Perez Arnaldo J, Kebbe Maryam, Holt Nicholas L, Gokiert Rebecca, Chanoine Jean-Pierre, Legault Laurent, Morrison Katherine M, Sharma Arya M, Ball Geoff D C
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.
J Pediatr. 2018 Jan;192:122-129. doi: 10.1016/j.jpeds.2017.09.025.
To explore parents' recommendations to enhance enrollment in multidisciplinary clinical care for managing pediatric obesity.
Data for this interpretative description study were collected through individual, semistructured interviews that were audiorecorded, transcribed verbatim, and analyzed thematically. Parents (n = 79) were recruited from 4 multidisciplinary weight management clinics in Canada located in Edmonton, Hamilton, Montreal, and Vancouver.
Most interviewed parents had children with obesity (body mass index ≥95th percentile; 84.2%), were female (87.3%), had postsecondary education (69.6%), and were white (75.9%). Parents' recommendations referred to enrollment opportunities, information about obesity services, motivation for treatment, and accessibility to obesity services. Specifically, parents recommended to increase referral options and follow-up contacts with families during the enrollment process, inform referring physicians and families about the availability and characteristics of obesity services, enhance families' motivation for treatment, prevent families from getting discouraged, make services more appealing to families, and address accessibility issues (eg, offering multiple options for appointment times, providing support for transportation).
Parents' recommendations support the need for family-centered approaches to enhance enrollment; however, their feasibility, acceptability, and effectiveness remain to be tested empirically.
探讨家长对于增加小儿肥胖症多学科临床护理参与度的建议。
本解释性描述研究的数据通过个体半结构化访谈收集，访谈进行了录音，逐字转录，并进行了主题分析。家长（n = 79）从加拿大埃德蒙顿、汉密尔顿、蒙特利尔和温哥华的4家多学科体重管理诊所招募。
大多数接受访谈的家长的孩子患有肥胖症（体重指数≥第95百分位数；84.2%），为女性（87.3%），拥有高等教育学历（69.6%），且为白人（75.9%）。家长的建议涉及参与机会、肥胖症服务信息、治疗动机以及肥胖症服务的可及性。具体而言，家长建议在参与过程中增加转诊选择并与家庭进行后续联系，告知转诊医生和家庭肥胖症服务的可获得性及特点，增强家庭的治疗动机，防止家庭气馁，使服务对家庭更具吸引力，并解决可及性问题（例如，提供多个预约时间选项，提供交通支持）。
家长的建议支持采用以家庭为中心的方法来提高参与度的必要性；然而，其可行性、可接受性和有效性仍有待实证检验。
