ArticleJMIR formative research2025
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.
Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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12 authors.
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Abstract
backgroundSpecialist multidisciplinary clinics have been established to provide care for the burgeoning number of young people presenting with comorbidities related to severe obesity in childhood. Digital technology, an integral component of most young people's lives, may enable clinics to offer accessible, ongoing support between appointments to the patients, thereby increasing the likelihood of successful health behavior change. However, while short-term engagement with technology-based behavior change interventions is good, engagement tends to decrease over time, limiting their overall impact. Little is known about the views of young people living with obesity on the role of digital technology as an adjunct to current traditional care pathways.
objectiveThis study aims to explore the views of adolescent patients and their families on whether digital technology should be used by obesity services to support health behavior change.
methodsParticipants included patients aged between 10 and 16 years from an obesity clinic, along with their adult family members. Four focus groups and co-design workshops, facilitated by a cross-disciplinary team of clinicians, academics, and technology innovators, explored young people's health priorities, identified the barriers to and facilitators of health behavior change, and co-designed ways in which technology could be used to support them in overcoming these barriers to achieving their health goals. Data were analyzed using inductive content analysis, with findings integrated with key co-design workshop outputs.
resultsIn total, 37 individuals participated, including 19 (51%) adolescents (n=11, 58% female) and 18 (49%) family members. The young participants, on average, were aged 13.4 (SD 1.68; range 10-16) years; the mean BMI was 36.6 (SD 0.3; range 34-47) kg/m
conclusionsThere is clear potential for digital technology to support the holistic health priorities of young people receiving specialist care for the comorbidities of excess weight. This study's findings will serve as a foundation for developing innovative approaches to the use of technology to support this high-need population.
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