Barriers and facilitators to initial and continued attendance at community-based lifestyle programmes among families of overweight and obese children: a systematic review

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Date
2016-11-10
Authors
Kelleher, Emily
Davoren, Martin P.
Harrington, Janas M.
Shiely, Frances
Perry, Ivan J.
McHugh, Sheena M.
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Publisher
John Wiley & Sons Ltd.
Published Version
10.1111/obr.12478
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Abstract
The success of childhood weight management programmes relies on family engagement. While attendance offers many benefits including the support to make positive lifestyle changes, the majority of families referred to treatment decline. Moreover, for those who do attend, benefits are often compromised by high programme attrition. This systematic review investigated factors influencing attendance at community-based lifestyle programmes among families of over-weight or obese children. A narrative synthesis approach was used to allow for the inclusion of quantitative, qualitative and mixed-method study designs. Thirteen studies met the inclusion criteria. Results suggest that parents provided the impetus for programme initiation, and this was driven largely by a concern for their child's psychological health and wellbeing. More often than not, children went along without any real reason or interest in attending. Over the course of the programme, however, children's positive social experiences such as having fun and making friends fostered the desire to continue. The stigma surrounding excess weight and the denial of the issue amongst some parents presented barriers to enrolment and warrant further study. This study provides practical recommendations to guide future policy makers, programme delivery teams and researchers in developing strategies to boost recruitment and minimise attrition.
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Keywords
Attendance , Childhood , Obesity , Review , Treatment
Citation
Kelleher, E., Davoren, M. P., Harrington, J. M., Shiely, F., Perry, I. J., and McHugh, S. M. (2016) ‘Barriers and facilitators to initial and continued attendance at community-based lifestyle programmes among families of overweight and obese children: a systematic review’, Obesity Reviews, 18(2), pp.183-194. doi: 10.1111/obr.12478
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https://hdl.handle.net/10468/3449
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Public Health - Journal Articles
Copyright
© 2016, the Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.