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Perceptions of a family-based lifestyle intervention for children with overweight and obesity: a qualitative study on
Kaila C Putter1, Ben Jackson2,3, Ashleigh L Thornton4,5
1Department of Psychology, College of Healthcare Sciences, James Cook University, Townsville, Australia.
Insights
Family-based lifestyle interventions (FBLIs) improve childhood obesity, but optimal structure needs refinement. Participants desired fun, interactive content and strong support for lasting behavior change.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Science
Background:
- Family-based lifestyle interventions (FBLIs) are crucial for pediatric weight management.
- The optimal structure for FBLIs in childhood overweight and obesity requires further investigation.
- Understanding participant experiences is key to enhancing intervention effectiveness.
Purpose of the Study:
- To assess implementation and long-term outcomes of behavior strategies in FBLIs.
- To understand participant perceptions of optimal FBLI structure.
- To explore psychological concepts underlying FBLI success.
Main Methods:
- Qualitative study employing focus groups and one-to-one interviews.
- 53 parents and 50 children (aged 7-13) participated.
- Data collected 3 months post-10-week multi-component FBLI.
Main Results:
- Identified key themes: program experiences, lifestyle changes, and optimization recommendations.
- Specific themes included support, content, diet, physical activity, and post-program suggestions.
- Challenges to lasting behavior change were identified.
Conclusions:
- Participants emphasized fun, interactive content, and interpersonal support for optimizing FBLIs.
- Motivational theory concepts may offer mechanistic insights for FBLIs.
- Findings can guide research and practice for improved pediatric weight management interventions.
Background:
Family-based lifestyle interventions (FBLIs) are an important method for treating childhood weight problems. Despite being recognized as an effective intervention method, the optimal structure of these interventions for children's overweight and obesity has yet to be determined. Our aim was to better understand participants' (a) implementation of behaviour strategies and long-term outcomes, (b) perceptions regarding the optimal structure of FBLIs, and (c) insights into psychological concepts that may explain the success of these programs.
Methods:
Purposive sampling was used to recruit participants. We conducted focus groups as well as one-to-one interviews with parents (n = 53) and children (n = 50; aged 7-13, M = 9.4 yr, SD = 3.1) three months following their involvement in a 10-week, multi-component, FBLI involving education and activities relating to healthy nutrition, physical activity, and behavior modification. Using an interpretivist approach, a qualitative study design was employed to examine participant experiences.
Results:
We identified three higher-order categories: (a) participants' program experiences and perceptions (b) lifestyle changes post-program, and (c) recommendations for optimizing family-based programs. Themes identified within these categories included (a) support and structure & content, (b) diet and physical activity, and (c) in-program recommendations and post-program recommendations.
Conclusions:
We identified several challenges that can impair lasting behavior change (e.g., physical activity participation) following involvement in a FBLI. On optimizing these programs, participants emphasized fun, interactive content, interpersonal support, appropriate educational content, and behavior change techniques. Concepts rooted in motivational theory could help address calls for greater theoretical and mechanistic insight in FBLIs. Findings may support research advancement and assist health professionals to more consistently realize the potential of these interventions.
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