Table 1 Recommendations from clinical practice guidelines compared and contrasted with HCP practices
CPG Recommendations | HCP Practices | Theme |
|---|---|---|
4.1 We recommend that clinicians prescribe and support intensive, age-appropriate, culturally sensitive, family-centered lifestyle modifications (dietary, physical activity, behavioral) to promote a decrease in BMI. (1| ⊕ ⊕ ⊕ O)4.1 | HCPs prescribed and supported age-appropriate, culturally sensitive, family-centered lifestyle modifications. | Personalize weight management |
HCPs encouraged adolescents to adopt healthy lifestyle behaviors irrespective of weight loss and defined ‘success’ based on improved health. | Discuss realistic expectations regarding weight management | |
4.5 We suggest that the health care team identify maladaptive rearing patterns related to diet and activity and educate families about healthy food and exercise habits. (2| ⊕ OOO) | HCPs probed for and addressed individual, interpersonal, and environmental issues (if applicable) experienced by parents and adolescents, including lifestyle practices related to diet and activity. | Personalize weight management |
4.6 We suggest that the health care team probe for and diagnose unhealthy intrafamily communication patterns and support rearing patterns that seek to enhance the child’s or adolescent’s self-esteem. (2| ⊕ OOO)4.6 | HCPs addressed unhealthy communication patterns with families to clarify expectations of each member in their weight management efforts. | Discuss realistic expectations regarding weight management |
HCPs promoted positive self-image and acceptance in adolescents directly to help alleviate weight bias concerns and reduce stigma. | Exhibit non-biased attitudes and practices | |
4.7 We suggest that the health care team evaluate for psychosocial comorbidities and prescribe assessment and counseling when psychosocial problems are suspected. (2| ⊕ OOO) | HCPs probed for and addressed individual and interpersonal issues experienced by parents and adolescents, including psychosocial concerns. | Personalize weight management |
– | HCPs had discussions with adolescents and parents about treatment expectations and timelines at the point when they enrolled in weight management as well as during their course of treatment. | Discuss realistic expectations regarding weight management |