Barriers to successful recruitment of parents of overweight children for an obesity prevention intervention: a qualitative study among youth health care professionals
Barriers to successful recruitment of parents of overweight children for an obesity prevention intervention: a qualitative study among youth health care professionals
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DOI：
10.1186/1471-2296-13-37
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发表时间：
2012-05-16
影响因子：
2.9
通讯作者：
Kremers, Stef P. J.
中科院分区：
文献类型：
--
作者：
Gerards, Sanne M. P. L.;Dagnelie, Pieter C.;Kremers, Stef P. J.
背景：招募儿童超重和肥胖预防干预的参与者可能是具有挑战性的。这项研究的目的是确定荷兰青年保健(YHC)专业人员在推荐超重儿童的父母进行肥胖预防干预时所感知的障碍。方法：来自11家儿童保健诊所的16名YHC专业人员(护士、医生和管理人员)参加了半结构化访谈。以干预实施模式为框架，对访谈结果进行分析和解读。结果：青年会所有专业人员都将儿童肥胖和预防超重、肥胖作为青年会的重要任务。就频率和感知影响而言，让超重儿童的父母接受干预的最重要障碍因素是父母否认超重问题，以及他们拒绝讨论体重问题。一些青年会专业人员表示，他们在讨论体重问题时的沟通能力有待提高，也有专业人士提到他们提出这一话题时的自我效能感较低。结论：我们认为青年会专业人员应接受更多的培训，以提高他们的自我效能感和技能，以激励超重儿童的父母参与肥胖预防干预。此外，父母对孩子超重的认识应该在未来的研究中得到解决。
Background: The recruitment of participants for childhood overweight and obesity prevention interventions can be challenging. The goal of this study was to identify barriers that Dutch youth health care (YHC) professionals perceive when referring parents of overweight children to an obesity prevention intervention.Methods: Sixteen YHC professionals (nurses, physicians and management staff) from eleven child health clinics participated in semi-structured interviews. An intervention implementation model was used as the framework for conducting, analyzing and interpreting the interviews.Results: All YHC professionals were concerned about childhood obesity and perceived prevention of overweight and obesity as an important task of the YHC organization. In terms of frequency and perceived impact, the most important impeding factors for referring parents of overweight children to an intervention were denial of the overweight problem by parents and their resistance towards discussing weight issues. A few YHC professionals indicated that their communication skills in discussing weight issues could be improved, and some professionals mentioned that they had low self-efficacy in raising this topic.Conclusions: We consider it important that YHC professionals receive more training to increase their self-efficacy and skills in motivating parents of overweight children to participate in obesity prevention interventions. Furthermore, parental awareness towards their child's overweight should be addressed in future studies.