期刊
BMC PUBLIC HEALTH
卷 22, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12889-022-13803-8
关键词
Pediatrics; Child; Parent; Weight perception; Qualitative research; Interviews; Overweight; Obesity; Primary health care; Health care communication
资金
- Karolinska Institute
- Centre for Innovative Medicine (CIMED)
- Region Stockholm
- Swedish Society of Medicine
- Frimurare Barnhuset Foundation
- STOP project
- European Union's Horizon 2020 research and innovation program [774548]
- H2020 Societal Challenges Programme [774548] Funding Source: H2020 Societal Challenges Programme
This study aims to understand parents' experiences and emotional impact following conversations with primary care nurses about their child's overweight. The findings suggest that nurses can encourage parents to make positive lifestyle changes through supportive and empowering conversations.
Background: In primary healthcare, conversations between clinicians and parents about young children's overweight are key to providing support and initiating weight management. However, given the sensitivity of this topic, these conversations are difficult for both clinicians and parents and are sometimes delayed or avoided. To understand the emotional impact of these conversations, this study aims to shed light on parents' experiences following conversations with primary care nurses about their child's overweight. Methods: Participants were recruited through a childhood obesity randomized controlled trial (RCT) conducted in Sweden. Telephone-based semi-structured interviews were conducted with 17 parents (mean age 40; the majority were women (n = 12/17), had a university degree (n = 14/17) and were born in Sweden (n = 13/16)). Their children were between 3 and 7 years old (mean age 4.8 years) with overweight (n = 7) or obesity (n = 10). The interviews were recorded, transcribed, and analyzed using thematic analysis. Results: Two main themes were developed. Theme 1,'Receiving the overweight/obesity diagnosis', explores parents' reactions to the conversation with the primary care nurse. Depending on how the nurse presented the topic, conversations either fostered an alliance between the parent and the nurse, encouraging parents to reflect and develop insights about the child's and the family's needs (subtheme Conversations that empower), or felt limited, uncomfortable, or belittling (subtheme Conversations that provoke resistance). Theme 2, 'Parenting a child with a formal diagnosis of obesity', explores challenges parents faced following the weight conversations, including managing their own feelings and concerns (subtheme Fear of transferring weight anxiety), dealing with others' reactions (subtheme Involve family and manage surroundings) and asking for and receiving support from health care professionals (subtheme Obtain support from health care professionals). Conclusions: While conversations with primary care nurses about children's weight were often emotional, most parents felt these conversations were ultimately helpful, as they encouraged them to enact positive lifestyle changes. Importantly, when nurses initiated conversations in a responsive, non-blaming way, inviting parents to reflect on their situation, parents felt more supported and empowered. These findings convey the importance of providing communication skills training to pediatric healthcare professionals, with particular focus on childhood overweight and obesity.
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