Table 6.
Meta-summary of barriers for children participation in nutrition, physical activity, and obesity interventions
| Theme | Number of studies |
GRADE and GRADE- CERQuala |
References |
|---|---|---|---|
| Parents’ and children’s perspective | |||
| Time constraints | 8 | GRADE: High GRADE-CERQual: High |
30-32,42,43,45,48,52 |
| Understanding of clinical trial information / complexity of consent/trial info | 5 | GRADE: High GRADE-CERQual: Moderate |
32,42,43,45,47 |
| Cost | 3 | GRADE: N/A GRADE-CERQual: N/A |
31,33,48 |
| Relationship between research staff, medical provider, and participant/family | 3 | GRADE: N/A GRADE-CERQual: N/A |
33,41,43 |
| Nature of the intervention | 2 | GRADE: N/A GRADE-CERQual: N/A |
32,47 |
| Study examinations too invasive | 2 | GRADE: N/A GRADE-CERQual: N/A |
32,45 |
| Transportation | 2 | GRADE: N/A GRADE-CERQual: N/A |
30,31 |
| Lack of support from family or friends | 2 | GRADE: N/A GRADE-CERQual: N/A |
30,48 |
| Felt like a “Guinea Pig” | 1 | GRADE: N/A GRADE-CERQual: N/A |
44 |
| Language barrier | 1 | GRADE: N/A GRADE-CERQual: N/A |
45 |
| Research staff’s perspective | |||
| Time constraints | 4 | GRADE: High GRADE-CERQual: High |
37,38,40,46 |
| Transportation/lack of child-care | 3 | GRADE: High GRADE-CERQual: High |
38,40,46 |
| Lack of interest | 3 | GRADE: High GRADE-CERQual: N/A |
36,38,50 |
| Study examinations too invasive | 1 | GRADE: High GRADE-CERQual: High |
35 |
| Language barrier | 1 | GRADE: N/A GRADE-CERQual: N/A |
36 |
| Relationship between research staff, medical provider, and participant/family | 1 | GRADE: N/A GRADE-CERQual: N/A |
36 |
| Understanding of clinical trial information/Complexity of consent/trial info | 1 | GRADE: N/A GRADE-CERQual: N/A |
38 |
a
GRADE and GRADE-CERQual was done among themes with more than one study. N/A: not available because there were not enough studies of each type to evaluate certainty of the theme.