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Patient Educ Couns. 2019 Feb 10. pii: S0738-3991(19)30030-8. doi: 10.1016/j.pec.2019.01.017. [Epub ahead of print]

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

Author information

1
Department of Pediatrics, University of Alberta, Edmonton, Canada.
2
Centre for Healthy Active Living, Children's Hospital of Eastern Ontario, Ottawa, Canada.
3
Faculty of Nursing, University of Alberta, Edmonton, Canada.
4
Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada.
5
Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, Canada.
6
Department of Pediatrics, University of Alberta, Edmonton, Canada. Electronic address: gdball@ualberta.ca.

Abstract

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.

KEYWORDS:

Adolescent; Decision making; Goals; Pediatric obesity

PMID:
30791989
DOI:
10.1016/j.pec.2019.01.017

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