对青少年减肥手术患者进行生活方式干预和支持,最大限度地提高他们的健康水平。

IF 2.1 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of Clinical and Translational Science Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI:10.1017/cts.2024.553
Marlyn A Allicock, Rashon King, Jackson Francis, M Sunil Mathew, Dhatri Polavarapu, Alicia Wheelington, Maral Misserian, Bethany R Cartwright, Adejumoke Adewunmi, Aparajita Chandrasekhar, Faisal G Qureshi, Sarah E Barlow, Sarah E Messiah
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引用次数: 0

摘要

导言:代谢与减肥手术(MBS)对患有严重肥胖症的青少年是安全有效的。将代谢减重手术与行为生活方式干预措施相结合,可有效优化治疗效果。然而,目前还没有标准化的方案。青少年的视角对于了解如何设计干预措施以提高参与度、维持动机并满足MBS前后自我管理行为的信息需求至关重要。本研究的目的是根据青少年及其家庭的意见,在循证内容的基础上,开发一种MBS生活方式支持干预措施:方法:采用混合方法设计,确定青少年对 MBS 生活方式支持的偏好。数据收集自一个种族和民族多元化的青少年样本(样本数=17,76%为女性,24%为男性,41.2%为非西班牙裔黑人,41.2%为西班牙裔/拉丁美洲人,11.8%为非西班牙裔白人,5.8%为其他族裔)及其母亲(样本数=13,38.4%为西班牙裔)。定量调查和定性访谈评估了母亲健康教育计划内容、方式、频率和实施平台的首选类型,为干预措施的设计提供了参考。对混合方法数据进行三角测量,以全面了解青少年/家长的偏好:结果:青少年将饮食健康、管理压力和保持动力作为所需的支持策略。家长将家长支持小组和营养指导列为优先事项。同伴支持和社交媒体平台被认为是提高积极性和参与度的关键方法:患者的声音是了解如何以及是否可以优化结合了 MBS 的体重管理行为生活方式计划的重要第一步。青少年的偏好可增强计划的适宜性,并确定维持行为改变所需的健康行为支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lifestyle intervention and support preferences to maximize health outcomes in adolescent bariatric surgery patients.

Introduction: Metabolic and bariatric surgery (MBS) is safe and efficacious for adolescents with severe obesity. Pairing MBS with behavioral lifestyle interventions may be effective for optimizing treatment outcomes. However, no standardized program exists. Adolescent perspectives are critical to understanding how to design interventions to enhance engagement, sustain motivation, and meet informational needs for pre- and post-MBS self-management behaviors. The aim of this study was to develop an MBS lifestyle support intervention built on evidence-based content with input from adolescents and their families.

Methods: A mixed-methods design identified adolescent preferences for MBS lifestyle support. Data were collected from a racially and ethnically diverse sample of adolescents (N = 17, 76% females, 24% males 41.2% non-Hispanic Black, 41.2% Hispanic/Latino, 11.8% non-Hispanic White, 5.8% Other) and their mothers (N = 13, 38.4% Hispanic) recruited from an MBS clinic. Quantitative surveys and qualitative interviews assessed preferred types of pre-post MBS content, modality, frequency, and delivery platforms to inform the design of the intervention. Mixed methods data were triangulated to provide a comprehensive understanding of adolescent/parent preferences.

Results: Adolescents prioritized eating well, managing stress, and maintaining motivation as desired support strategies. Parents identified parental support groups and nutrition guidance as priorities. Peer support and social media platforms were identified as key approaches for boosting motivation and engagement.

Conclusions: The patient voice is an important first step in understanding how, and whether behavioral lifestyle programs combined with MBS for weight management can be optimized. Adolescent preferences may enhance program fit and identify health behavior supports needed to sustain behavior change.

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来源期刊
Journal of Clinical and Translational Science
Journal of Clinical and Translational Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.80
自引率
26.90%
发文量
437
审稿时长
18 weeks
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