Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle.

Autor:	de Pooter N; Department of Public and Occupational Health, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.; Department of Health Sciences, Vrije Universiteit Amsterdam, the Netherlands., van den Eynde E; Department of Pediatrics, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Raat H; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Seidell JC; Department of Health Sciences, Vrije Universiteit Amsterdam, the Netherlands., van den Akker ELT; Department of Pediatrics, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Halberstadt J; Department of Health Sciences, Vrije Universiteit Amsterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	PEC innovation [PEC Innov] 2022 Aug 20; Vol. 1, pp. 100074. Date of Electronic Publication: 2022 Aug 20 (Print Publication: 2022).
DOI:	10.1016/j.pecinn.2022.100074
Abstrakt:	Objective: To explore the perspectives of healthcare professionals (HCPs) within an integrated care approach on the facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle. Methods: Semi-structured interviews were conducted with eighteen HCPs working within a Dutch integrated care approach. The interviews were analyzed by performing a thematic content analysis. Results: Main facilitators identified by HCPs were support from parents and the social network. Main barriers were first and foremost family's lack of motivation, which was singled out as a precondition for starting the behavior change process. Other barriers were child's socio-emotional problems, parental personal problems, lack of parenting skills, parental lack of knowledge and skills regarding a healthier lifestyle, parental lack of problem awareness and HCP's negative attitude. To overcome these barriers, main needs that HCPs suggested were a tailored approach in healthcare and a supportive HCP. Conclusion: The HCPs identified the breadth and complexity of underlying factors of childhood obesity, of which the family's motivation was pointed out as a critical factor to address. Innovation: Understanding the patient's perspective is important for HCPs to provide the tailored care needed to address the complexity of childhood obesity. Competing Interests: All authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2022 The Authors.)
Databáze:	MEDLINE
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