BSPED2023 Poster Presentations Obesity 1 (9 abstracts)
Developing TechnOlogy to Support ChAnge (TOSCA tudy) for young people and their families seen in the complications of excess weight service
Brioney Gee 1,2 , Bonnie Teague 1,2 , Matt Farrar 3 , Victoria Farrar 3 , Dorothy Szinay 1 , Ken Ong 4 , Li Chan 5,6 , Ben Jackson 7 , Felix Naughton 8 , Jon Wilson 1,2 & Emma Webb 1,9
1Norwich Medical School, University of East Anglia, Norwich, UK; 2NSFT Research, Norfolk and Suffolk NHS Foundation Trust, Nowrich, UK; 3Nudg, 71-75 Shelton Street, Covent Garden, London, UK; 4University of Cambridge, Cambridge, UK; 5Centre for Endocrinology, William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University, London, UK; 6Department of Paediatric Endocrinology, The Children’s Hospital at the Royal London Hospital, Whitechapel, London, UK; 7Eastern Academic Health Science Network, Cambridge, UK; 8School of Health Sciences, Norwich, UK; 9Jenny Lind Children’s Hospital, Norfolk and Norwich University Hospital NHS Foundation Trust Colney Lane, Norwich, UK
Background: Complications of excess weight (CEW) clinics were commissioned by NHSE in 2021 to be leaders in the field of paediatric obesity using innovative models to deliver the highest quality patient care. Technological approaches offer a widely accessible tool which could potentially complement current clinical models of care. This study aims to explore children and young peoples (CYP) views on whether digital technology could/should be used to enhance CEW clinic support.
Method: Research ethics permission was obtained and written informed consent taken. Clinical academics worked with health technology company LovedBy, and a PPI co-investigator, to run one focus group and two workshops with young people seen in the CEW clinic. These sessions focused on understanding the health priorities of CYP and their families, the barriers and facilitators to making behavioural changes, and their views on co-designing ways that technology could be used to support young people to make changes to achieve their health goals.
Results: 13 CYP (4 male), with a mean age of 13.8 years (range 10.2–15.8) participated. The focus group identified that mental health was a key priority for CYP when they considered what a healthy life means to them. Barriers to good health included; financial constraints, poor sleep and anxiety with helpful factors including; positive stories and guidance on social media, communicating with others and family. Workshop one mapped out a day in the life of CYP. CYP reporting feeling tired, anxious, hungry, annoyed and angry at the start of the day with worries around sleep being a common theme in the evening. Workshop two demonstrated that young people would value technology which delivers information in the form of social stories delivered by their peers. It also highlighted the need for a face-to-face support group alongside any technology developed.
Conclusion: There is a desire from CYP seen in the CEW service for content developed for young people, created by young people. We hope to develop and assess the impact of these resources in a future study. Alongside any technological offering we will develop a peer support network with some face-to-face elements to complement virtual resources.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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