Abstract

Background. Health technology provides a wealth of strategies to address chronic health issues, such as childhood obesity. Few studies have assessed parental preferences regarding use of health technology to support weight management for adolescents. Objective. This study determined caregiver beliefs, attitudes, and practices towards using traditional methods and technology-based health applications to address weight management among overweight adolescents. Methods. Self-administered surveys were distributed to caregivers of children ages 11–18 years in Stony Brook Children's Hospital outpatient offices with a BMI ≥ 85th percentile for age, gender. The data were entered into StudyTrax research platform and analyzed using SAS. Results. N = 114. Mean BMI z-score = 1.95 ± 0.50. Two-thirds (65.8%) of caregivers preferred a weight management program that includes both traditional and technology components. Most parents rated involvement in program development (68.1%), access to content (72.4%) as very important. Those who believed their child's weight was a problem (p = 0.01) were more likely than other parents to prefer a program that combined both traditional and technology components. Conclusions. Parents' perceptions of their child's weight drove preferences about incorporating technology elements into a weight management program. Future weight management programs should incorporate parental content preferences and be tailored to different age groups.

Highlights

  • Childhood obesity has reached epidemic proportions within the United States with a prevalence of 16.9% in children aged 2–19 [1]

  • Adolescents were eligible to participate if they were overweight (BMI ≥85th percentile and

  • We found that parents have preferences about the components of a weight management program for their adolescents

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Summary

Introduction

Childhood obesity has reached epidemic proportions within the United States with a prevalence of 16.9% in children aged 2–19 [1]. Our study uses a caregiver/parent survey to better understand ways to combine the integral concept of family-centeredness with the ease, affordability, and novelty of technology in the preintervention stage of the development of a successful adolescent weight management intervention. The same paper highlighted research gaps in understanding the parental/caregiver impact on childhood obesity, including incorporation of new technologies and which parenting strategies are most effective [11]. Few studies have assessed parental preferences regarding use of health technology to support weight management for adolescents. Most parents rated involvement in program development (68.1%), access to content (72.4%) as very important Those who believed their child’s weight was a problem (p = 0.01) were more likely than other parents to prefer a program that combined both traditional and technology components. Future weight management programs should incorporate parental content preferences and be tailored to different age groups

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