A qualitative assessment of barriers and facilitators to achieving behavior goals among obese inner-city adolescents in a weight management program

A qualitative assessment of barriers and facilitators to achieving behavior goals among obese inner-city adolescents in a weight management program
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DOI:
10.1177/0145721708314182
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发表时间:
2008-03-01
期刊:
影响因子:
3.9
通讯作者:
Khan, Unab
Khan, Unab
中科院分区:
医学4区
文献类型:
--
作者:
Alm, Mary;Soroudi, Nafisseh;Khan, Unab

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目的本研究的目的是(1)探讨管理体重的原因,(2)探讨实现行为目标的障碍和促进因素,以及(3)评估行为教练如何影响肥胖的内城青少年在体重管理计划中的目标设定过程。18)进行了采访,以确定障碍和促进达到行为目标。数据进行了分析,使用描述性统计和定性analysis.ResultsIn体重控制的理由,青春期女孩和男孩的愿望,以改善身体外观和身体状况,分别比较方法。阻碍女孩实现体育活动目标的障碍包括不安全的社区和负面的身体形象。保持不切实际的行为和体重目标阻碍了对行为改变和减肥的满意度(男女都是如此)。总的来说,教练提供的支持,帮助肥胖的青少年感觉更成功的目标设定过程中,并解决问题,他们的破坏性environment.ConclusionsDiabetes教育工作者可以包括一个行为教练的一部分,体重管理计划,以帮助青少年设定行为目标,克服障碍,达到行为目标。
PurposeThe purpose of this study was (1) to examine the reasons for managing weight, (2) to investigate the barriers and facilitators to achieving behavior goals, and (3) to assess how a behavior coach affects the goal-setting process of obese inner-city adolescents in a weight management program.MethodsObese adolescents participating in a pilot study assessing the role of a behavior coach on successful weight management (n = 18) were interviewed to identify barriers and facilitators to reaching behavior goals. Data were analyzed using descriptive statistics and the constant comparative method of qualitative analysis.ResultsIn the rationale for weight control, adolescent girls and boys reported a desire to improve physical appearance and physical conditioning, respectively. Barriers to reaching physical activity goals among girls included unsafe neighborhoods and a negative body image. Maintaining unrealistic behavior and weight goals hindered satisfaction with behavior change and weight loss (in both genders. Overall, coaching provided support that helped the obese teens feel more successful in the goal-setting process and address issues related to their disruptive environments.ConclusionsDiabetes educators can include a behavior coach as part of a weight management program to help teens set behavior goals and overcome barriers to reaching behavior goals.