Warwick Medical School, University of Warwick, Coventry, UK.
DECIPHer, School of Social Sciences, Cardiff University, Cardiff, UK.
Obes Rev. 2019 Jan;20(1):156-169. doi: 10.1111/obr.12771. Epub 2018 Oct 29.
Current UK guidance recommends that adolescents with obesity attend a family-based multi-component obesity intervention. However, these programmes suffer from low recruitment and high rates of attrition. Understanding the views of adolescents is necessary for developing future interventions. The aim of this systematic review was to synthesize and explore the views of adolescents who have attended an obesity intervention.
Published literature was identified by searching six databases. Studies of adolescents (12-17 years) who attended an obesity intervention were examined. Only studies that collected and analysed data qualitatively were included. Full texts were analysed using thematic synthesis.
Twenty-eight studies were included. Thirty-five analytical themes were developed that were broadly divided into seven domains. Key themes included ensuring adolescents receive a 'tailored intervention' that involves 'active engagement'. Support from professionals, family and peers were valued highly. Adolescents expressed 'prior fears of attending interventions' and wanted 'longer term support'. 'Enjoyment of sport and physical activity' was evident, and adolescents were strongly motivated by improving body image and social desirability.
Considering the views of adolescents attending obesity interventions may help to inform policy makers in the development of future interventions. This may lead to an improvement in recruitment and attrition rates.
目前英国的指导建议肥胖青少年参加以家庭为基础的多组分肥胖干预。然而，这些方案的招募率低，退出率高。了解青少年的观点对于开发未来的干预措施是必要的。本系统评价的目的是综合并探讨参加肥胖干预的青少年的观点。
通过搜索六个数据库确定了已发表的文献。研究了参加肥胖干预的青少年（12-17 岁）。仅包括收集和分析定性数据的研究。使用主题综合分析全文。
纳入了 28 项研究。制定了 35 个分析主题，大致分为七个领域。主要主题包括确保青少年接受“量身定制的干预”，包括“积极参与”。专业人员、家庭和同伴的支持受到高度重视。青少年表达了“参加干预的先前恐惧”，并希望“获得更长期的支持”。“享受运动和体育活动”是显而易见的，改善身体形象和社会吸引力强烈激发了青少年的积极性。
考虑参加肥胖干预的青少年的观点可能有助于为未来干预措施的制定提供信息。这可能会提高招募率和降低退出率。
