ArticlePloS one2018
Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity: A multi-centre, qualitative study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03821896 (Feasibility, User Experiences, and Preliminary Effectiveness of Conversation Cards for Adolescents, a Patient-centered Communication and Behavior Change Tool), which is not on this map. Cited by 17 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.
Feasibility, User Experiences, and Preliminary Effectiveness of Conversation Cards for Adolescents, a Patient-centered Communication and Behavior Change Tool: a Pragmatic, Pilot Randomized Controlled Trial
Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- Comparing Digital Therapeutic Intervention with an Intensive Obesity Management Program: Randomized Controlled Trial.Nutrients · 2022Trial
- Trial
- Content validation of the Eating Behavior and Appetite Questionnaire (EBAQ) in adolescents with obesity or overweight.Obesity pillars · 2026Article
- Conversation cards for pregnancy: a protocol for a multi-method study.Pilot and feasibility studies · 2026Article
- Temporal Variations and Sociodemographic Differences in no Muscle-Strengthening Exercise Among Adolescents: A 10-Year Repeated Cross-Sectional Study.Scandinavian journal of medicine & science in sports · 2026Article
- Exploring the Use of Digital Technology to Support Health Behavior Change in Young People Under the Care of Complications of Excess Weight (CCEW) Clinics: Qualitative Patient-Centered Design Study.JMIR formative research · 2025Article
- 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
- Barriers to Care for Pediatric Patients with Obesity.Life (Basel, Switzerland) · 2024Review
- "We know what we should be eating, but we don't always do that." How and why people eat the way they do: a qualitative study with rural australians.BMC public health · 2024Article
- Barriers and facilitators to parents' engagement with and perceived impact of a childhood obesity app: A mixed-methods study.PLOS digital health · 2024Article
- Healthcare providers' promotion of physical activity among child and adolescent cancer survivors: strategies and challenges.Journal of cancer survivorship : research and practice · 2023Article
- Teen and caregiver perspectives on success, clinician role, and family involvement in ACTION PAC, a weight management intervention trial.PEC innovation · 2022Article
- How to promote a healthy lifestyle among schoolchildren: Development of an intervention module (i-PROMISe).Public health in practice (Oxford, England) · 2022Article
- Challenges of making healthy lifestyle changes for families in Aotearoa/New Zealand.Public health nutrition · 2021Article
- End-user perspectives to inform policy and program decisions: a qualitative and quantitative content analysis of lifestyle treatment recommendations by adolescents with obesity.BMC pediatrics · 2019Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany adolescents with obesity do not meet recommendations for nutrition, physical and sedentary activities, and sleep habits, all of which can influence weight management.
objectiveTo explore barriers and enablers that influenced the adoption of lifestyle behavior changes among adolescents receiving multidisciplinary clinical care for pediatric weight management.
methodsIn this multi-centre, qualitative description study, we used purposeful sampling to recruit 13-17 year olds (body mass index ≥85th percentile) enrolled in one of two pediatric weight management clinics in Edmonton and Ottawa, Canada. Adolescents participated in one-on-one, in-person, semi-structured interviews in English or French. Interviews lasted 30-60 minutes, were audio-recorded, transcribed verbatim, and managed using NVivo 11. Data were triangulated using transcripts, field notes, and memos and analyzed by two independent researchers using inductive, semantic thematic analysis.
resultsIn total, 19 adolescents (12 Anglophone and 7 Francophone; 15.1±1.7 years old; 3.5±0.6 BMI z-score; n = 11 female; n = 13 Caucasian) participated. Adolescents reported diverse barriers to and enablers of healthy nutrition, physical and sedentary activities, and sleep habits, which we organized into the following themes: physiological mechanisms and physical health status, self-regulation for behavior change, controllability and competence beliefs, social relationships and interactions, and accessibility to and availability of opportunities for lifestyle enhancement. Across these themes and lifestyle areas, we identified three shared barriers and/or enablers, including the degree of controllability, the impact of mental health, and social pressures related to weight management.
conclusionsThis research provides evidence that can be used to tailor interventions and health services delivery, including a focus on psychosocial well-being, to support adolescents with obesity in making and maintaining healthy lifestyle behavior changes.
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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.