Parent Perspectives on the 2023 Clinical Practice Guideline for Pediatric Obesity: A Mixed-Methods Study of Acceptance and Concerns

IF 2.5 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-10-26 DOI:10.1111/ijpo.70065

Brooke E. Wagner, Annika B. Kruse, Sarah C. Armstrong, Asheley C. Skinner, Karen A. Scherr

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引用次数: 0

Abstract

Background

The 2023 Clinical Practice Guideline for pediatric obesity recommends immediate, intensive treatment, including behavioral therapy, medications, and surgery when indicated. Understanding parental agreement with the guideline is critical for successful implementation.

Objective

To evaluate parental awareness of and agreement with the guideline.

Methods

Parents (n = 150; 62.9% female; 75.5% White; M_age = 37.6 ± 7.4 years) completed an online survey assessing guideline awareness and agreement. K-means cluster analysis identified parent subgroups based on agreement patterns. Linear regression examined predictors of agreement (e.g., parent age, BMI). Inductive content analysis explored underlying perspectives.

Results

Few parents (5.3%) were aware of the guideline before the survey. Cluster analysis identified three subgroups: Guideline Skeptics (34%; broadly disagreed), Selective Supporters (28%; mostly agreed but opposed medications and surgery), and Guideline Supporters (38%; broadly agreed). Higher parental BMI predicted lower agreement (β = −0.20, p = 0.018). Qualitative findings added nuance to parents' preference for lifestyle changes, highlighted concerns about mental health and eating disorders, and emphasized parental responsibility in the development and treatment of obesity.

Conclusions

Parental agreement with the guideline varies widely. While most support behavioral treatment, many express concerns about medications and surgery, and a subset of “Guideline Skeptics” reject core principles such as the use of BMI. Tailored implementation strategies are needed to address these diverse views.

查看原文本刊更多论文

家长对2023年儿童肥胖临床实践指南的看法：一项接受和关注的混合方法研究

背景：2023儿科肥胖临床实践指南建议立即进行强化治疗，包括行为治疗、药物治疗和必要时的手术治疗。理解家长同意指导方针是成功实施的关键。目的：评价家长对该指南的认知度和认同程度。方法：150名家长（女性62.9%，白人75.5%，年龄37.6±7.4岁）完成在线问卷调查，评估家长对指南的认知和认同。K-means聚类分析根据一致性模式确定父子组。线性回归检验了一致性的预测因子（如父母年龄、体重指数）。归纳性内容分析探究了潜在的观点。结果：调查前很少有家长知晓该指南（5.3%）。聚类分析确定了三个亚组：指南怀疑论者（34%；广泛不同意），选择性支持者（28%；大部分同意但反对药物和手术）和指南支持者（38%；广泛同意）。父母BMI越高，一致性越低（β = -0.20, p = 0.018）。定性研究发现，父母对改变生活方式的偏好有细微差别，强调了对心理健康和饮食失调的关注，并强调了父母在肥胖发展和治疗中的责任。结论：家长对指南的认同差异很大。虽然大多数人支持行为治疗，但许多人表达了对药物和手术的担忧，还有一部分“指南怀疑论者”拒绝使用BMI等核心原则。需要量身定制的实施战略来处理这些不同的观点。

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

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.