{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:43:47Z","timestamp":1781196227679,"version":"3.54.1"},"reference-count":58,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Pediatric obesity (OB) treatments show small effects and high dropout rates, potentially due to low motivation in participating families. Motivation prior to a weight management program is referred to as \u201creadiness to change\u201d (RTC). Understanding RTC is key to improving outcomes. Previous studies observed determinants for RTC, but results are heterogenous and data about adolescents' RTC are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Baseline data of the STARKIDS trial were used to find determinants of RTC in (a) adolescents (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009125), (b) their caretakers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009185), and (c) caretakers of younger children (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009325). Potential determinants were sociodemographic variables, weight, general quality of life (QoL), OB\u2010related QoL, self\u2010efficacy, and body image of caretakers and children. Pearson correlations (\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and ANOVA) and multiple linear regression analyses were performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The RTC of adolescents and of both groups of caretakers was determined by adolescents'\/children's OB\u2010related QoL. The RTC of caretakers of younger children was also determined by children's BMI\u2010SDS\n                      <jats:sub>LMS<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OB\u2010related QoL plays a major role in determining adolescents' and caretakers' motivation prior to weight management. In all groups, most significant determinants refer to corresponding family members, showing that the mutual influence is large.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>German Clinical Trials Register (DRKS) DRKS000228 13 (acknowledged primary register of the World Health Organization).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70185","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T04:57:06Z","timestamp":1776056226000},"page":"1115-1127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of Parents' and Adolescents' Motivation Before Pediatric Weight Management\u2014Data From the\n                    <scp>STARKIDS<\/scp>\n                    Cohort"],"prefix":"10.1002","volume":"34","author":[{"given":"Anne","family":"Herschbach","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Hospital Tuebingen  Tuebingen Baden\u2010Wurttemberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Erschens","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Hospital Tuebingen  Tuebingen Baden\u2010Wurttemberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Junne","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Otto von Guericke University Magdeburg  Magdeburg Saxony\u2010Anhalt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Ehehalt","sequence":"additional","affiliation":[{"name":"Public Health Department of Stuttgart  Stuttgart 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