Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity, a multi-center qualitative study

Article: Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity, a multi-center qualitative study.
According to world health organization (WHO), more than 340 million children and adolescents aged 5-19 were overweight or obese in 2016. The complications of obesity are more apparent in adolescents. Adolescent with obesity are at risk for conditions including cardiovascular disease, depression, low self-esteem, diabetes, hypertension and psychological and social problems. Obesity have a negative impact on the individual, family and health care cost. To explore barriers and enablers influencing the adoption of lifestyle behaviors changes among adolescents receiving multidisciplinary clinical care for obesity management, researchers use purposeful sampling which means they select participants who will provide specific information according to research questions. The researchers selected individuals base on the characteristics of the population and specific objective of the study.
Two sites that were used to collect data to conduct this study are: PCWH (Pediatric Center for Weight and Health) and Center for Healthy Active Living (CHAL: Children’s Hospital of Eastern Ontario, Ottawa, ON). The researchers recruited adolescent between 13-17 years of age with Body mass index (BMI) more than or equal to 85th percentile and have been on weight management for three months or more at PCHW or CHAL, which indicates they have spent some time reflecting on their health behaviors and working with healthcare providers on weight management. To recruit samples the researchers displayed posters on each of the clinic waiting rooms and the administrative, clinical research staffs identified eligible adolescents/families from clinic data base who were then contacted through phone or in person to assess their interest. Interested adolescents were offered several dates and times to chose from to participate in the study. Most of the adolescent’s participants were female, Caucasian, Anglophone, who were living with severe obesity.
The research provides useful evidence to tailor interventions on healthcare services regarding obesity, a focus on psychological well-being, to support adolescent with obesity in making and maintaining appropriate healthy behavior changes.
The sampling methods had flaws in that Voluntary participants were offered incentives to participate on the survey and they were only a small percentage of the population and not diverse.
References:
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Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity: A multi-Centre, qualitative study
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Grand Canyon University. (2018). Applied Statistics for Health Care. Population and sampling distributions. Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/2
Article Title: Perinatal Mental Health Care from the User and Provider perspective: Protocol for a Qualitative Study in Switzerland.
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Postpartum depression is a common mental health disorder that women can experience after birth. While we study and discuss postpartum depression a lot, we sometimes forget about other mental health disorders for mothers such as anxiety, psychotic disorders and drug abuse. This study looks at women with different mental health disorders to help improve the care they receive.
In order to effectively produce this study, researches chose two sample groups women who have had perinatal mental disorders and healthcare professionals who treat these patients. Using these two samples allows us to study this topic from the view of the patient, as well as the view of the provider. There are several criteria points that both the mother/patient and the healthcare provider must meet.
For the mother, she must have perinatal mental disorder (PMD) within the last 24 months, have recovered from the PMD and been stable for at least 12 months and have received a diagnosis from one of the following groups: mood disorders (such as anxiety), disorders of adult personality and behavior, mental and behavioral disorders due to psychoactive substances and psychosis and delusional disorders. The recruitment process for these women involve the hospital collecting patients that meet this criteria and calling them to ask if they would like to participate in the study. If they say yes, they must participate in two-hour interview and questionnaire.
For the health care provider, they must have at minimum 2 years of professional experience and have cared for at least 2 patients with a perinatal mental disorder. Healthcare providers are recruited through professional associations, communities and networks.
The sampling process for this research study is effective because it allows mothers with a perinatal mental disorder and the health care providers who treat them to be involved in the improvement of their care. It is completely voluntary by both parties and the mothers are recovered and not currently suffering from a PMD, causing the study to be more accurate.
 
References:
Berger, A., Schenk, K., Ging, A., Walther, S., & Cignacco, E. (n.d.). Perinatal mental health care from the user and provider perspective: protocol for a qualitative study in Switzerland. REPRODUCTIVE HEALTH, 17(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12978-020-0882-7