ArticlePaediatrics & child health2015
Why don't families initiate treatment? A qualitative multicentre study investigating parents' reasons for declining paediatric weight management.
Article in Paediatrics & child health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Strategies to improve recruitment to multicomponent group programs for overweight and obesity: a systematic review.Frontiers in health services · 2025Pooled it
- 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 : an official journal of the International Association for the Study of Obesity · 2017Pooled it
- Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Determinants of child body weight categorization in parents and health care professionals: An experimental study.British journal of health psychology · 2025Article
- Barriers to Care for Pediatric Patients with Obesity.Life (Basel, Switzerland) · 2024Review
- Perceived barriers in family-based behavioural treatment of paediatric obesity - Results from the FABO study.Pediatric obesity · 2023Article
- Waitlist management in a pediatric weight management clinic: implementing an orientation session.BMC pediatrics · 2021Article
- Planting a seed - child health care nurses' perceptions of speaking to parents about overweight and obesity: a qualitative study within the STOP project.BMC public health · 2019Article
- Helping children and families to enrol in weight management: What can stakeholders do?Paediatrics & child health · 2019Article
- Participant experiences in a paraprofessional-led weight management program for children and families.SAGE open medicine · 2019Article
- Tackling Childhood Overweight: Parental Perceptions of Stakeholders' Roles in a Community-Based Intervention.Global pediatric health · 2019Article
- Development and use of an index for measuring implementation of a weight management program in children in primary care clinics in Texas.BMC family practice · 2018Article
- Strategies to Recruit a Diverse Low-Income Population to Child Weight Management Programs From Primary Care Practices.Preventing chronic disease · 2017Article
- The Team to Address Bariatric Care in Canadian Children (Team ABC3): Team Grant Research Proposal.BMC research notes · 2017Article
- Design programmes to maximise participant engagement: a predictive study of programme and participant characteristics associated with engagement in paediatric weight management.The international journal of behavioral nutrition and physical activity · 2016Article
- Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?Current obesity reports · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany families referred to specialized health services for managing paediatric obesity do not initiate treatment; however, reasons for noninitiation are poorly understood.
objectiveTo understand parents' reasons for declining tertiary-level health services for paediatric weight management.
methodInterviews were conducted with 18 parents of children (10 to 17 years of age; body mass index ≥85th percentile) who were referred for weight management, but did not initiate treatment at one of three Canadian multidisciplinary weight management clinics. A semi-structured interview guide was used to elicit parents' responses about reasons for noninitiation. Interviews were audio-recorded and transcribed verbatim. Data were managed using NVivo 9 (QSR International, Australia) and analyzed thematically.
resultsMost parents (mean age 44.1 years; range 34 to 55 years) were female (n=16 [89%]), obese (n=12 [66%]) and had a university degree (n=13 [71%]). Parents' reasons for not initiating health services were grouped into five themes: no perceived need for paediatric weight management (eg, perceived children did not have a weight or health problem); no perceived need for further actions (eg, perceived children already had a healthy lifestyle); no intention to initiate recommended care (eg, perceived clinical program was not efficacious); participation barriers (eg, children's lack of motivation); and situational factors (eg, weather).
conclusionPhysicians should not only discuss the need for and value of specialized care for managing paediatric obesity, but also explore parents' intention to initiate treatment and address reasons for noninitiation that are within their control.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.