Evidence map›Paper›PMID 33155537›Full record

ArticlePublic health nutrition2021

Challenges of making healthy lifestyle changes for families in Aotearoa/New Zealand.

Cervantée Ek Wild, Ngauru T Rawiri, Esther J Willing, Paul L Hofman, Yvonne C Anderson

Open access · hybridAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Participant and caregiver perspectives on health feedback from a healthy lifestyle check.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Cervantée Ek WildLiggins Institute, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-5377-6222
Ngauru T RawiriLiggins Institute, University of Auckland, Auckland, New Zealand.
Esther J WillingKōhatu - Centre for Hauora Māori, University of Otago, Dunedin, New Zealand.
Paul L HofmanLiggins Institute, University of Auckland, Auckland, New Zealand.
Yvonne C AndersonLiggins Institute, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-2054-338X
University of Auckland · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of the current study was to identify challenges of making and sustaining healthy lifestyle changes for families with children/adolescents affected by obesity, who were referred to a multicomponent healthy lifestyle assessment and intervention programme in Aotearoa/New Zealand (NZ).

designSecondary qualitative analysis of semi-structured interviews.

settingTaranaki region of Aotearoa/NZ.

participantsThirty-eight interviews with parents/caregivers (n 42) of children/adolescents who had previously been referred to a family-focused multidisciplinary programme for childhood obesity intervention, who identified challenges of making healthy lifestyle changes. Participants had varying levels of engagement, including those who declined contact after their referral.

resultsParticipant-identified challenges included financial cost, impact of the food environment, time pressures, stress, maintaining consistency across households, independence in adolescence, concern for mental health and frustration when not seeing changes in weight status.

conclusionsParticipants recognised a range of factors that contributed towards their ability to make and sustain change, including factors at the wider socio-environmental level beyond their immediate control. Even with the support of a multidisciplinary healthy lifestyle programme, participants found it difficult to make sustained changes within an obesogenic environment. Healthy lifestyle intervention programmes and families' abilities to make and sustain changes require alignment of prevention efforts, focusing on policy changes to improve the food environment and eliminate structural inequities.

Indexed as

Pediatric ObesityAdolescentCaregiversChildHealthy LifestyleHumansNew ZealandParentsCommunity nutritionHealthy lifestyleInterventionObesogenic environmentPaediatric obesityQualitative

Identifiers

PMID33155537
PMCPMC8094428
OpenAlexW3097691634

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.