Determinants of Parents' and Adolescents' Motivation Before Pediatric Weight Management-Data From the STARKIDS Cohort.

Obesity (Silver Spring, Md.) Pub Date : 2026-05-01 Epub Date: 2026-04-12 DOI:10.1002/oby.70185

Anne Herschbach, Rebecca Erschens, Florian Junne, Stefan Ehehalt, Johann Jacoby, Peter Martus, Isabelle Mack, Alisa Weiland, Inga Krauß, Constanze Greule, Guido Zurstiege, Annalena Wels, Sophia Helen Adam, Andreas Hoell, Wolfgang Bethge, Monika Ums, Torben Sammet, Maren Reyer, Olaf Schliesing, Stephan Zipfel, Caterina Gawrilow, Katrin Elisabeth Giel, Katrin Ziser

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Abstract

Objective: Pediatric obesity (OB) treatments show small effects and high dropout rates, potentially due to low motivation in participating families. Motivation prior to a weight management program is referred to as "readiness to change" (RTC). Understanding RTC is key to improving outcomes. Previous studies observed determinants for RTC, but results are heterogenous and data about adolescents' RTC are lacking.

Methods: Baseline data of the STARKIDS trial were used to find determinants of RTC in (a) adolescents (n = 125), (b) their caretakers (n = 185), and (c) caretakers of younger children (n = 325). Potential determinants were sociodemographic variables, weight, general quality of life (QoL), OB-related QoL, self-efficacy, and body image of caretakers and children. Pearson correlations (t-tests and ANOVA) and multiple linear regression analyses were performed.

Results: The RTC of adolescents and of both groups of caretakers was determined by adolescents'/children's OB-related QoL. The RTC of caretakers of younger children was also determined by children's BMI-SDS_LMS.

Conclusions: OB-related QoL plays a major role in determining adolescents' and caretakers' motivation prior to weight management. In all groups, most significant determinants refer to corresponding family members, showing that the mutual influence is large.

Trial registration: German Clinical Trials Register (DRKS) DRKS000228 13 (acknowledged primary register of the World Health Organization).

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儿童体重管理前父母和青少年动机的决定因素——来自STARKIDS队列的数据。

目的：儿童肥胖（OB）治疗效果小，辍学率高，可能是由于参与家庭的动机低。在体重管理计划之前的动机被称为“准备改变”（RTC）。了解RTC是改善结果的关键。以前的研究观察了RTC的决定因素，但结果是不同的，而且缺乏关于青少年RTC的数据。方法：使用STARKIDS试验的基线数据在以下人群中寻找RTC的决定因素：(a)青少年（n = 125）， (b)他们的看护人（n = 185）， (c)年幼儿童的看护人（n = 325）。潜在的决定因素包括社会人口学变量、体重、总体生活质量（QoL）、与工作相关的生活质量、自我效能感以及照顾者和儿童的身体形象。Pearson相关性（t检验和方差分析）和多元线性回归分析。结果：青少年和两组照顾者的RTC由青少年/儿童的ob相关生活质量决定。幼儿看护人的RTC也由儿童的BMI-SDSLMS决定。结论：与体重相关的生活质量在决定青少年和照顾者在体重管理前的动机方面起主要作用。在所有群体中，最重要的决定因素是指相应的家庭成员，表明相互影响很大。试验注册：德国临床试验注册（DRKS） DRKS000228 13（世界卫生组织认可的主要注册）。

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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Obesity (Silver Spring, Md.)

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