Lifestyle weight management programmes for children: A systematic review using Qualitative Comparative Analysis to

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Helen E D Burchett1, Katy Sutcliffe2, G J Melendez-Torres3

  • 1Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, UK.

Preventive Medicine
|September 4, 2017
PubMed

Insights

Successful childhood weight management programs involve showing families practical skills, engaging the entire household, and providing social support. These interventions focus on

Area of Science:

  • Pediatric Endocrinology
  • Public Health Nutrition
  • Behavioral Medicine

Background:

  • Overweight and obesity in children (0-11 years) present significant public health challenges.
  • Effective lifestyle weight management interventions require understanding key components from multiple perspectives.
  • Existing research synthesis is needed to identify critical success factors for pediatric weight management.

Purpose of the Study:

  • To identify critical features of successful lifestyle weight management interventions for overweight children aged 0-11 years.
  • To synthesize qualitative data on children's, parents', and providers' experiences with weight management programs.
  • To explore intervention evaluation data to identify mechanisms differentiating effective from least effective programs.

Main Methods:

  • Qualitative synthesis of 11 UK-based studies on perspectives and experiences of weight management programs.
  • Update of existing systematic reviews to identify relevant qualitative studies (search December 2015).
  • Qualitative Comparative Analysis of 20 intervention evaluations (5 most effective, 15 least effective) from Western countries (search March 2016).

Main Results:

  • Three critical mechanisms distinguished most effective from least effective interventions:
  • 1. Demonstrating 'how to change': practical skills in physical activity, behavior change strategies, and calorie intake advice.
  • 2. Engaging the 'whole family': involving both children and parents in education and behavior change efforts.
  • 3. Enabling 'social support': group sessions for both children and parents fostering mutual support.

Conclusions:

  • Successful childhood weight management programs require a holistic family approach.
  • Interventions must actively teach practical skills and provide social support, not just directives.
  • Engaging the entire family unit is crucial for program effectiveness in pediatric weight management.

Keywords:
ChildReviewWeight reduction programs

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