Zenlea I S, Thompson B, Fierheller D, Green J, Ulloa C, Wills A, Mansfield E
Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada.
Clin Obes. 2017 Oct;7(5):300-306. doi: 10.1111/cob.12202. Epub 2017 Jul 12.
To incorporate the perspectives and experiences of family caregivers of children with obesity, the KidFit Health and Wellness Clinic, a paediatric weight management programme, embedded feedback opportunities into various stages of programme development. Caregivers were eligible to participate if their children had completed initial 4-week group-based pilot programming or were currently receiving treatment in 10 or 12 week group-based programming. Data were collected through feedback session discussions, audio-recorded, transcribed verbatim and analysed thematically. In total, 6 caregivers participated in the pilot group feedback session and 32 caregivers participated in the structured group feedback sessions. Caregivers reported that healthy lifestyle strategies first communicated by clinic staff to children during group sessions provided expert validation and reinforcement when discussing similar messages at home. Caregivers reported feeling isolated and blamed for causing their children's obesity and appreciated the supportive forum that group-based programming provided for sharing experiences. Since experiences of blame and isolation can burden caregivers of children with obesity, paediatric weight management programmes might consider including peer support opportunities and discussion forums for ongoing social support in addition to education about lifestyle change.
为了纳入肥胖儿童家庭照顾者的观点和经验，儿童健康与健身诊所（一个儿科体重管理项目）在项目开发的各个阶段都嵌入了反馈机会。如果照顾者的孩子完成了最初为期4周的基于小组的试点项目，或者目前正在接受为期10周或12周的基于小组的项目治疗，那么他们就有资格参与。通过反馈会议讨论收集数据，进行录音、逐字转录并进行主题分析。总共有6名照顾者参加了试点小组反馈会议，32名照顾者参加了结构化小组反馈会议。照顾者报告说，诊所工作人员在小组会议期间首先向儿童传达的健康生活方式策略，在他们在家中讨论类似信息时提供了专业认可和强化。照顾者报告说，他们感到孤立无援，并因导致孩子肥胖而受到指责，他们赞赏基于小组的项目为分享经验提供的支持性论坛。由于指责和孤立的经历可能会给肥胖儿童的照顾者带来负担，儿科体重管理项目除了进行生活方式改变教育外，可能还应考虑提供同伴支持机会和讨论论坛，以提供持续的社会支持。
