistructured telephone interviews were performed, including 19 parents and 15 children. The majority of children (mean age=9.2±1.5 years) interviewed were female (74%) and recipients of Medicaid (79%). The population was racially diverse (63% black, 26% white, 11% other). Results suggest families were generally very positive about the program and viewed the major components of the program as helpful (i.e., nutrition, exercise, behavior). Families particularly enjoyed exercise and cooking demonstrations, whereas self-monitoring activities and learning about behavior change strategies were less enjoyable. Parents noted that increasing the length of individual sessions would likely be beneficial. Families who did not complete the program cited factors such as transportation barriers (e.g., gas money, distance), scheduling conflicts, and unmet expectations as contributing to their decision to discontinue participation.
This study may have implications for how to enhance family-based pediatric weight management programs for children ages 7-11 years.
一家儿科体重管理中心与当地基督教青年会合作实施了一项针对 7-11 岁肥胖儿童的家庭为基础的多学科体重管理计划。本研究的目的是探讨家长和儿童对该计划的看法，以了解可能增强家庭参与体重管理治疗的参与度和保留率的因素。
在参与该计划后，邀请家庭参加电话访谈。访谈评估了对计划组成部分的满意度、干预措施的可接受性、治疗参与的障碍以及改进建议。
共进行了 34 次半结构式电话访谈，包括 19 名家长和 15 名儿童。接受访谈的大多数儿童（平均年龄=9.2±1.5 岁）为女性（74%），并获得医疗补助（79%）。该人群种族多样（63%黑人，26%白人，11%其他）。结果表明，家庭对该计划总体上非常满意，并认为该计划的主要组成部分很有帮助（即营养、运动、行为）。家庭特别喜欢运动和烹饪示范，而自我监测活动和学习行为改变策略则不太受欢迎。家长们指出，增加每次个别会议的时间可能会有帮助。未完成该计划的家庭指出，交通障碍（例如汽油钱、距离）、日程安排冲突和未满足的期望等因素导致他们决定停止参与。
本研究可能对如何加强针对 7-11 岁儿童的基于家庭的儿科体重管理计划具有启示意义。
