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首页> 美国卫生研究院文献>Global Pediatric Health >Providers’ Involvement of Parents Families and Family Dynamics in Youth Weight Management Programs
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Providers’ Involvement of Parents Families and Family Dynamics in Youth Weight Management Programs

机译：提供者在青少年体重管理计划中的父母家庭和家庭动态的参与

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Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada. Analyses included descriptive statistics at the participant (N = 71) and clinic/center (N = 47) levels. Providers indicated that they assessed patients and parents’ perspectives, not other family members, motivation, weight/medical history, dietary and activity behaviors, goals, and barriers. Providers also reported that they asked patients’ perspectives about their parents’ aforementioned behaviors, and siblings’ dietary, activity, and sedentary/screen time behaviors, and weight/medical history. Providers reported that the balance between the patient and parent changed as children aged, with more focus given to the child, and less to the parent, as the child grew older. The most frequent barrier to involving family members in treatment included challenging family dynamics. The most challenging family dynamics were divorce/separation and parent-child conflicts. Providers often refer to and rely on mental/behavioral health providers to address barriers to family involvement and challenging family dynamics. Further research is needed to determine adequate provider training and comfort in dealing with family dynamics in treatment, and ways to mitigate barriers to involving families in PWM.
机译：基于家庭的干预措施是目前治疗小儿肥胖症的标准，但是，有关提供者如何使家庭成员参与以及家庭参与障碍的细节尚不清楚。这项研究的目的是描述儿科体重管理（PWM）的提供者如何使家庭成员参与进来，确定家庭参与的障碍，以及他们如何应对充满挑战的家庭动态。对美国和加拿大的PWM中心/诊所及其提供者进行了横断面调查。分析包括参与者（N = 71）和诊所/中心（N = 47）级别的描述性统计。提供者表示，他们评估的是患者和父母的观点，而不是其他家庭成员的观点，动机，体重/病史，饮食和活动行为，目标和障碍。提供者还报告说，他们询问患者对父母上述行为的看法，以及兄弟姐妹的饮食，活动和久坐/筛查时间的行为以及体重/病史。提供者报告说，随着孩子年龄的增长，患者和父母之间的平衡发生了变化，随着孩子的年龄增长，对孩子的关注更多，而对父母的关注则减少了。使家庭成员参与治疗的最常见障碍包括富有挑战性的家庭动态。离婚/分居和亲子冲突是最具挑战性的家庭动力。提供者经常参考并依靠精神/行为健康提供者来解决家庭参与障碍和挑战家庭动态的问题。需要进行进一步的研究来确定提供者的适当培训以及在治疗中应对家庭动态的舒适度，以及减轻家庭参与PWM障碍的方法。

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