Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI:10.1177/11786329231200863
Geoff Dc Ball, Marcus G O'Neill, Mitchell Rath, Maryam Kebbe, Arnaldo Perez, Ian Zenlea, Josephine Ho
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Abstract

We interviewed families to explore their views on the role of family navigation (FN) to improve access to and use of health services for managing pediatric obesity. From March to December, 2020, we conducted individual, structured telephone interviews with adolescents with obesity (13-17 years old) and their caregivers from Edmonton and Calgary, Canada. Among our 37 participants (14 adolescents, 23 caregivers), most (n = 27; 73.0%) reported FN could improve their access to obesity management. Participants recommended several activities to support healthcare access and use, including appointment reminders, evening/weekend appointments, parking/transportation support, and in-clinic childcare, all of which help families to attend appointments over an extended period to support obesity management. Most participants preferred FN be offered by healthcare professional 'navigators' who were approachable, empathic, and compassionate since issues regarding health and obesity can be sensitive, emotional topics to discuss. Overall, families supported integrating FN into multidisciplinary pediatric obesity management to improve healthcare access and use by navigators who apply a range of practical strategies and relational skills to enhance long-term access and adherence to care.

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青少年和护理人员对家庭导航的看法,以改善儿童肥胖的医疗保健机会和使用。
我们采访了家庭,探讨他们对家庭导航(FN)在改善儿童肥胖管理中获得和使用医疗服务的作用的看法。2020年3月至12月,我们对肥胖青少年(13-17 岁)及其来自加拿大埃德蒙顿和卡尔加里的照顾者。在我们的37名参与者(14名青少年,23名护理人员)中,大多数(n = 27;73.0%)报告FN可以改善他们获得肥胖管理的机会。参与者推荐了一些支持医疗保健获取和使用的活动,包括预约提醒、晚间/周末预约、停车/交通支持和诊所儿童保育,所有这些都有助于家庭长期参加预约,以支持肥胖管理。大多数参与者更喜欢由平易近人、富有同情心的医疗专业“导航员”提供FN,因为与健康和肥胖有关的问题可能是需要讨论的敏感、情绪化的话题。总的来说,家庭支持将FN纳入多学科儿科肥胖管理,以改善导航仪获得医疗保健的机会和使用情况,导航仪应用一系列实用策略和关系技能来提高长期获得和坚持护理的能力。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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