Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Teevale, Tasileta; Taufa, Seini; Percival, Teuila

doi:10.1017/s1368980014003255

Cited by 17 publications

(35 citation statements)

References 40 publications

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“…Screening of titles and abstracts resulted in 78 potentially eligible studies. Of these, 13 peer‐reviewed journal articles met the inclusion criteria . Qualitative methods were employed in five of the studies included (Table ), quantitative methods in six (Table ) while two studies used mixed‐methods to achieve their aim (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies reported on the modifiable factors influencing attendance (e.g. programme location and staff) . Out of these, eight explored the reasons behind both initial and continued attendance, while Rice et al reported solely on the factors influencing initial attendance and Gronbaek et al reported exclusively on continued attendance.…”

Section: Resultsmentioning

confidence: 99%

“…Three of the four quantitative studies which examined the association between ethnicity and drop‐out reported that those families of ethnic minority were more likely to discontinue care prematurely . Two of the included qualitative studies support this finding with some families dropping out of treatment as a result of language difficulties , or because they felt the programme was ‘ culturally inappropriate ’ .…”

Section: Non‐modifiable Predictors Of Initial and Continued Attendancementioning

confidence: 96%

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Barriers and facilitators to initial and continued attendance at community‐based lifestyle programmes among families of overweight and obese children: a systematic review

et al. 2016

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SummaryThe success of childhood weight management programmes relies on family engagement. While attendance offers many benefits including the support to make positive lifestyle changes, the majority of families referred to treatment decline. Moreover, for those who do attend, benefits are often compromised by high programme attrition. This systematic review investigated factors influencing attendance at community‐based lifestyle programmes among families of overweight or obese children. A narrative synthesis approach was used to allow for the inclusion of quantitative, qualitative and mixed‐method study designs. Thirteen studies met the inclusion criteria. Results suggest that parents provided the impetus for programme initiation, and this was driven largely by a concern for their child's psychological health and wellbeing. More often than not, children went along without any real reason or interest in attending. Over the course of the programme, however, children's positive social experiences such as having fun and making friends fostered the desire to continue. The stigma surrounding excess weight and the denial of the issue amongst some parents presented barriers to enrolment and warrant further study. This study provides practical recommendations to guide future policy makers, programme delivery teams and researchers in developing strategies to boost recruitment and minimise attrition.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Non‐modifiable Predictors Of Initial and Continued Attendancementioning

confidence: 96%

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Barriers and facilitators to initial and continued attendance at community‐based lifestyle programmes among families of overweight and obese children: a systematic review

et al. 2016

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“…The most promising aspect of this alternative research strategy is that it is relevant to research participants seeking immediate advice and gives hope to families living in impoverished circumstances, that solutions lie within their own communities. This may be particularly effective for Pacific people and other ethnic minority groups, who value role modelling from families with similar circumstances and backgrounds 40 …”

Section: Discussionmentioning

confidence: 99%

Using appreciative inquiry methodology to develop a weight management program for obese children in New Zealand

Teevale

Kaholokula

2018

Australian and New Zealand Journal of Public Health

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Objectives: Paediatric obesity predicts adult obesity, and alarming new data in New Zealand reveals that obesity among the young continues to rise. In this study, we used a novel solution‐focused paradigm, or appreciative inquiry perspective, to explore the factors that influence not just obese but non‐obese states (that is, healthy weight as well as obesity), in Pacific adolescents (aged 13–17) living in socioeconomically deprived neighbourhoods. Methods: Sixty‐eight parents and adolescents from 30 families were recruited and interviewed, resulting in 15 obese and 15 healthy weight adolescents participating in the study. Results: Our findings showed that, despite living in low socioeconomic circumstances, parents were able to alter their micro‐environments to prevent obesity in their children. Parents with healthy weight adolescents had food rules in the home and monitored their children's eating and television viewing time. Conclusions: An appreciative inquiry approach to obesity research can uncover resiliency factors within families that can be applied to obesity prevention and treatment programs. Implications for public health: Appreciative inquiry methodology is a promising alternative qualitative research strategy for developing health interventions for low‐income ethnic minority communities.

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“…Focus group interviews for a YMCA family weight management program for elementary school age children, as well as for weight management programs in other settings, show that families prefer interactive sessions including exercise and cooking demonstrations [9,27,28]. Most YMCAs in the United States, including the Rochester Area Family YMCA in Rochester, MN, have adopted a set of Healthy Eating and Physical Activity (HEPA) standards [29].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Family-Centered Childhood Obesity Intervention at the YMCA: A Pilot Study

Gentile¹,

Kaufman²,

Maxson³

et al. 2018

J Community Med Health Educ

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Objective Community-based, family-centered obesity prevention/treatment initiatives have been shown to be effective in reducing body mass index (BMI) and improving healthy habits in children if implemented with high intensity and sufficient duration. Let’s Go! 5-2-1-0 Program (5-2-1-0) was incorporated into family-centered, monthly physical activity classes and cooking classes over six months delivered by Young Men’s Christian Association (YMCA) staff. We hypothesized that implementation of this intervention would improve 5-2-1-0 knowledge attainment, increase healthy behavior (based on 5- 2-1-0 curriculum), and improve BMI and waist circumference measurements in children. Methods Children attending YMCA summer camps in Rochester, MN, during 2016 were recruited via study packets mailed to their families. Height, weight, and waist circumference measurements as well as the results of the Modified Healthy Habits Survey and the 5-2-1-0 Knowledge Acquisition Survey were recorded for each participating child at baseline and 6-month follow-up. The intervention group received monthly healthy habit reminder emails, and was invited to monthly evening cooking and physical activity classes for 7 sessions over a 6-month period. Results Fifteen families in the intervention group attended classes. Of those, 13 families regularly participated in (attended at least 5 out of 7) both the monthly physical activity and cooking classes. The children in the intervention group had a significant improvement in the number of Knowledge Acquisition Survey questions answered correctly (p<0.001), while there was no improvement in the control group. As compared to children in the control group, there was no significant change in BMI or waist circumference or healthy habits in the intervention group. Conclusion Our study findings indicate that our intervention resulted in improved knowledge about healthy habits, but did not significantly impact healthy habits or BMI. Potential reasons for this were the small sample size and the attenuated length and/or intensity of the intervention.

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Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Cited by 17 publications

References 40 publications

Barriers and facilitators to initial and continued attendance at community‐based lifestyle programmes among families of overweight and obese children: a systematic review

Barriers and facilitators to initial and continued attendance at community‐based lifestyle programmes among families of overweight and obese children: a systematic review

Using appreciative inquiry methodology to develop a weight management program for obese children in New Zealand

The Effectiveness of a Family-Centered Childhood Obesity Intervention at the YMCA: A Pilot Study

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