Family management of severe obesity in adolescents
Karyn J. Roberts PhD, RN, CHSE; Agatha M. Gallo PhD, RN, FAAN; Crystal L. Patil PhD; Catherine Vincent PhD, RN; Helen J. Binns MD, MPH; Mary Dawn Koenig PhD, CNM
- Sigma Affiliation
- Eta Nu
- Contributor Affiliation(s)
- University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
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The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Purpose: Severe obesity, defined as a body mass index (BMI) >120th percent of the 95th BMI percentile for age and sex, is the fastest growing subcategory of obesity among children and adolescents. The aims of this study were to explore how parents and adolescents understand severe obesity and incorporate management into their daily lives and evaluate the applicability of the Family Management Styles Framework (FMSF) to severe obesity in adolescents. Design and Methods: Directed content analysis grounded in a modified version of the FMSF was used to analyze one-time in-home face-to-face interviews with adolescents aged 12-17 (N=14) attending a pediatric weight management (PWM) clinic and a parent (N=17). Results: Several themes emerged from the data and supported that the FMSF can be applied to severe obesity. Both adolescents and parents described the day-to-day management as challenging and impacted parent-child and sibling relationships. Both described the need for sustained support and coaching in meeting daily physical activity requirements, and related stories of weight stigma they experienced. Further, parents’ and adolescents’ views were mostly congruent, except in their view of how family attitudes and actions did or did not support the child with obesity and the existence and effectiveness of daily routines. Conclusions: Adolescents with severe obesity have complex physical and psychological needs impacting effective weight management and family life. Practice Implications: Interventions should target increased peer support, tailored exercise, and aim to reduce the effects weight stigma.
Dr. Roberts is a 2018-2019 recipient of a Sigma small grant.
Repository Posting Date
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
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