"We'd be really motivated to do something about it": A qualitative study of parent and clinician attitudes towards predicting childhood obesity in practice.

Autor: Canfell OJ; School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland, Australia.; Children's Health Queensland Hospital and Health Service, Department of Health, Queensland Government, South Brisbane, Queensland, Australia.; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.; UQ Business School, Faculty of Business, Economics and Law, The University of Queensland, St Lucia, Queensland, Australia.; Health and Wellbeing Queensland, Queensland Government, The State of Queensland, Milton, Queensland, Australia., Littlewood R; School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland, Australia.; Children's Health Queensland Hospital and Health Service, Department of Health, Queensland Government, South Brisbane, Queensland, Australia.; Health and Wellbeing Queensland, Queensland Government, The State of Queensland, Milton, Queensland, Australia., Wright ORL; School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland, Australia., Walker JL; School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland, Australia.; Health and Wellbeing Queensland, Queensland Government, The State of Queensland, Milton, Queensland, Australia.
Jazyk: angličtina
Zdroj: Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals [Health Promot J Austr] 2023 Apr; Vol. 34 (2), pp. 398-409. Date of Electronic Publication: 2022 May 16.
DOI: 10.1002/hpja.611
Abstrakt: Issue Addressed: In Australia, one in four (24.9%) children live with overweight or obesity (OW/OB). Identifying infants at risk of developing childhood OW/OB is a potential preventive pathway, but its acceptability is yet to be investigated in Australia. This study aimed to (1) investigate the acceptability of predicting childhood OW/OB with parents of infants (aged 0-2 years) and clinicians and (2) explore key language to address stigma and maximise the acceptability of predicting childhood OW/OB in practice.
Methods: This was a cross-sectional and qualitative design, comprising individual semi-structured interviews. Participants were multidisciplinary paediatric clinicians (n = 18) and parents (n = 13) recruited across public hospitals and health services in Queensland, Australia. Data were analysed under the Framework Method using an inductive, thematic approach.
Results: Five main themes were identified: (1) Optimism for prevention and childhood obesity prediction, (2) parent dedication to child's health, (3) adverse parent response to risk for childhood obesity, (4) language and phrasing for discussing weight and risk and (5) clinical delivery. Most participants were supportive of using a childhood OW/OB prediction tool in practice. Parents expressed dedication to their child's health that superseded potential feelings of judgement or blame. When discussing weight in a clinical setting, the use of sensitive (ie, "overweight", "above average", "growth" versus "obesity") and positive, health-focused language was mostly supported.
Conclusions: Multidisciplinary paediatric clinicians and parents generally accept the concept of predicting childhood OW/OB in practice in Queensland, Australia. SO WHAT?: Clinicians, public health and health promotion professionals and policymakers can act now to implement sensitive communication strategies concerning weight and obesity risk.
(© 2022 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.)
Databáze: MEDLINE
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