Parents' integration in the treatment of adolescents with obesity: A qualitative study.
BACKGROUND
Obesity during adolescence is particularly challenging. Our aims were to identify parents' and adolescents' perceptions regarding obesity, as well as family dynamics before and after family-based behavioral therapy (FBBT) to improve obesity.


METHODS
Using a qualitative approach, 23 parents and 21 adolescents aged 12 to 18 years participated in 6 focus groups, before and after FBBT. Focus groups were audio-taped, transcribed verbatim, and analyzed using content analysis.


RESULTS
Transcript analyses suggested 3 major themes from both adolescents and parents: obesity as a source of strong negative emotions, adolescents and weight-control responsibility, and disruption in family dynamics. FBBT improved self-confidence and family functioning, allowing for behavioral changes. Both adolescents and their parents felt empowered.


CONCLUSIONS
Family dynamics are an important issue in weight-loss treatment during adolescence. Including both parents and adolescents in therapy is crucial for tackling obesity and addressing health needs related to this age group. (PsycINFO Database Record
Adolescent Medicine Unit, Adolescent and Young Adult Program.
Catherine
C
Chamay Weber
Adolescent Medicine Unit, Adolescent and Young Adult Program.
Nadia
N
Camparini
Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva.
Lydia
L
Lanza
Adolescent Medicine Unit, Adolescent and Young Adult Program.
Françoise
F
Narring
D000293:Adolescent; D000328:Adult; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005195:Family Relations; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D018802:Patient-Centered Care / Q000379:methods*; D063766:Pediatric Obesity / Q000523:psychology / Q000628:therapy*; D011320:Primary Health Care / Q000379:methods; D036301:Qualitative Research; D012944:Social Support; D013557:Switzerland