转介青少年体重管理干预:提供者的定性观点
Katherine E Darling1,2, Jennifer Warnick1,2, Kate M Guthrie2,3
1Weight Control and Diabetes Research Center, The Miriam Hospital, USA.
Journal of pediatric psychology
|September 30, 2023
概括
儿科医生发现与青少年进行体重讨论具有挑战性,平衡健康需求与潜在危害. 很少有特定于收入的因素出现,强调需要敏感,包容的权重管理推.
科学领域:
- 儿科健康 儿科健康
- 肥胖管理 肥胖管理
- 定性研究是指质量研究.
背景情况:
- 青少年肥胖需要有效的体重管理 (WM) 护理.
- 青少年WM计划的转介流程尚未得到充分探索,特别是在低收入年轻人中.
- 收入较低的青少年面临更高的肥胖风险和负面的健康结果.
研究的目的:
- 调查小儿科医生目前的推实践对于青少年体重管理干预措施.
- 关注来自低收入背景的青少年的转诊考虑.
主要方法:
- 定性研究涉及对11名医疗服务提供者的个人访谈.
- 提供者已经将来自低收入背景的至少5名青少年推到WM干预.
- 应用专题分析用于数据解释.
主要成果:
- 与体重相关的讨论被认为是敏感的,提供者平衡健康问题和潜在的伤害.
- 转介决策受到健康影响,患者/家庭的动机以及计划的可用性的影响.
- 许多家庭对WM转介感到羞耻或内;很少有人注意到特定收入的主题.
结论:
- 在青少年中导致WM转诊的重量讨论是复杂的.
- 对收入较低的青少年的具体考虑是最小的.
- 未来的研究应该优先考虑对敏感权重讨论和多样性,公平性和包容性的提供者培训.
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