Why do families enrol in paediatric weight management? A parental perspective of reasons and facilitators

Perez, Arnaldo; Avis, Jillian L. S.; Holt, Nicholas L.; Gokiert, Rebecca; Chanoine, Jean‐Pierre; Legault, Laurent; Morrison, Katherine M.; Sharma, Arya M.; Ball, Geoff D.C.

doi:10.1111/cch.12311

Cited by 15 publications

(15 citation statements)

References 29 publications

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“…Consistent with previous research showing that children’ motivation for treatment facilitates enrollment, we found that this factor also facilitated continued attendance. This finding is also aligned with PWM guidelines encouraging health services providers to assess and enhance families' motivation for treatment before and after care is commenced …”

Section: Discussionsupporting

confidence: 90%

“…Parents' concerns about their children's weight and health can help to motivate enrolment in treatment for PWM. 19,20 Our study showed that these concerns are also important drivers of continued Although "success" in PWM has been traditionally measured in terms of improvements in weight status, [21][22][23] our data suggest that families hold a broader definition of success, which aligns with contemporary views of managing paediatric obesity 23,24 and previous research on parental motivation (eg, help improve children's psychosocial health)…”

Section: Discussionsupporting

confidence: 70%

“…Parents' concerns about their children's weight and health can help to motivate enrolment in treatment for PWM . Our study showed that these concerns are also important drivers of continued attendance in weight management programmes.…”

Section: Discussionmentioning

confidence: 70%

“…Parents also referred to several logistical and motivational factors that facilitated their continued attendance. While logistical factors can hinder treatment initiation and retention, we found that families' resources and adequate support helped them remain in treatment for PWM.…”

Section: Discussionmentioning

confidence: 83%

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Continued attendance for paediatric weight management: A multicentre, qualitative study of parents' reasons and facilitators

et al. 2019

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Although prolonged engagement in paediatric weight management (PWM) is associated with positive treatment outcomes, little is currently known about enablers of long‐term programme attendance. The purpose of our study was to explore families' reasons for and facilitators of their continued attendance at health services for PWM. Semi‐structured, individual interviews were conducted with parents of children (10‐17 year old; body mass index ≥85th percentile) who completed the active phase of treatment in one of four Canadian multidisciplinary clinics for PWM. Interview data were recorded digitally, transcribed verbatim and analysed thematically. Parents' (n = 40) reasons for continued clinic attendance included ongoing concerns (eg, parental concern about their child's health), actual and expected benefits from treatment (eg, lifestyle improvements) and perceived quality of care (eg, structured, comprehensive, tailored health services). Several logistical and motivational factors contributed to continued attendance, including flexible work schedules, flexible appointment times, financial resources and children's motivation for treatment. Helping families address treatment barriers and ensuring that weight management services meet families' treatment expectations are promising strategies to enhance retention in PWM to optimize health outcomes.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 83%

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Continued attendance for paediatric weight management: A multicentre, qualitative study of parents' reasons and facilitators

et al. 2019

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“…In some cases, professional referrals have provided an efficient and effective pathway to enrolment in a program (i.e. in relation to numbers enrolled and cost) [19–22] however, the overall attendance of families professionally referred has been shown to be less when compared to those who are self-referred [19, 21]. …”

Section: Introductionmentioning

confidence: 99%

Parent engagement and attendance in PEACH™ QLD – an up-scaled parent-led childhood obesity program

et al. 2017

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BackgroundParenting, Eating and Activity for Child Health (PEACH™) is a multicomponent treatment program delivered over ten group sessions to parents of overweight/obese primary school-aged children. It has been shown to be efficacious in an RCT and was recently translated to a large-scale community intervention funded by the Queensland (Australia) Government. Engagement (enrolment and attendance) was critical to achieving program outcomes and was challenging. The purpose of the present study was to examine sample characteristics and mediating factors that potentially influenced program attendance.MethodsData collected from parents who attended at least one PEACH™ Queensland session delivered between October 2013 and October 2015 (47 programs implemented in 29 discrete sites), was used in preliminary descriptive analyses of sample characteristics and multilevel single linear regression analyses. Mediation analysis examined associations between socio-demographic and parent characteristics and attendance at group sessions and potential mediation by child and parent factors.Results365/467 (78%) enrolled families (92% mothers) including 411/519 (79%) children (55% girls, mean age 9 ± 2 years) attended at least one session (mean 5.6 ± 3.2). A majority of families (69%) self-referred to the program. Program attendance was greater in: advantaged (5.9 ± 3.1 sessions) vs disadvantaged families (5.4 ± 3.4 sessions) (p < 0.05); partnered (6.1 ± 3.1 sessions) vs un-partnered parents (5.0 ± 3.1 sessions) (p < 0.01); higher educated (6.1 ± 3.0 sessions) vs lower educated parents (5.1 ± 3.3 sessions) (p = 0.02); and self-referral (6.1 ± 3.1) vs professional referral (4.7 ± 3.3) (p < 0.001). Child (age, gender, pre-program healthy eating) and parent (perceptions of child weight, self-efficacy) factors did not mediate these relationships.ConclusionsTo promote reach and effectiveness of up-scaled programs, it is important to identify ways to engage less advantaged families who carry higher child obesity risk. Understanding differences in referral source and parent readiness for change may assist in tailoring program content. The influence of program-level factors (e.g. facilitator and setting characteristics) should be investigated as possible alternative mediators to program engagement.

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Management of Obesity in Children and Adolescents: Lifestyle and Exercise Options

Nobles¹

2019

Encyclopedia of Endocrine Diseases

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Why do families enrol in paediatric weight management? A parental perspective of reasons and facilitators

Abstract: Healthcare providers might optimize enrolment in paediatric weight management by being proactive in referring families, discussing the advantages of the recommended care to meet treatment expectations and providing support to overcome enrolment barriers.

Cited by 15 publications

References 29 publications

Continued attendance for paediatric weight management: A multicentre, qualitative study of parents' reasons and facilitators

Continued attendance for paediatric weight management: A multicentre, qualitative study of parents' reasons and facilitators

Parent engagement and attendance in PEACH™ QLD – an up-scaled parent-led childhood obesity program

Management of Obesity in Children and Adolescents: Lifestyle and Exercise Options

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