This case study follows the 5-step process for accessing and using evidence in response to a request from commissioners regarding Lifestyle Weight Management Services (LWMS) for children and adolescents.
Using PICO, the scope of the evidence search was defined as:
Population: Overweight/ obese children and adolescents
Intervention: Tier 2 weight management, also known as lifestyle weight management
Comparison: Local health systems
Outcomes: Weight management
A Clinical Effectiveness Programme Officer was asked to conduct the search and report findings.
The following search questions were addressed:
“What is the evidence for having a Tier 2 weight management service for children and adolescents?”
The search strategy involved searching the following databases and websites:
The following search strategy was used:
(“tier 2 weight management” OR “lifestyle weight management”) AND (programme OR service OR intervention) AND (child* OR adolescen*)
A range of study types were reviewed including systematic reviews (SRs), randomised controlled trials (RCTs) and mixed-methods studies. Appraisal was conducted according to the strengths and limitations of each piece of evidence, including issues concerning sampling, differences in the description and use of LWMS, and measuring outcomes.
Findings were reported in an evidence review and are being used to support local work in taking a whole system approach to healthy weight. Key points of this review included:
The findings of the review were consolidated into two documents, a full evidence review and a briefing version with the headline findings. This was done to enable greater accessibility of the evidence to stakeholders and commissioners who may be limited on time. To promote sharing of learning, this review was uploaded to AHSN’s Evidence Repository on the Futures NHS platform.