PMID- 33780999 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20231128 IS - 1758-8111 (Electronic) IS - 1758-8103 (Print) IS - 1758-8103 (Linking) VI - 11 IP - 4 DP - 2021 Aug TI - Reactions to the U.S. Preventive Services Task Force guidelines for the management of adolescent obesity: A multi-informant qualitative approach. PG - e12451 LID - 10.1111/cob.12451 [doi] AB - The U.S. Preventive Services Task Force (USPSTF) has set forth recommendations for clinicians to screen youth (6-18 years) for obesity. Those identified should be referred to comprehensive weight management programs consisting of at least 26 contact hours and focus on multiple targets of behaviour (ie, diet, physical activity, behaviour change). However, these recommendations are primarily based upon outcomes from randomized controlled trials and the feasibility of meeting these guidelines for adolescents in a clinical setting is unknown. The present study employed a multi-informant qualitative approach with adolescents, parents, and physicians, to identify and understand multiple perspectives on the feasibility and acceptability of implementing the USPSTF guidelines. In-depth interviews with seven adolescents, seven parents, and four physicians were analysed. Generally, participants viewed the guidelines positively but identified changes that may be necessary to increase the feasibility of adolescents engaging in programs that meet these guidelines. Participants also noted the importance of flexibility within programs, indicating that it would be difficult for many adolescents to participate in a program that was not tailored to their needs and resources. Future research should focus on adapting clinical weight management programs to meet both USPSTF guidelines and the needs of adolescents and their families. CI - (c) 2021 World Obesity Federation. FAU - Darling, Katherine E AU - Darling KE AUID- ORCID: 0000-0002-1858-4644 AD - Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island, USA. AD - Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA. FAU - Warnick, Jennifer AU - Warnick J AUID- ORCID: 0000-0003-1378-5882 AD - Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island, USA. AD - Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA. FAU - Hadley, Wendy AU - Hadley W AD - Counseling and Human Services, College of Education, University of Oregon, Eugene, Oregon, USA. FAU - Guthrie, Kate AU - Guthrie K AUID- ORCID: 0000-0002-5528-1212 AD - Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA. AD - Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island, USA. FAU - Jelalian, Elissa AU - Jelalian E AD - Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island, USA. AD - Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA. LA - eng GR - F32 HS027071/HS/AHRQ HHS/United States PT - Journal Article DEP - 20210329 PL - England TA - Clin Obes JT - Clinical obesity JID - 101560587 SB - IM MH - Adolescent MH - Advisory Committees MH - Diet MH - Exercise MH - Humans MH - Parents MH - *Pediatric Obesity/prevention & control PMC - PMC10680043 MID - NIHMS1939622 OTO - NOTNLM OT - USPSTF guidelines OT - adolescent OT - paediatric weight management programs OT - qualitative COIS- CONFLICT OF INTEREST All other authors declared no conflicts of interest. EDAT- 2021/03/30 06:00 MHDA- 2021/10/26 06:00 PMCR- 2023/11/27 CRDT- 2021/03/29 20:30 PHST- 2021/01/20 00:00 [revised] PHST- 2020/10/26 00:00 [received] PHST- 2021/03/08 00:00 [accepted] PHST- 2021/03/30 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/03/29 20:30 [entrez] PHST- 2023/11/27 00:00 [pmc-release] AID - 10.1111/cob.12451 [doi] PST - ppublish SO - Clin Obes. 2021 Aug;11(4):e12451. doi: 10.1111/cob.12451. Epub 2021 Mar 29.