MON-246 Addressing Stigma and Barriers in Childhood Obesity Care: Insights from Underserved Families to Inform a Digital Solution

Abstract Disclosure: L. Fernandez-Luque: All authors are affiliated with Adhera Health, a digital health company. A. Conde-Moro: None. S. McGinley: None. L. Dudbridge: None. J. Nuñez: None. R.C. Berrios: None. Objective: This study aims to explore the journeys of families managing childhood obesity, focusing on the unique challenges of underserved populations, particularly US Latinos, who are disproportionately affected by obesity. Insights from these experiences will inform the development of a digital solution designed to support families in overcoming these challenges. Methods: Participatory workshops engaged caregivers from 50+ families across 11 sessions, totaling 13 hours of discussions on managing childhood obesity. These workshops covered digital solution appraisal, patient journey mapping, personalization, and validation through surveys and feedback. Results: Preliminary analysis revealed common patterns, with stigma, bullying, food practices, and systemic barriers shaping families' experiences. Caregivers identified stigma and bullying as major challenges, leading to social isolation, low self-esteem, and academic struggles. “[My daughter] was told, ‘You can’t play with us because you’re too heavy.’ It was hard for her.” Latino families stressed the cultural importance of food and the disconnect between generic dietary plans and traditional eating habits: “To us, food is love.” Barriers to care included long specialist wait times, limited access to affordable gyms or nutrition classes, and inadequate mental health resources. Discussion: The findings highlight the complex, multidimensional nature of childhood obesity, involving medical, psychosocial, and cultural factors. Latino caregivers emphasized the need for culturally tailored interventions that respect food traditions, address stigma, and promote mental health. A digital solution could offer personalized support, helping families navigate stigma, access resources, and incorporate culturally relevant strategies into their care. Conclusions: This study highlights the need for holistic, culturally competent approaches to childhood obesity care. Integrating families' experiences can help develop inclusive interventions that are effective and sensitive to the social, emotional, and cultural realities of diverse communities, especially US Latinos. Presentation: Monday, July 14, 2025