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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Exploring collaboration between clinicians and parents to optimize pediatric weight management
Biagina-Carla Farnesi1, Amanda S Newton, Nicholas L Holt
1Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Insights
Effective pediatric weight management requires collaboration between clinicians and parents. A family-centered approach, respecting parents as experts, is crucial for successful partnerships and improved health outcomes.
Area of Science:
- Pediatric Endocrinology
- Family Medicine
- Health Psychology
Background:
- Overweight and obesity in children present complex challenges requiring multidisciplinary approaches.
- Effective management necessitates strong partnerships between healthcare providers and families.
Purpose of the Study:
- To investigate clinician and parent perspectives on collaboration in pediatric weight management.
- To identify key elements of successful partnerships in child obesity care.
Main Methods:
- Semi-structured focus groups and interviews were conducted with clinicians (n=12) and parents (n=8).
- A family-centered, collaborative care model guided data analysis.
- Member checking and external reviews ensured theme validity.
Main Results:
- Key collaboration components included positive therapeutic relationships, negotiated care delivery, and ongoing monitoring.
- Family-centered care principles—tailoring services, respecting parental expertise, and clinician responsiveness—were vital.
- Parental dissatisfaction and reduced future engagement were linked to deviations from these principles.
Conclusions:
- Pediatric weight management must adopt a family-centered philosophy to empower parental engagement and care negotiation.
- Clinicians can enhance family partnerships by individualizing and responding to families' unique needs.
Objective:
To explore the understanding of collaboration between clinicians working in pediatric weight management and parents of overweight children.
Methods:
Clinicians (n=12) and parents (n=8) seeking pediatric weight management care participated in semi-structured focus groups or individual interviews. A family-centered, collaborative model of care was used to frame the data and develop codes/themes for analysis. Member checking and external reviews were conducted to verify emergent themes.
Results:
Analyses revealed that collaboration between clinicians and parents included a positive therapeutic relationship, negotiation of health care delivery, and regular monitoring and evaluation. These elements are consistent with a philosophy of family-centered care, emphasize the importance of tailoring health services to families' needs, respect parents as experts, and identify clinician responsiveness as pivotal to partnerships with families. Parents described dissatisfaction with care and a lower likelihood of seeking future care when clinicians deviated from these principles.
Conclusion:
Results suggest that pediatric weight management should be family-centered to give parents the opportunity to actively engage in health services and negotiate their family's care.
Practice Implications:
Clinicians may be able to optimize their interactions with families seeking pediatric weight management care by taking a family-centered approach that is individualized and responsive to families' needs.
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