Experiences of those Taking Part in the BeeZee Bodies Family-Based Weight Management Intervention: A Qualitative Evaluation

Authors

  • Laurel D. Edmunds Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Headington, Oxford, OX3 9DU, UK
  • Kirsten L. Rennie School of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK
  • Stuart King BeeZee Bodies Community Interest Company, 27 Mill Street, Bedford MK40 3EU, UK
  • Helen Mayhew BeeZee Bodies Community Interest Company, 27 Mill Street, Bedford MK40 3EU, UK

DOI:

https://doi.org/10.6000/1929-4247.2014.03.04.2

Keywords:

Child obesity, evaluation, qualitative, focus groups, social impact.

Abstract

The need for effective community, child weight management interventions continues. The BeeZee Bodies (BZB) family-based child weight management programme for 7-11-year-olds and 12-15–year-olds has been developed iteratively over five years, with quantitative and qualitative evaluations refining the programmes. The aim of this study was to present the experiences and opinions of those taking part in BZB programmes as part of a real world evaluation. Three focus groups, following a semi-structured protocol, were conducted with 20 participants (15 parents, 5 adolescents) 3 months post-intervention. Analyses were thematic, iterative and underpinned by Grounded Theory. Two themes emerged; (1) programme contents, (2) social interactions, with each sub-divided. Parents described increased appreciation of physical activity and dietary components, improvements in parenting and good relationships with personnel. A wide range of positive personal outcomes and changes within the family were perceived by parents and adolescents including: changes in physical activity take-up, eating habits, portion sizes, and an improved understanding of parenting an overweight child. The parenting skills element further enhanced the social cohesion fostered through attendance. There were opportunities to build new friendships for both parents and adolescents, and for parents to interact with their offspring in a different context, all of which supported behaviour change. The BZB programme was viewed by participants as successful and delivered by engaging personnel. Key strengths were social cohesion generated by including parenting sessions and inclusiveness of the physical activities on offer. BZB has been refined in response to qualitative evaluations and reviews and this process continues.

References

Wijnhoven TM, van Raaij JM, Spinelli A, et al. WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. Pediatr Obes 2013; 8: 79-97. http://dx.doi.org/10.1111/j.2047-6310.2012.00090.x

Messiah SE, Lipshultz SE, Natale RA, Miller TL. The imperative to prevent and treat childhood obesity: why the world cannot afford to wait. Clinl Obes 2013; 3: 163-71. http://dx.doi.org/10.1111/cob.12033

Lachal J, Orri M, Speranza M, et al. Qualitative studies among obese children and adolescents: a systematic review of the literature. Obes Rev 2013; 14: 351-68. http://dx.doi.org/10.1111/obr.12010

Oude Luttikhuis H, Baur L, Jansen H, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev 2009; (1): CD001872.

Kitzinger J. Qualitative research. Introducing focus groups. BMJ 1995; 311: 299-302. http://dx.doi.org/10.1136/bmj.311.7000.299

Strauss A, Corbin J. Grounded theory methodology. In: Denzin NK, Lincoln YS, editors. Strategies of Qualitative Enquiry. London: Sage; 1998. p. 158-83.

Edmunds LD. Social implications of overweight and obesity in children. Journal for specialists in pediatric nursing. JSPN 2008; 13: 191-200.

Edmunds LD. Parents' perceptions of health professionals' responses when seeking help for their overweight children. Fam Pract 2005; 22: 287-92. http://dx.doi.org/10.1093/fampra/cmh729

Fox KR, Edmunds LD. Growing up as a "fat kid". Can schools help provide a better experience? J Emot Behav Prob 2000; 9: 177-81.

Pope C, Ziebland S, Mays N. Qualitative research in health care - Analysing qualitative data (Reprinted from Qualitative Research in Health Care). Brit Med J 2000; 320: 114-6. http://dx.doi.org/10.1136/bmj.320.7227.114

Resnicow K, Davis R, Rollnick S. Motivational interviewing for pediatric obesity: Conceptual issues and evidence review. J Am Diet Assoc 2006; 106: 2024-33. http://dx.doi.org/10.1016/j.jada.2006.09.015

Staniford LJ, Breckon JD, Copeland RJ, Hutchison A. Key stakeholders' perspectives towards childhood obesity treatment: a qualitative study. J Child Health Care 2011; 15: 230-44.

Douglas F, Clark J, Craig L, Campbell J, McNeill G. "It's a balance of just getting things right": mothers' views about pre-school childhood obesity and obesity prevention in Scotland. BMC Public Health 2014; 14: 1009. http://dx.doi.org/10.1186/1471-2458-14-1009

Skelton JA, Buehler C, Irby MB, Grzywacz JG. Where are family theories in family-based obesity treatment?: conceptualizing the study of families in pediatric weight management. Int J Obes (Lond) 2012; 36: 891-900. http://dx.doi.org/10.1038/ijo.2012.56

Savin-Williams RC, Small SA. The timing of puberty and its relationship to adolescent and parent perceptions of family interactions. Dev Psychol 1986; 22: 342-7. http://dx.doi.org/10.1037/0012-1649.22.3.342

Harter S. The Construction of the Self. Developmental and Sociocultural Foundations. Second edition ed. New York: Guildford Press; 2012.

Twiddy M, Wilson I, Bryant M, Rudolf M. Lessons learned from a family-focused weight management intervention for obese and overweight children. Public Health Nutr 2012; 15: 1310-7. http://dx.doi.org/10.1017/S1368980011003211

Maryon-Davis A. Weight management in primary care: how can it be made more effective? Proc Nutr Soc 2005; 64: 97-103. http://dx.doi.org/10.1079/PNS2004414

Holt NL, Bewick BM, Gately PJ. Children's perceptions of attending a residential weight-loss camp in the UK. Child Care Health Dev 2005; 31: 223-31. http://dx.doi.org/10.1111/j.1365-2214.2004.00465.x

Edmunds LD. Fussy mothers and fuzzy boundaries: relationships in families with an overweight child. In: Russo M, de Luca A, editors. Psychology of Family Relationships. New York: Nova Science Publishers, Inc.; 2009.

Perry RA. Family management of overweight in 5-9 year old children: results from a multi-site randomised controlled trial. Adelaide, Australia: Flinders University; 2008.

Pocock M, Trivedi D, Wills W, Bunn F, Magnusson J. Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies. Obes Rev 2010; 11: 338-53. http://dx.doi.org/10.1111/j.1467-789X.2009.00648.x

Taras H, Potts-Datema W. Obesity and student performance at school. J Sch Health 2005; 75: 291-5. http://dx.doi.org/10.1111/j.1746-1561.2005.00040.x

Hester JR, McKenna J, Gately PJ. Obese young people's accounts of intervention impact. Patient Educ Couns 2010; 79: 306-14. http://dx.doi.org/10.1016/j.pec.2009.11.005

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Published

2014-11-27

How to Cite

Edmunds, L. D., Rennie, K. L., King, S., & Mayhew, H. (2014). Experiences of those Taking Part in the BeeZee Bodies Family-Based Weight Management Intervention: A Qualitative Evaluation. International Journal of Child Health and Nutrition, 3(4), 163–169. https://doi.org/10.6000/1929-4247.2014.03.04.2

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General Articles