Obesity prevention in early adolescence: student, parent, and teacher views.

BACKGROUND Obesity is a significant health problem among today's youth; however, most school-based prevention programs in this area have had limited success. Focus groups were conducted with seventh- to eighth-grade students, parents, and teachers to provide insight into the development of a comprehensive program for the prevention of adolescent obesity: the Teen Eating and Activity Mentoring in Schools project (TEAMS). METHODS Questions addressed (1) beliefs about the relationship between early adolescent behavior and health; (2) early adolescents' physical activity habits, preferences, influences, and barriers; (3) early adolescents' dietary habits, preferences, influences, and barriers; and (4) recommendations for interventions to promote physical activity and healthy eating in early adolescence. RESULTS Qualitative analyses revealed that early adolescents had a good understanding of the relationship between their behavior and their health, although they had a limited understanding of what constitutes healthy eating. Youth participants reported preferences for a number of healthy foods and physical activities, but identified numerous barriers preventing their engagement. The major difference between students, parents, and teachers reflected the operation of the fundamental attribution error with early adolescents attributing their unhealthy behaviors to situational factors, teachers blaming parents, and parents blaming their children. CONCLUSIONS Implications of these findings for the development of school-based, integrated strategies for obesity prevention among early adolescents are discussed.

[1]  H. Truby,et al.  An investigation into school children's knowledge and awareness of food and nutrition. , 2002, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[2]  Eric Stice,et al.  A meta-analytic review of obesity prevention programs for children and adolescents: the skinny on interventions that work. , 2006, Psychological bulletin.

[3]  Leonard H Epstein,et al.  The effect of reinforcement or stimulus control to reduce sedentary behavior in the treatment of pediatric obesity. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[4]  E. Waters,et al.  Health-related quality of life of overweight and obese children. , 2005, JAMA.

[5]  T. Baranowski,et al.  Social-environmental influences on children's diets: results from focus groups with African-, Euro- and Mexican-American children and their parents. , 2000, Health education research.

[6]  E. Jelalian,et al.  The Epidemic of Childhood Obesity: Review of Research and Implications for Public Policy , 2006 .

[7]  U. Bronfenbrenner.  Making Human Beings Human: Bioecological Perspectives on Human Development. The SAGE Program on Applied Developmental Science. , 2004 .

[8]  D. Neumark-Sztainer,et al.  Addressing Weight-Related Issues in an Elementary School: What do Students, Parents, and School Staff Recommend? , 2007, Eating disorders.

[9]  Ian Janssen,et al.  Vascular Risks and Management of Obesity in Children and Adolescents , 2006, Vascular health and risk management.

[10]  K. Flegal,et al.  Prevalence of overweight and obesity in the United States, 1999-2004. , 2006, JAMA.

[11]  E. Molaison,et al.  Influences on fruit and vegetable consumption by low-income black American adolescents. , 2005, Journal of nutrition education and behavior.

[12]  L. Lytle,et al.  Fruits, vegetables, and football: findings from focus groups with alternative high school students regarding eating and physical activity. , 2005, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[13]  Alexandra E Evans,et al.  Outcome Expectations, Barriers, and Strategies for Healthful Eating: A Perspective From Adolescents From Low‐income Families , 2006, Family & community health.

[14]  D. Neumark-Sztainer,et al.  Healthy eating: what does it mean to adolescents? , 2001, Journal of nutrition education.

[15]  Jebediah J. Northern,et al.  A meta-analysis of family-behavioral weight-loss treatments for children. , 2007, Clinical psychology review.

[16]  E. Deci,et al.  Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. , 2000, The American psychologist.

[17]  Janet Mancini Billson,et al.  Focus Groups: A Practical Guide for Applied Research , 1989 .

[18]  Brief report: a qualitative study of gender preferences and motivational factors for physical activity in underserved adolescents. , 2005, Journal of pediatric psychology.

[19]  J. Connelly,et al.  A systematic review of controlled trials of interventions to prevent childhood obesity and overweight: a realistic synthesis of the evidence. , 2007, Public health.

[20]  J. O'dea.  Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. , 2003, Journal of the American Dietetic Association.

[21]  A. Yancey,et al.  Physical Activity Among African American and Latino Middle School Girls: Consistent Beliefs, Expectations, and Experiences Across Two Sites , 2000, Women & health.

[22]  C. Flodmark,et al.  Interventions to prevent obesity in children and adolescents: a systematic literature review , 2006, International Journal of Obesity.

[23]  Edward L. Deci,et al.  Self-determination theory and the facilitation of intrinsic motivation , 2000 .

[24]  Yang Gao,et al.  Interventions for preventing obesity in children. , 2005, The Cochrane database of systematic reviews.

[25]  C. Summerbell,et al.  Interventions for preventing obesity in children (Review) , 2016 .

[26]  F. Heider.  The psychology of interpersonal relations , 1958 .

[27]  H. Truby,et al.  Promoting healthy diet and exercise patterns amongst primary school children: a qualitative investigation of parental perspectives. , 2003, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[28]  C. Perry,et al.  Factors influencing food choices of adolescents: findings from focus-group discussions with adolescents. , 1999, Journal of the American Dietetic Association.

[29]  P. Robson,et al.  It's good to talk: children's views on food and nutrition , 2005, European Journal of Clinical Nutrition.

[30]  A. Must,et al.  A Community Intervention Reduces BMI z‐score in Children: Shape Up Somerville First Year Results , 2007, Obesity.

[31]  E. Waters,et al.  Healthy eating, activity and obesity prevention: a qualitative study of parent and child perceptions in Australia. , 2005, Health promotion international.

[32]  H. Thomas.  Obesity prevention programs for children and youth: why are their results so modest? , 2006, Health education research.

[33]  M. Patton.  Qualitative research and evaluation methods , 1980 .

[34]  Jared B Jobe,et al.  Listening to Girls and Boys Talk About Girls’ Physical Activity Behaviors , 2006, Health education & behavior : the official publication of the Society for Public Health Education.