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Implementing a weight-specific quality-of-life tool for young people in primary health care: a qualitative study
Yemi Oluboyede1, Sarah R Hill2, Suzanne McDonald3
1Population Health Science Institute, Baddiley-Clark Building, Richardson Road, Newcastle University, Newcastle upon Tyne, UK yemi.oluboyede@ncl.ac.uk.
Insights
Primary care clinicians found the Weight-specific Adolescent Instrument for Economic-evaluation (WAItE) tool acceptable and feasible for assessing quality of life in young people with obesity. The tool helps identify those needing specialist support.
Area of Science:
- Public Health
- Pediatric Health
- Quality of Life Research
Background:
- Childhood obesity is a significant global health issue.
- Primary care plays a crucial role in diagnosing, educating, and managing pediatric obesity.
- Understanding the impact of weight on quality of life (QoL) is essential for effective intervention.
Purpose of the Study:
- To evaluate the acceptability and feasibility of the Weight-specific Adolescent Instrument for Economic-evaluation (WAItE) QoL tool.
- To assess the tool's suitability for use with adolescents aged 11-18 years in primary care settings.
Main Methods:
- A qualitative study was conducted in Northern England, UK.
- Semi-structured interviews were performed with primary healthcare clinicians (GPs and practice nurses).
- Framework analysis was used to analyze interview transcripts.
Main Results:
- Clinicians (16 GPs, 4 practice nurses) deemed the WAItE tool acceptable for both themselves and their young patients.
- The tool was considered feasible for routine clinical practice.
- Clinicians emphasized the importance of an easily interpretable overall QoL score to identify patients requiring specialist care.
Conclusions:
- The study provides a foundation for further research on QoL in overweight and obese youth.
- A future feasibility study is planned to implement the WAItE tool in primary healthcare practices.
Background:
Obesity is thought to be one of the most serious global public health challenges of the 21st century. The primary care setting is important in terms of the diagnosis, education, and management of obesity in children and young people. This study explored the views of primary care clinicians on the implementation of a quality-of-life (QoL) tool to help young people and their families identify the impact of weight on QoL.
Aim:
To assess the acceptability and feasibility of implementing the Weight-specific Adolescent Instrument for Economic-evaluation (WAItE) QoL tool for young people aged 11-18 years in primary care.
Design & Setting:
Qualitative study in Northern England, UK METHOD: One-to-one, semi-structured interviews were conducted with a purposive sample of primary healthcare clinicians working in practices located in areas of varying deprivation in Northern England, UK. Interview transcripts were coded and analysed using framework analysis in NVivo (version 10).
Results:
Participants (n = 16 GPs; n = 4 practice nurses) found the WAItE tool acceptable for them and their patients, and believed it was feasible for use in routine clinical practice. It was important to primary care clinicians that the tool would provide an overall QoL score that would be easy for GPs and nurses to interpret, to help them identify patients most in need of specialist help.
Conclusion:
This study has developed a platform for further research around QoL in young people who are overweight and obese. A future feasibility study will focus on implementing the tool in a small number of primary healthcare practices.
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