Parent and child perceptions of school-based obesity prevention in England: a qualitative study.
Parent and child perceptions of school-based obesity prevention in England: a qualitative study.
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DOI：
10.1186/s12889-015-2567-7
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发表时间：
2015-12-09
影响因子：
4.5
通讯作者：
WAVES study trial investigators
中科院分区：
文献类型：
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作者：
Clarke JL;Griffin TL;Lancashire ER;Adab P;Parry JM;Pallan MJ;WAVES study trial investigators
学校是预防儿童肥胖的关键场所，也是许多干预研究的场所。本定性研究旨在探索WAVES研究肥胖预防干预的父母和儿童经验，以了解干预导致行为改变的机制，并提供背景以支持对主要试验结果的解释。焦点小组举行了30名家长和62名儿童（6-7岁）从小学在英国西米德兰兹郡。数据分析（使用NVivo 10进行）由框架方法指导。确定了三个优先主题：“影响”、“可持续性”和“责任”，并在这些主题下确定了分主题。参加者均支持以学校为基础的介入。家长的参与和教师的影响作用被认为是成功地促进一致的信息和使一些家长能够在家中作出积极的行为改变的关键因素。家长们认识到，虽然他们对预防孩子肥胖负有主要责任，但他们在健康生活方式方面面临着许多障碍，并同意学校可以发挥重要作用。这项研究使我们能够更好地了解WAVES研究干预计划的各个方面，这些干预计划有可能在家庭中引发积极的行为变化，并表明多种途径的组合影响了这种变化。途径包括：通过提高儿童和父母的知识和技能来增强能力;通过父母赋权和榜样作用来增强动力;以及直接提供机会，以过上更健康的生活方式。维持行为改变的战略以及学校在支持这些战略方面的作用是重要的考虑因素。
Schools are key settings for childhood obesity prevention, and the location for many intervention studies. This qualitative study aims to explore parent and child experiences of the WAVES study obesity prevention intervention, in order to gain understanding of the mechanisms by which the intervention results in behaviour change, and provide context to support interpretation of the main trial results. Focus groups were held with 30 parents and 62 children (aged 6-7 years) from primary schools in the West Midlands, UK. Data analysis (conducted using NVivo 10) was guided by the Framework Approach. Three over-arching themes were identified: ‘Impact’, ‘Sustainability’ and ‘Responsibilities’, under which sub-themes were determined. Participants were supportive of the school-based intervention. Parental involvement and the influential role of the teacher were seen as key ingredients for success in promoting consistent messages and empowering some parents to make positive behavioural changes at home. Parents recognised that whilst they held the primary responsibility for obesity prevention in their children, they faced a number of barriers to healthier lifestyles, and agreed that schools have an important role to play. This study enabled us to better understand aspects of the WAVES study intervention programme that have the potential to initiate positive behaviour changes in families, and indicated that a combination of pathways influenced such changes. Pathways included: increasing capability through improving knowledge and skills of children and parents; increasing motivation through parental empowerment and role modelling; and the direct provision of opportunities to lead healthier lifestyles. Strategies to sustain behaviour changes, and the school role in supporting these, are important considerations.