A Psychosocial And Lifestyle Assessment For Childhood Obesity: A Scoping Literature Review And Focus Groups With Healthcare Professionals (original) (raw)
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BMC Health Services Research, 2021
Background The causes and consequences of childhood obesity are complex and multifaceted. Therefore, an integrated care approach is required to address weight-related issues and improve children’s health, societal participation and quality of life. Conducting a psychosocial and lifestyle assessment is an essential part of an integrated care approach. The aim of this study was to explore the experiences, needs and wishes of healthcare professionals with respect to carrying out a psychosocial and lifestyle assessment of childhood obesity. Methods Fourteen semi-structured interviews were conducted with Dutch healthcare professionals, who are responsible for coordinating the support and care for children with obesity (coordinating professionals, ‘CPs’). The following topics were addressed in our interviews with these professionals: CPs’ experiences of both using childhood obesity assessment tools and their content, and CPs’ needs and wishes related to content, circumstances and required...
FANTASTIC Lifestyle Assessment: Part 5 Measuring Lifestyle in Family Practice
Canadian Family Physician Medecin De Famille Canadien, 1984
Family physicians generally agree that they should play an active role in disease prevention and health promotion. However, until recently no valid and reliable tool was available to help physicians clinically assess patients' lifestyle. The authors have studied the validity and reliability of a new five point-scale version of the FANTASTIC Lifestyle Assessment, used in a family practice. Also, the authors polled their patients on their opinions of their doctor assessing lifestyle. They found that the FANTASTIC was a reliable instrument, which their patients thought was useful and appropriate for their physician to be using.
Journal of Patient-Reported Outcomes
Background Childhood obesity can affect physical as well as psychosocial wellbeing. Therefore, childhood obesity care aims to improve all dimensions of health related quality of life (HRQoL). HRQoL can be measured with the generic questionnaire PedsQL4.0 and the weight-specific IWQOL-Kids. In the Netherlands, HRQoL assessment is conducted by the coordinating professional (CP). The aim of this qualitative study was to examine how and when to implement the measurement and discussion of HRQoL using the PedsQL4.0 and IWQOL-Kids within the integrated care for children with obesity in the Netherlands. Semi-structured interviews were conducted with fourteen CPs, in which the following was discussed: a) familiarity and attributions with regard to the assessment of HRQoL; b) wishes and needs with regard to the usage of the questionnaires; c) its practical incorporation. Results Interviews revealed that most CPs gained insight into the HRQoL by talking with families. One CP used the PedsQL4.0...
Epidemiological and Psychosocial Assessment of Childhood Obesity – Prospective Study
Romanian Journal of Pediatrics, 2016
Objective. The aim of this study was the evaluation of epidemiological and psychosocial parameters in a sample of overweight and obese children hospitalized for various pathologies. The duration of the study was 12 months. Methods. We performed a prospective study that included overweight and obese children admitted in the Paediatric Unit of our hospital from July 2014 until June 2015. The exclusion criteria consisted of the presence of secondary pathologies related to obesity. A questionnaire was applied to all patients included with questions about family and personal risk factors for obesity; we realised also a psychological evaluation and quality of life assessment (PedsQL). For each patient we performed clinical evaluation, laboratory and imaging investigations (abdominal ultrasound). Results. The study included 78 patients: 27 overweight (34.6%), 51 obese (65.3%). We studied the family history concerning the weight status: 55 had one obese parent and 15 had both parents with o...
The lifestyle appraisal questionnaire: A comprehensive assessment of health and stress
Psychology & Health, 1996
Lifestyle risk factors and perceived stress have been shown to have a significant impact on an individual's health. Interventions designed to minimise the negative effects of such risks which also reliably measure long-term health outcomes are therefore desirable. However, there is a lack of reliable and sensitive measures of lifestyle risks and stress. This paper presents initial research on the development of the Lifestyle Appraisal Questionnaire (LAQ), an instrument designed to assess lifestyle from a multifactorial perspective, that is, cumulative risks and perceived stress of life. Two samples were selected to test the LAQ. The first group was a randomly selected community sample. The second was a university sample of randomly selected staff. From the first group (n=600), the reliability, validity and factor structure were determined. From the second group (n=143), the clinical usefulness of the scale was demonstrated. Both groups provided adult norms. Implications of such a measure are discussed.
Psychology and Health
Lifestyle risk factors and perceived stress have been shown to have a significant impact on an individual's health. Interventions designed to minimise the negative effects of such risks which also reliably measure long-term health outcomes are therefore desirable. However, there is a lack of reliable and sensitive measures of lifestyle risks and stress. This paper presents initial research on the development of the Lifestyle Appraisal Questionnaire (LAQ), an instrument designed to assess lifestyle from a multifactorial perspective, that is, cumulative risks and perceived stress of life. Two samples were selected to test the LAQ. The first group was a randomly selected community sample. The second was a university sample of randomly selected staff. From the first group (n=600), the reliability, validity and factor structure were determined. From the second group (n=143), the clinical usefulness of the scale was demonstrated. Both groups provided adult norms. Implications of such a measure are discussed.
BMC Family Practice, 2013
Background: In light of its epidemic proportions in developed and developing countries, obesity is considered a serious public health issue. In order to increase knowledge concerning the ability of health care professionals in caring for obese adolescents and adopt more efficient preventive and control measures, a questionnaire was developed and validated to assess non-dietitian health professionals regarding their Knowledge of Nutrition in Obese Adolescents (KNOA). Methods: The development and evaluation of a questionnaire to assess the knowledge of primary care practitioners with respect to nutrition in obese adolescents was carried out in five phases, as follows: 1) definition of study dimensions 2) development of 42 questions and preliminary evaluation of the questionnaire by a panel of experts; 3) characterization and selection of primary care practitioners (35 dietitians and 265 non-dietitians) and measurement of questionnaire criteria by contrasting the responses of dietitians and non-dietitians; 4) reliability assessment by question exclusion based on item difficulty (too easy and too difficult for non-dietitian practitioners), item discrimination, internal consistency and reproducibility index determination; and 5) scoring the completed questionnaires. Results: Dietitians obtained higher scores than non-dietitians (Mann-Whitney U test, P < 0.05), confirming the validity of the questionnaire criteria. Items were discriminated by correlating the score for each item with the total score, using a minimum of 0.2 as a correlation coefficient cutoff value. Item difficulty was controlled by excluding questions answered correctly by more than 90% of the non-dietitian subjects (too easy) or by less than 10% of them (too difficult). The final questionnaire contained 26 of the original 42 questions, increasing Cronbach's α value from 0.788 to 0.807. Test-retest agreement between respondents was classified as good to very good (Kappa test, >0.60). Conclusion: The KNOA questionnaire developed for primary care practitioners is a valid, consistent and suitable instrument that can be applied over time, making it a promising tool for developing and guiding public health policies.
Reliability and validity of the Family Eating and Activity Habits Questionnaire
European Journal of Clinical Nutrition, 1998
What is already known about this subject • The FEAHQ was originally developed in Israel and designed for use in family-based weight-management interventions that emphasized changes in the environment and in parents' knowledge, behaviors, and modeling. • A key distinction of the FEAHQ from other tools is the ability to evaluate the overall obesogenic environment and, at the same time, each of the family members' eating and activity patterns, reflecting the importance of parenting behaviors and modeling in child weight status. • The FEAHQ is a useful clinical tool for identifying target behaviors for treatment and monitoring treatment progress.
Nutrients
Supporting a child’s health-promoting lifestyle is an investment in their future health and health-related quality of life (HRQoL). Particularly children with overweight and obesity may be at an increased risk of a poor HRQoL. Currently, a comprehensive evaluation of lifestyle factors and age in relation to HRQoL in healthy children and, further, separate child and parental proxy-reports of HRQoL are lacking. The aims of this cross-sectional study in Finland are to compare healthy elementary school-aged children’s and parents’ reports of the child‘s HRQoL, and to view them in relation to lifestyle markers. The HRQoL was measured with Pediatric Quality of Life InventoryTM 4.0, and the following lifestyle markers: leisure-time physical activity as MET, diet quality via a validated index (ES-CIDQ), sleeping time and screen time by questionnaires. Furthermore, age and BMI were recorded. Data were obtained from 270 primary school-aged children (6–13 years). Female gender, the child’s old...