Lifestyle intervention and support preferences to maximize health outcomes in adolescent bariatric surgery patients.

Autor:	Allicock MA; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA., King R; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Francis J; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Mathew MS; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Polavarapu D; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Wheelington A; Children's Health System of Texas, Dallas, TX, USA., Misserian M; School of Health Professions, University of Texas Southwestern Medical Center, Dallas, TX, USA., Cartwright BR; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.; Touchstone Diabetes Center, University of Texas Southwestern Medical Center, Dallas, TX, USA., Adewunmi A; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Chandrasekhar A; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA., Qureshi FG; Children's Health System of Texas, Dallas, TX, USA.; Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA., Barlow SE; Children's Health System of Texas, Dallas, TX, USA.; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA., Messiah SE; The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA.; Department of Pediatrics, UTHealth McGovern Medical School, Houston, TX, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2024 Sep 19; Vol. 8 (1), pp. e127. Date of Electronic Publication: 2024 Sep 19 (Print Publication: 2024).
DOI:	10.1017/cts.2024.553
Abstrakt:	Introduction: Metabolic and bariatric surgery (MBS) is safe and efficacious for adolescents with severe obesity. Pairing MBS with behavioral lifestyle interventions may be effective for optimizing treatment outcomes. However, no standardized program exists. Adolescent perspectives are critical to understanding how to design interventions to enhance engagement, sustain motivation, and meet informational needs for pre- and post-MBS self-management behaviors. The aim of this study was to develop an MBS lifestyle support intervention built on evidence-based content with input from adolescents and their families. Methods: A mixed-methods design identified adolescent preferences for MBS lifestyle support. Data were collected from a racially and ethnically diverse sample of adolescents ( N = 17, 76% females, 24% males 41.2% non-Hispanic Black, 41.2% Hispanic/Latino, 11.8% non-Hispanic White, 5.8% Other) and their mothers ( N = 13, 38.4% Hispanic) recruited from an MBS clinic. Quantitative surveys and qualitative interviews assessed preferred types of pre-post MBS content, modality, frequency, and delivery platforms to inform the design of the intervention. Mixed methods data were triangulated to provide a comprehensive understanding of adolescent/parent preferences. Results: Adolescents prioritized eating well, managing stress, and maintaining motivation as desired support strategies. Parents identified parental support groups and nutrition guidance as priorities. Peer support and social media platforms were identified as key approaches for boosting motivation and engagement. Conclusions: The patient voice is an important first step in understanding how, and whether behavioral lifestyle programs combined with MBS for weight management can be optimized. Adolescent preferences may enhance program fit and identify health behavior supports needed to sustain behavior change. Competing Interests: None. (© The Author(s) 2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu