Adolescents' involvement in decision-making for pediatric weight management: A multi-centre, qualitative study on perspectives of adolescents and health care providers

被引：14

作者：

Kebbe, Maryam ^{[1
]}

Perez, Arnaldo ^{[1
]}

Buchholz, Annick ^{[2
]}

Scott, Shannon D. ^{[3
]}

McHugh, Tara-Leigh E. ^{[4
]}

Richard, Caroline ^{[5
]}

Dyson, Michele P. ^{[1
]}

Ball, Geoff D. C. ^{[1
]}

机构：

[1] Univ Alberta, Dept Pediat, Edmonton, AB, Canada

[2] Childrens Hosp Eastern Ontario, Ctr Hlth Act Living, Ottawa, ON, Canada

[3] Univ Alberta, Fac Nursing, Edmonton, AB, Canada

[4] Univ Alberta, Fac Kinesiol Sport & Recreat, Edmonton, AB, Canada

[5] Univ Alberta, Dept Agr Food & Nutr Sci, Edmonton, AB, Canada

来源：

PATIENT EDUCATION AND COUNSELING | 2019年 / 102卷 / 06期

关键词：

Adolescent; Decision making; Goals; Pediatric obesity; PHYSICIAN COMMUNICATION; PARENTING STYLES; SELF-CARE; PATIENT COMMUNICATION; CHILDRENS COMPETENCE; CHRONIC ILLNESS; OBESITY; CONSENT; INTERVENTION; BEHAVIORS;

D O I：

10.1016/j.pec.2019.01.017

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To explore adolescents' and health care providers' (HCPs) perspectives on adolescents' involvement in decision-making within multidisciplinary clinical care for pediatric weight management. Methods: In this multi-centre, qualitative description study, we purposefully recruited 13-17-year-olds with overweight or obesity and HCPs from two pediatric weight management clinics in Edmonton and Ottawa, Canada. Participants completed one-on-one, in-person, semi-structured interviews (adolescents) or focus groups (HCPs), which were audio-recorded, transcribed verbatim, and managed using NVivo 11. Data were analyzed by two independent researchers using inductive thematic analysis and the congruent methodological approach for group interactions. Results: A total of 19 adolescents and 16 HCPs participated. Three themes were identified in relation to adolescents' decision-making for weight management, including (i) conditions for adolescent involvement, (ii) preferences for adolescent involvement, and (iii) extent of parental involvement. Conclusions: Although adolescents and HCPs positively valued adolescents' involvement in making decisions regarding their weight and health, the extent to which adolescents wished to be involved in the decision-making process varied between individuals and families. Practice Implications: HCPs are encouraged to include adolescents and families in their health services delivery, including consulting individually with adolescents and tailoring care to their expectations regarding decision-making. (C) 2019 Elsevier B.V. All rights reserved.

引用

页码：1194 / 1202

页数：9

共 70 条

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