scholarly journals What affects programme engagement for Māori families? A qualitative study of a family‐based, multidisciplinary healthy lifestyle programme for children and adolescents

2020 ◽  
Author(s):  
Cervantée EK Wild ◽  
Ngauru T Rawiri ◽  
Esther J Willing ◽  
Paul L Hofman ◽  
Yvonne C Anderson
Keyword(s):  
Qualitative Study ◽  
Children And Adolescents ◽  
Healthy Lifestyle ◽  
Family Based ◽  
Lifestyle Programme

scholarly journals Determining barriers and facilitators to engagement for families in a family-based, multicomponent healthy lifestyles intervention for children and adolescents: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037152 ◽  
Author(s):  
Cervantée EK Wild ◽  
Ngauru T Rawiri ◽  
Esther J Willing ◽  
Paul L Hofman ◽  
Yvonne C Anderson
Keyword(s):  
Healthy Lifestyle ◽  
Healthcare Services ◽  
Barriers And Facilitators ◽  
Negative Experiences ◽  
Service Levels ◽  
Participant Engagement ◽  
Home Based ◽  
Urban Rural ◽  
Family Based ◽  
Lifestyle Programme

ObjectivesRecruitment and retention in child and adolescent healthy lifestyle intervention services for childhood obesity is challenging, and inequalities across social groups are persistent. This study aimed to understand the barriers and facilitators to engagement in a multicomponent assessment-and-intervention healthy lifestyle programme for children and their families, based in the home and community.DesignQualitative interview-based study of past users (n=76) of a family-based multicomponent healthy lifestyle programme in a mixed urban–rural region of New Zealand. Semistructured, home-based interviews were conducted and thematically analysed with peer debriefing for validity.ParticipantsFamilies were selected through stratified random sampling to include a range of levels of engagement, including those who declined their referral, with equal numbers of interviews with Indigenous and non-Indigenous families.ResultsThree interactive and compounding determinants were identified as influencing engagement in Whānau Pakari: acute and chronic life stressors, societal norms of weight and body size and historical experiences of healthcare. These determinants were present across societal, system and healthcare service levels. A negative referral experience to Whānau Pakari often resulted in participants declining further input or disengaging from the programme. A fourth domain, respectful and compassionate healthcare, was identified as a mitigator of these three themes, facilitating participant engagement despite previous negative experiences.ConclusionsWhile participant engagement in healthy lifestyle programmes is affected by determinants which appear to operate outside immediate service provision, the programme is an opportunity to acknowledge past instances of stigma and the wider challenges of healthy lifestyle change. The experience of the referral to Whānau Pakari is important for setting the scene for future engagement in the programme. Respectful, compassionate care is critical to enhanced retention in multidisciplinary healthy lifestyle programmes and ongoing engagement in healthcare services overall.

School and family-based interventions for promoting a healthy lifestyle among children and adolescents in Italy

2016 ◽  
Vol 17 (8) ◽  
pp. 547-555 ◽  
Author(s):  
Elio Gorga ◽  
Valentina Regazzoni ◽  
Sameer Bansilal ◽  
Valentina Carubelli ◽  
Eleftheria Trichaki ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Healthy Lifestyle ◽  
Family Based ◽  
Family Based Interventions

scholarly journals Participants’ and caregivers’ experiences of a multidisciplinary programme for healthy lifestyle change in Aotearoa/New Zealand: a qualitative, focus group study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043516
Author(s):  
Yvonne C Anderson ◽  
Cervantée E K Wild ◽  
Paul L Hofman ◽  
Tami L Cave ◽  
Ken J Taiapa ◽  
...  
Keyword(s):  
New Zealand ◽  
Focus Group ◽  
Children And Adolescents ◽  
Healthy Lifestyle ◽  
Lifestyle Change ◽  
Child And Adolescent ◽  
Focus Group Study ◽  
Intervention Programme ◽  
Aotearoa New Zealand ◽  
Family Based

ObjectiveChild and adolescent obesity continues to be a major health issue internationally. This study aims to understand the views and experiences of caregivers and participants in a child and adolescent multidisciplinary programme for healthy lifestyle change.DesignQualitative focus group study.SettingCommunity-based healthy lifestyle intervention programme in a mixed urban–rural region of Aotearoa/New Zealand.ParticipantsParents/caregivers (n=6) and children/adolescents (n=8) who participated in at least 6 months of an assessment and weekly session, family-based community intervention programme for children and adolescents affected by obesity.ResultsFindings covered participant experiences, healthy lifestyle changes due to participating in the programme, the delivery team, barriers to engagement and improvements. Across these domains, four key themes emerged from the focus groups for participants and their caregivers relating to their experience: knowledge-sharing, enabling a family to become self-determining in their process to achieve healthy lifestyle change; the importance of connectedness and a family-based programme; the sense of a collective journey and the importance of a nonjudgemental, respectful welcoming environment. Logistical challenges and recommendations for improvement were also identified.ConclusionsPolicymakers need to consider the experiences of participants alongside quantitative outcomes when informing multidisciplinary intervention programmes for children and adolescents affected by obesity.Trial registration number Australian New Zealand Clinical Trials Registry (ANZCTR):12611000862943; Post-results.

Effectiveness of a Multidisciplinary Lifestyle Intervention to Reduce Obesity among Children and Adolescents

2020 ◽  
Vol 35 (2) ◽  
pp. 111-118
Author(s):  
Md Rizwanul Ahsan ◽  
Sabrina Makbul ◽  
Probir Kumar Sarkar
Keyword(s):  
Body Composition ◽  
Body Weight ◽  
Children And Adolescents ◽  
Physical Performance ◽  
Cardiometabolic Risk ◽  
Dietary Habits ◽  
Obese Children ◽  
Height Ratio ◽  
Waist To Height Ratio ◽  
Family Based

Background: Now a days unhealthy lifestyle primarily responsible for the dramatic increase obesity among children and adolescents. Objective: The purpose of the study is to see the effects of a multidisciplinary lifestyle intervention to reduce obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Methods: The study involved 64 overweight/obese children or adolescents conducted at Dhaka Shishu Hospital from October 2017 to September 2018. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures height, body weight, body mass index (BMI), waist circumference, and body composition, cardiometabolic risk index waist-to-height ratio (WHTR), and dietary habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results: After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion: A short term family-based multidisciplinary approach is effective in ameliorating the health status, dietary habits, and physical performance in children and adolescents. DS (Child) H J 2019; 35(2) : 111-118

A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors

2021 ◽  
Author(s):  
Alejandra Fernandez ◽  
Alyssa Lozano ◽  
Tae Kyoung Lee ◽  
Yannine Estrada ◽  
Sarah E Messiah ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Lifestyle Intervention ◽  
Healthy Lifestyle ◽  
Sexual Risk Behaviors ◽  
Crossover Effects ◽  
Family Based

Family-Based Index testing for HIV; a qualitative study of acceptance, barriers/challenges and facilitators among clients in Cape Coast, Ghana

AIDS Care ◽  
2021 ◽  
pp. 1-6
Author(s):  
Evelyn Asamoah Ampofo ◽  
Isaac Commey Tetteh ◽  
Raphael Adu-Gyamfi ◽  
Nancy Innocentia Ebu Enyan ◽  
Elizabeth Agyare ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cape Coast ◽  
Family Based

scholarly journals Prevalence of overweight and obesity in Brazilian children and adolescents: a systematic review

2021 ◽  
Vol 23 ◽  
Author(s):  
Andreia Pelegrini ◽  
Mateus Augusto Bim ◽  
Fernanda Ulsula de Souza ◽  
Karoline Sisnandes da Silva Kilim ◽  
André de Araújo Pinto
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Skin Color ◽  
Healthy Lifestyle ◽  
Eating Habits ◽  
Overweight And Obesity ◽  
Alcoholic Beverages ◽  
World Health ◽  
Factors Associated ◽  
Brazilian Children

abstract It is important to know about overweight and obesity situation of Brazilian children and adolescents. The present study aims to update scientific production, through a systematic review, on the prevalence and factors associated with overweight and obesity in Brazilian children and adolescents. Nine databases were verified, and 1,316 references were examined from 2018 to 2019. The electronic search was conducted by three independent researchers. All review steps followed a strategy based on PRISMA. 40 studies were included in this systematic review. Most studies use the World Health Organization classification criteria. The prevalence of overweight in Brazilian children and adolescents varies from 8.8% to 22.2% (boys: 6.2% to 21%; girls: 6.9% to 27.6%). The prevalence of obesity varied from 3.8% to 24% (boys: 2.4% to 28.9%; girls: 1.6% to 19.4%). It was observed that the socioeconomic factors (sex, skin color, economic level, region, mother's educational level, living in a rented house and without access to the internet), hereditary/genetic (family history of dyslipidemia and overweight and rs9939609 genotype) and behavioral (physical activity, screen time, eating habits, perceived body weight, health vulnerability, presence of a result close to home, alcoholic beverages, cigarette consumption) were associated with the outcome. It is concluded that the prevalence of overweight and obesity among Brazilian children and adolescents are worrisome and most of the factors associated with the outcomes are subject to change from the adoption of a healthy lifestyle.

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