Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial
Objective: Describe perspectives of teens and caregivers regarding motivations, successes, and challenges related to participation in ACTION PAC (ClinicalTrials.gov: NCT02502383), a two-year weight management trial. Methods: Intervention group participants received 16 short motivational interviewing...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628222000450 |
| _version_ | 1811187336640200704 |
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| author | Julia Meredith Hess Elizabeth Yakes Jimenez Timothy J. Ozechowski Grace McCauley Sarah G. Sanders Donna Sedillo Monique K. Vallabhan Alberta S. Kong |
| author_facet | Julia Meredith Hess Elizabeth Yakes Jimenez Timothy J. Ozechowski Grace McCauley Sarah G. Sanders Donna Sedillo Monique K. Vallabhan Alberta S. Kong |
| author_sort | Julia Meredith Hess |
| collection | DOAJ |
| description | Objective: Describe perspectives of teens and caregivers regarding motivations, successes, and challenges related to participation in ACTION PAC (ClinicalTrials.gov: NCT02502383), a two-year weight management trial. Methods: Intervention group participants received 16 short motivational interviewing (MI) sessions with school-based health center (SBHC) primary care clinicians over two years. Post-study, we conducted semi-structured interviews with purposefully sampled intervention group teens and their caregivers. Interviews were audio recorded, transcribed, and managed in NVivo 11. Three independent coders analyzed the data, developed a coding tree, examined how codes intersected and clarified relationships through memo writing. Results: The clinician’s role and use of motivational interviewing and family involvement in behavior changes were cited as critical to success. Some adolescents noted difficulty in sustaining behavior changes post-intervention and social and systemic barriers to behavior change. Conclusion: Future studies should identify strategies to sustain teen motivation, better involve families, and address systemic barriers. Innovation: In this study, which simulated real-world SBHC conditions, adolescents appreciated the use of an MI approach and felt that was key to their success, indicating the potential to continue use of this approach to motivating behavior changes in SBHC settings. |
| first_indexed | 2024-04-11T14:00:32Z |
| format | Article |
| id | doaj.art-6fcfd406143044a8b79780831e12b87f |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-04-11T14:00:32Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-6fcfd406143044a8b79780831e12b87f2022-12-22T04:20:08ZengElsevierPEC Innovation2772-62822022-12-011100060Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trialJulia Meredith Hess0Elizabeth Yakes Jimenez1Timothy J. Ozechowski2Grace McCauley3Sarah G. Sanders4Donna Sedillo5Monique K. Vallabhan6Alberta S. Kong7UNM Prevention Research Center, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA; Corresponding author at: MSC08 4720, 1 University of New Mexico, Albuquerque, NM, USA.Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USADivision of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USADivision of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USADivision of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USAClinical and Translational Sciences Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USADivision of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USADivision of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USAObjective: Describe perspectives of teens and caregivers regarding motivations, successes, and challenges related to participation in ACTION PAC (ClinicalTrials.gov: NCT02502383), a two-year weight management trial. Methods: Intervention group participants received 16 short motivational interviewing (MI) sessions with school-based health center (SBHC) primary care clinicians over two years. Post-study, we conducted semi-structured interviews with purposefully sampled intervention group teens and their caregivers. Interviews were audio recorded, transcribed, and managed in NVivo 11. Three independent coders analyzed the data, developed a coding tree, examined how codes intersected and clarified relationships through memo writing. Results: The clinician’s role and use of motivational interviewing and family involvement in behavior changes were cited as critical to success. Some adolescents noted difficulty in sustaining behavior changes post-intervention and social and systemic barriers to behavior change. Conclusion: Future studies should identify strategies to sustain teen motivation, better involve families, and address systemic barriers. Innovation: In this study, which simulated real-world SBHC conditions, adolescents appreciated the use of an MI approach and felt that was key to their success, indicating the potential to continue use of this approach to motivating behavior changes in SBHC settings.http://www.sciencedirect.com/science/article/pii/S2772628222000450AdolescentObesityMotivational interviewingSchool-based health servicesParent-child relationship |
| spellingShingle | Julia Meredith Hess Elizabeth Yakes Jimenez Timothy J. Ozechowski Grace McCauley Sarah G. Sanders Donna Sedillo Monique K. Vallabhan Alberta S. Kong Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial PEC Innovation Adolescent Obesity Motivational interviewing School-based health services Parent-child relationship |
| title | Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial |
| title_full | Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial |
| title_fullStr | Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial |
| title_full_unstemmed | Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial |
| title_short | Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial |
| title_sort | teen and caregiver perspectives on success clinician role and family involvement in action pac a weight management intervention trial |
| topic | Adolescent Obesity Motivational interviewing School-based health services Parent-child relationship |
| url | http://www.sciencedirect.com/science/article/pii/S2772628222000450 |
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