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Youth Preferences for Weight-Related Conversations
Kendrin R Sonneville1, Lakshman Mulpuri2, Ivana Khreizat1
1Department of Nutritional Sciences, University of Michigan School of Public Health.
Health Communication
|July 11, 2019
Summary
Youth want doctors to discuss weight constructively, focusing on health and avoiding shame or stigmatizing language. Current weight-related conversations often miss the mark, failing to meet adolescent preferences for sensitive communication.
Area of Science:
- Adolescent Health
- Clinical Communication
- Qualitative Research
Background:
- Clinicians lack guidance on discussing weight with patients.
- Understanding youth preferences is crucial for effective weight-related conversations.
Purpose of the Study:
- To explore adolescent preferences for weight-related conversations with healthcare providers.
- To identify youth recommendations for improving doctor-patient communication about weight.
Main Methods:
- Qualitative analysis of open-ended text message responses from 952 adolescents in the National MyVoice Text Message Cohort.
- The study examined responses to questions about past weight discussions and ideal communication strategies.
Main Results:
- 60% of adolescents reported their doctor discussed weight, often focusing on weight status or need for change (85%).
- Key themes for "what NOT to say" included avoiding stigmatizing language (32%) and shame (25%).
- Youth advocated for health-focused, sustainable behavioral advice, avoiding comparisons and assumptions linking weight to morality or appearance.
Conclusions:
- Current weight-related conversations often do not align with adolescent preferences.
- Clinicians should adopt a patient-centered approach, emphasizing health and avoiding judgmental language.
- Future communication strategies must prioritize respectful dialogue and evidence-based, sustainable solutions.
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