Stakeholder views of behavioral interventions for children and adolescents with obesity: Mega-ethnography of qualitative syntheses

IF 7.4 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Obesity Reviews Pub Date : 2025-03-19 DOI:10.1111/obr.13917

Joanna Leaviss, Roos Verstraeten, Christopher Carroll, Andrew Booth, Munira Essat, Diana Castelblanco Cuevas

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Abstract

Background

The prevalence of overweight and obesity among children and adolescents is rising and is a recognized global health problem. This overview of reviews explored the views of children, adolescents, and parents/caregivers regarding behavioral interventions for obesity management.

Methods

Eleven electronic databases were searched to identify reviews of qualitative research regarding the views of children or adolescents with obesity, and their caregivers, concerning behavioral interventions for obesity. Synthesis was performed using a mega-ethnography approach.

Results

Eleven reviews were included. Factors associated with feasibility, acceptability, and equity were identified that influenced decisions to engage with these interventions. Children and adolescents with obesity can be encouraged to engage and participate in behavioral interventions if there is a positive environment, free from stigma; have the necessary resources needed to fully engage in the intervention; are taught holistic, practical skills that allow for long-term lifestyle change, not just short-term weight loss; and are provided with activities likely to be perceived as fun and enjoyable. Interventions are more acceptable to the child/adolescent when parents and families are able to engage with them.

Conclusion

Practitioners can improve engagement with behavioral interventions for obesity management for children/adolescents if they are aware of specific motivating factors.

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利益相关者对儿童和青少年肥胖行为干预的看法：定性综合的大民族志。

背景：儿童和青少年中超重和肥胖的患病率正在上升，这是一个公认的全球健康问题。本综述探讨了儿童、青少年和父母/照顾者对肥胖管理行为干预的看法。方法：检索了11个电子数据库，以确定有关肥胖儿童或青少年及其照顾者对肥胖行为干预的看法的定性研究综述。综合使用大民族志方法进行。结果：纳入11篇综述。确定了与可行性、可接受性和公平性相关的因素，这些因素影响了参与这些干预措施的决定。如果有一个积极的环境，没有污名，可以鼓励肥胖儿童和青少年参与和参与行为干预；拥有充分参与干预所需的必要资源；学习全面实用的技能，使他们能够长期改变生活方式，而不仅仅是短期的减肥；并提供可能被视为有趣和愉快的活动。当父母和家庭能够参与干预时，儿童/青少年更容易接受干预措施。结论：如果从业者意识到特定的激励因素，他们可以提高儿童/青少年肥胖管理行为干预的参与度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Reviews 医学-内分泌学与代谢

CiteScore

19.30

自引率

1.10%

发文量

130

审稿时长

1 months

期刊介绍： Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.