Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial

Authors

Julia Meredith Hess, UNM Prevention Research Center, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Elizabeth Yakes Jeminez, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Timothy J. Ozechowski, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Grace McCauley, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Sarah H. Sanders, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Donna Sedillo, Clinical and Translational Sciences Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Monique K. Vallabhan, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Alberta Kong, Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA

Document Type

Article

Publication Date

12-2022

Abstract

Objective:

Describe perspectives of teens and caregivers regarding motivations, successes, and challenges related to participation in ACTION PAC (ClinicalTrials.gov: NCT02502383), a two-year weight management trial.

Methods:

Intervention group participants received 16 short motivational interviewing (MI) sessions with school-based health center (SBHC) primary care clinicians over two years. Post-study, we conducted semi-structured interviews with purposefully sampled intervention group teens and their caregivers. Interviews were audio recorded, transcribed, and managed in NVivo 11. Three independent coders analyzed the data, developed a coding tree, examined how codes intersected and clarified relationships through memo writing.

Results:

The clinician’s role and use of motivational interviewing and family involvement in behavior changes were cited as critical to success. Some adolescents noted difficulty in sustaining behavior changes post-intervention and social and systemic barriers to behavior change.

Conclusion:

Future studies should identify strategies to sustain teen motivation, better involve families, and address systemic barriers.

Innovation:

In this study, which simulated real-world SBHC conditions, adolescents appreciated the use of an MI approach and felt that was key to their success, indicating the potential to continue use of this approach to motivating behavior changes in SBHC settings.

DOI

https://doi.org/10.1016/j.pecinn.2022.100060

Recommended Citation

Julia Meredith Hess, Elizabeth Yakes Jimenez, Timothy J. Ozechowski, Grace McCauley, Sarah G. Sanders, Donna Sedillo, Monique K. Vallabhan, Alberta S. Kong, Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial, PEC Innovation, Volume 1, 2022, 100060, ISSN 2772-6282, https://doi.org/10.1016/j.pecinn.2022.100060.