ACTION Teens 研究的启示：对英国肥胖青少年及其照顾者和医疗保健专业人员的调查。

Insights from the ACTION Teens Study: a survey of adolescents living with obesity, their caregivers and healthcare professionals in the UK.

机构信息

School of Psychology, University of Leeds, Leeds, UK

Centre for Obesity Research, University College London, London, UK.

出版信息

BMJ Open. 2024 Jul 23;14(7):e086391. doi: 10.1136/bmjopen-2024-086391.

DOI:10.1136/bmjopen-2024-086391

PMID:39043586

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11268073/

Abstract

OBJECTIVES

The Awareness, Care and Treatment In Obesity maNagement (ACTION) Teens study explored attitudes, behaviours, perceptions and barriers regarding effective obesity care among adolescents living with obesity (ALwO), caregivers and healthcare professionals (HCPs).

DESIGN

Cross-sectional online survey study.

SETTING

Study across 10 countries; here, we report data from UK respondents.

PARTICIPANTS

Overall, 416 ALwO (aged 12 to <18 years; body mass index ≥95th percentile for age and sex (WHO charts)), 498 caregivers and 250 HCPs in the UK completed the survey (August-December 2021).

PRIMARY AND SECONDARY OUTCOME MEASURES

Survey questions addressed key aspects of obesity management for ALwO.

RESULTS

Overall, 46% of ALwO perceived their weight as normal or below normal and 86% believed their health was at least good; 56% and 93% of caregivers responded similarly for their ALwO. Despite this, most ALwO (57%) had attempted to lose weight in the past year and 34% felt highly motivated to lose weight. YouTube and social media were most often used by ALwO for information about weight management (41% and 39%); few ALwO and caregivers sought information from a doctor (13% and 22%). Among ALwO who had discussed weight with an HCP (n=122), 49% trusted their weight-management advice. Only 10% of ALwO and 8% of caregivers were told by a doctor that they/their child had obesity. For HCPs, obesity-related comorbidities were the most common reason for initiating weight conversations with ALwO (73%), while short appointment times were the most common barrier (46%). Overall, 30% of ALwO and 11% of caregivers did not feel comfortable bringing up weight with an HCP.

CONCLUSIONS

Improved education and communication are needed among ALwO, caregivers and HCPs in the UK to help improve awareness of obesity, its aetiology and its impact on health, and to support HCPs to proactively initiate weight-related conversations and build trust with ALwO and caregivers.

TRIAL REGISTRATION NUMBER

NCT05013359.

摘要

目的

肥胖管理意识、护理和治疗（ACTION）青少年研究探索了肥胖青少年（ALwO）、照顾者和医疗保健专业人员（HCP）对有效肥胖护理的态度、行为、看法和障碍。

设计

横断面在线调查研究。

地点

跨越 10 个国家的研究；在这里，我们报告来自英国受访者的数据。

参与者

总体而言，416 名 ALwO（年龄 12 至<18 岁；体重指数≥年龄和性别第 95 百分位（世卫组织图表））、498 名照顾者和 250 名 HCP 在英国完成了调查（2021 年 8 月至 12 月）。

主要和次要结果

调查问题涉及 ALwO 肥胖管理的关键方面。

结果

总体而言，46%的 ALwO 认为自己的体重正常或低于正常，86%的人认为自己的健康状况至少良好；56%和 93%的照顾者对他们的 ALwO 做出了类似的反应。尽管如此，大多数 ALwO（57%）在过去一年中试图减肥，34%的人非常有动力减肥。YouTube 和社交媒体是 ALwO 最常用来获取体重管理信息的途径（41%和 39%）；很少有 ALwO 和照顾者从医生那里获取信息（13%和 22%）。在与 HCP 讨论过体重的 ALwO 中（n=122），49%的人信任他们的体重管理建议。只有 10%的 ALwO 和 8%的照顾者被告知他们/他们的孩子患有肥胖症。对于 HCP 来说，肥胖相关的合并症是与 ALwO 开始体重对话的最常见原因（73%），而预约时间短是最常见的障碍（46%）。总体而言，30%的 ALwO 和 11%的照顾者在与 HCP 讨论体重时感到不舒服。