ArticleBMJ open2017
Barriers and facilitators to the implementation of a community-based, multidisciplinary, family-focused childhood weight management programme in Ireland: a qualitative study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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
23 citing papers in PubMed, 44 citations in OpenAlex.
- What are the views of those participating in a trial investigating acute post-traumatic benign paroxysmal positional vertigo? A qualitative study.Brain injury · 2025Trial
- Considerations for Cost Assessment of Implementing Family Healthy Weight Programs Across Community and Clinical Contexts.Childhood obesity (Print) · 2026Article
- Valuing Australian parent preferences for community-based nutrition and physical activity initiatives: a discrete choice experiment.Health promotion international · 2026Article
- Article
- 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
- Exploring parental and professional perceptions of weight management services among under-fives in England: A qualitative study.Obesity pillars · 2024Article
- Developing community-based physical activity interventions and recreational programming for children in rural and smaller urban centres: a qualitative exploration of service provider and parent experiences.BMC health services research · 2024Article
- Implementing routine paediatric height/length and weight screening and weight management advice by clinicians: an evaluation.BMC health services research · 2024Article
- Mechanisms of Stigmatization in Family-Based Prevention and Treatment of Childhood Overweight and Obesity.Children (Basel, Switzerland) · 2023Article
- Implementation models and frameworks used to guide community-based physical activity programs for children: a scoping review.BMC public health · 2023Article
- Challenges of implementation of the preventive chemotherapy neglected tropical diseases programme in Ghana.PLoS neglected tropical diseases · 2023Article
- Article
- Addressing child and adolescent obesity management in Ireland: identifying facilitators and barriers in clinical practice.Frontiers in pediatrics · 2023Article
- Perceived Barriers to Digitising School-Based Obesity Intervention: An Exploratory Study.The Malaysian journal of medical sciences : MJMS · 2022Article
- Evaluating 12 Years of Implementing a Multidisciplinary Specialist Child and Adolescent Obesity Treatment Service: Patient-Level Outcomes.Frontiers in nutrition · 2022Article
- Barriers and facilitators of nutrition assessment, counseling, and support for tuberculosis patients: a qualitative study.BMC nutrition · 2021Article
- The training and support needs of 22 programme directors of community-based childhood obesity interventions based on the EPODE approach: an online survey across programmes in 18 countries.BMC health services research · 2020Article
- Risk and Protective Factors Associated with Childhood Obesity in a Sample of Low-Income, Single Female, Parent/Guardian Households: Implications for Family Therapists.Family process · 2020Article
- Understanding engagement in a family-focused, multicomponent, childhood weight management programme delivered in the community setting.Public health nutrition · 2019Article
- Perceived barriers to healthy lifestyle from the parental perspective of overweight and obese students.Journal of education and health promotion · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the barriers and facilitators experienced by those implementing a government-funded, community-based childhood weight management programme.
designQualitative using semistructured interviews.
settingTwo geographical regions in the south and west of Ireland.
participants29 national-level and local-level stakeholders responsible for implementing the programme, including professionals from dietetics, psychology, public health nursing, physiotherapy, health promotion and administration.
methodsFramework analysis was used to identify barriers and facilitators, which were mapped onto six levels of factors influencing implementation outlined by Grol and Wensing: the innovation, the individual professional, the patient, the social context, the organisational context and the external environment.
resultsMost barriers occurred at the level of the organisational context. For all stakeholders, barriers arose due to the multidisciplinary nature of the programme, including the lack of role clarity and added complexity of working in different locations. Health professionals' low-perceived self-efficacy in approaching the subject of weight with parents and parental resistance to hearing about their child's weight status were barriers to programme implementation at the individual professional and patient levels, respectively. The main facilitators of implementation, occurring at the level of the health professional, included stakeholders' recognition of the need for a weight management programme and personal interest in the area of childhood obesity. Having a local lead and supportive colleagues were further implementation drivers.
conclusionsThis study highlights the complexities associated with implementing a multidisciplinary childhood weight management programme, particularly translating such a programme to a community setting. Our results suggest the assignment of clear roles and responsibilities, the provision of sufficient practical training and resources, and organisational support play pivotal roles in overcoming barriers to change. This evidence can be used to develop an implementation plan to support the translation of interventions into real-world settings.
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.