Evidence map›Paper›PMID 37776204›Full record

ArticleJournal of pediatric psychology2023

Referral to Adolescent Weight Management Interventions: Qualitative Perspectives From Providers.

Katherine E Darling, Jennifer Warnick, Kate M Guthrie, Melissa Santos, Elissa Jelalian

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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.

Katherine E DarlingWeight Control and Diabetes Research Center, The Miriam Hospital, USA.ORCID 0000-0002-1858-4644
Jennifer WarnickWeight Control and Diabetes Research Center, The Miriam Hospital, USA.ORCID 0000-0003-1378-5882
Kate M GuthrieDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, USA.
Melissa SantosDivision of Pediatric Psychology, Connecticut Children's Medical Center, USA.
Elissa JelalianWeight Control and Diabetes Research Center, The Miriam Hospital, USA.
Brown University · USConnecticut Children's Medical Center · US

Funding

Training in Behavioral & Preventive MedicineT32HL076134 · NHLBI · MIRIAM HOSPITAL · PI John Graham Thomas · 2006 to 2026
$5.7M
Adapting an Adolescent Weight Management Program for a Type 1 Diabetes PopulationK23DK132457 · NIDDK · MIRIAM HOSPITAL · PI Jennifer Lynn Warnick · 2022 to 2026
$935k
NHLBI NIH HHS T32 HL076134NHLBI NIH HHS T32HL076134NIDDK NIH HHS K23 DK132457NIDDK NIH HHS K23DK132457
6 · The paper itself

Abstract

objectiveCurrent guidelines for treatment of obesity in adolescence include screening and referring youth with obesity to appropriate weight management (WM) care. However, prior work has not explored the referral process to adolescent WM programs, especially for youth from lower-income backgrounds, who are at increased risk of obesity and related negative health outcomes. This qualitative study sought to understand pediatricians' current practices regarding referrals to adolescent WM interventions with a focus on adolescents from lower-income backgrounds.

methodsIndividual interviews were conducted with 11 medical providers that had referred at least 5 adolescents from low-income backgrounds to WM interventions. Applied thematic analysis was used for data analysis.

resultsIdentified themes included weight-related discussions with adolescents as potentially fraught, as providers want to address weight-related health concerns while being thoughtful about potential harm. Providers also noted varied factors affecting their decision to refer to WM programs, including health implications, perceived motivation of the patient and family, and availability of programs. Providers identified that many families experience shame or guilt around referral to WM. Few themes were identified regarding impact of income on weight-related conversations with adolescents.

conclusionFindings were novel in regard to discussions of weight in adolescents with obesity leading to WM referral. Despite being a primary focus of the present study, few themes were identified regarding specific considerations for adolescents from low-income backgrounds. Future clinical research should focus on provider-focused interventions to increase sensitivity regarding weight-related discussions and attention to diversity, equity, and inclusion.

Indexed as

GuiltObesityAdolescentHumansQualitative ResearchReferral and ConsultationShameadolescentlow incomeobesityprimary careweight management

Identifiers

PMID37776204
PMCPMC11009491
OpenAlexW4387209438

What OpenQuestion holds

Textmetadata
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.