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The Diabetes Educator, Vol. 34, No. 2, 277-284 (2008)
DOI: 10.1177/0145721708314182
© 2008 American Association of Diabetes Educators; Published by SAGE Publications

FEATURES

A Qualitative Assessment of Barriers and Facilitators to Achieving Behavior Goals Among Obese Inner-City Adolescents in a Weight Management Program

Mary Alm, PhD, Nafisseh Soroudi, PhD, Judith Wylie-Rosett, EdD, RD, Carmen R. Isasi, MD, PhD, Sonia Suchday, PhD, Jessica Rieder, MD, MS and Unab Khan, MD

From the Department of Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, Minnesota (MA); Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York (JW-R, CRI, SS); Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts (NS); and Department of Pediatrics, Division of Adolescent Medicine, Montefiore Medical Center, Bronx, New York (JR, UK). Financial support: American Heart Association, Heritage Affiliate.

Correspondence to Mary Alm, PhD, Department of Pediatrics and Adolescent Health, University of Minnesota, 200 Oak Street SE, Suite 160, Minneapolis, MN 55455; e-mail: almx0002{at}umn.edu.

Purpose

The 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.

Methods

Obese 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.

Results

In 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 lossin 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.

Conclusions

Diabetes 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.


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