Evidence map›Paper›PMID 36468217›Full record

ArticlePediatric obesity2023

Perceived barriers in family-based behavioural treatment of paediatric obesity - Results from the FABO study.

Hanna F Skjåkødegård, Sigurd Hystad, Ingvild Bruserud, Rachel P K Conlon, Denise Wilfley, Bente Frisk, Mathieu Roelants, Petur B Juliusson, Yngvild S Danielsen

Abstract read
In one paragraph

Article in Pediatric obesity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. 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

9 authors.

Hanna F SkjåkødegårdDepartment of Clinical Science, University of Bergen, Bergen, Norway.ORCID 0000-0002-6340-7348
Sigurd HystadDepartment of Psychosocial Science, University of Bergen, Bergen, Norway.ORCID 0000-0002-7245-9828
Ingvild BruserudFaculty of Health, VID Specialized University, Bergen, Norway.ORCID 0000-0001-8307-2293
Rachel P K ConlonDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-5107-1146
Denise WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-3599-8689
Bente FriskDepartment of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Mathieu RoelantsDepartment of Public Health and Primary Care, KU Leuven, University of Leuven, Leuven, Belgium.ORCID 0000-0002-3749-0475
Petur B JuliussonDepartment of Clinical Science, University of Bergen, Bergen, Norway.ORCID 0000-0002-7064-1407
Yngvild S DanielsenDepartment of Clinical Psychology, University of Bergen, Bergen, Norway.ORCID 0000-0002-4117-8900

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundTo date, few studies have investigated perceived barriers among those who participate in and drop out of family-based behavioural treatment (FBT) for paediatric obesity. Examining experienced barriers during treatment, and their role in participation and completion of treatment has important implications for clinical practice.

objectivesTo compare perceived barriers to participating in a family-based behavioural social facilitation treatment (FBSFT) for obesity among families who completed and did not complete treatment.

methodsData were analysed from 90 families of children and adolescents (mean (M) age = 12.8 years, standard deviation (SD) = 3.05) with severe obesity enrolled in a 17-session FBSFT program. After completing 12 sessions or at the time of dropout, parents and therapists completed the Barriers to Treatment Participation Scale (BTPS), a 5-point Likert scale (1 = never a problem, 5 = very often a problem) which includes four subscales: 1. Stressors and obstacles that compete with treatment, 2. Treatment demands and issues, 3. Perceived relevance of treatment, 4. Relationship with the therapist.

resultsFamilies who did not complete treatment scored significantly higher on the BTPS subscales stressors and obstacles that compete with treatment (M = 2.03, SD = 0.53 vs. M = 1.70, SD = 0.42), p = 0.010 and perceived relevance of treatment (M = 2.27, SD = 0.48 vs. M = 1.80, SD = 0.50), p < 0.001 than families who completed treatment. No other significant differences between groups were observed.

conclusionFamilies are more likely to drop out of FBSFT when experiencing a high burden from life stressors or when treatment is not meeting the expectations and perceived needs of the family.

Indexed as

Pediatric ObesityAdolescentBehavior TherapyChildHumansParentsadolescentattritionbarriers to treatmentchildrendropoutfamily-based treatmentpaediatric obesity

Identifiers

PMID36468217
PMCPMC10078207

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Registered trials

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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.