Paediatric teams in front of childhood obesity: A qualitative study within the STOP project

Argelich, Emma; Alemany, Maria Elòdia; Amengual-Miralles, Bàrbara; Argüelles, Rosmery; Bandiera, Darina; Barceló, María Antònia; Beinbrech, Beatrice; Bouzas, Cristina; Capel, Paula; Cerdà, Apol.lònia; Colom, Marina; Corral, Helena del; Sotto-Esteban, Diego de; Fleitas, Gabriela; Garcias, Catalina; Juan, Dolors; Juan, Joana; Matéos, David; Martín, María Isabel; Martínez, Maria Àngels; Minguez, Marta Pardos; Moncada, Efrén; Nadal, Maria; Pont, Jerònia M.; Puigserver, Bernat; Suñer, Claudia A.; Ugarriza, Lucía; Yeste, David; Yeste, Sonia; Tur, Josep A.

doi:10.1016/j.anpede.2020.11.004

Cited by 5 publications

(5 citation statements)

References 46 publications

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“…This suggests a potential need for additional training support for HCPs who treat ALwO. In a previous qualitative questionnaire‐based study in Spain, pediatric staff treating obesity indicated that there was a particular need for training on motivational skills, as opposed to clinical knowledge 21 …”

Section: Discussionmentioning

confidence: 99%

Misalignment among adolescents living with obesity, caregivers, and healthcare professionals: ACTION Teens global survey study

et al. 2022

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Summary Background There is limited evidence regarding the experiences, challenges, and needs of adolescents living with obesity (ALwO), their caregivers, and healthcare professionals (HCPs). Objectives The cross‐sectional, survey‐based global ACTION Teens study aimed to identify perceptions, attitudes, behaviours, and barriers to effective obesity care among ALwO, caregivers of ALwO, and HCPs. Methods ALwO (aged 12 to <18 years; N = 5275), caregivers (N = 5389), and HCPs treating ALwO (N = 2323) from 10 countries completed an online survey (August–December 2021). Results Most ALwO perceived their weight as above normal (76% vs. 66% of caregivers), were worried about its impact on their health (85% vs. 80% of caregivers), and recently made a weight loss attempt (58%). While 45% of caregivers believed ALwO would slim down with age, only 24% of HCPs agreed. Most commonly reported weight loss motivators for ALwO were wanting to be more fit/in better shape according to ALwO (40%) and caregivers (32%), and improved confidence/social life according to HCPs (69%). ALwO weight loss barriers included lack of hunger control (most commonly reported by ALwO/caregivers), lack of motivation, unhealthy eating habits (most commonly agreed by HCPs), and lack of exercise. Conclusions Misalignment between ALwO, caregivers, and HCPs—including caregivers' underestimation of the impact of obesity on ALwO and HCPs' misperception of key motivators/barriers for weight loss—suggests a need for improved communication and education.

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Section: Discussionmentioning

confidence: 99%

Misalignment among adolescents living with obesity, caregivers, and healthcare professionals: ACTION Teens global survey study

et al. 2022

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“…This dissonance between knowledge and action may be related to a training gap in the practicalities of providing HLC support and helping motivate their patients to make lifestyle changes. 24 This was mirrored in recent qualitative research that found HCPs were enthusiastic about providing HLC mostly due to the skills they had acquired from HLC training. 24 In our study, skills and knowledge were major facilitators of HLC provision which is in line with previous research.…”

Section: Discussionmentioning

confidence: 91%

“…24 This was mirrored in recent qualitative research that found HCPs were enthusiastic about providing HLC mostly due to the skills they had acquired from HLC training. 24 In our study, skills and knowledge were major facilitators of HLC provision which is in line with previous research. 28,29 We found that HCPs with prior training tended to provide more HLC than HCPs without training, highlighting the importance of education in empowering HCPs to initiate health behaviour discussions with their patients.…”

Section: Discussionmentioning

confidence: 91%

“…Most HCPs in this study considered counselling on weight important, a nding that is consistent with other research in this area. 24,25 However, they did not have high con dence in broaching the topic of weight with their patients. This is in contrast to a recent survey of HCPs of adolescents living with obesity in which 82% of HCPs reported feeling very or somewhat comfortable discussing weight with patients and their patients' caregivers.…”

Section: Discussionmentioning

confidence: 96%

“…Another obstacle to HLC provision identi ed in this study was time constraints, consistent with existing literature. 12,13,24 To address this barrier, it may be useful to transfer some of the data gathering that informs HLC to support staff. For example, administrative staff could provide patients and their families with health behaviour questionnaires to complete while waiting for their appointment, and they could also be tasked with providing speci c resources and further information related to health behaviour change programs in the community.…”

Section: Discussionmentioning

confidence: 99%

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Barriers and facilitators to healthy living counselling in Canadian pediatric tertiary care: a survey of healthcare providers

Sweeney-Magee,

Nugent,

Pinkney

et al. 2023

Preprint

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Background: The purpose of this study is to gather HCPs’ perspectives on current practices and attitudes to Healthy Living Counselling (HLC), along with identifying barriers and facilitators to delivering HLC during clinical encounters. Methods: A 39-item HCP Needs Assessment Survey was administered to 705 HCPs in the Pediatric Department of a tertiary pediatric hospital in British Columbia, Canada. The survey received 290 responses, resulting in a final sample size of 244 after applying exclusion criteria. Frequencies and proportions were reported. Linear regression and chi-squared tests were used to analyze associations between responses. Results: HCPs reported frequent measurement of height, weight, and BMI and supported addressing health behaviours with their patients. However, assessments of healthy living behaviours (e.g., physical activity, healthy eating, screen time) were reported as occurring "rarely/half of patient visits." HLC was more commonly provided to patients perceived as overweight/obese (19.4% for most/every visit) than those with healthy weights (7.7%). While HCPs exhibited confidence in discussing health behaviours, they had lower confidence in broaching weight-specific issues. Both practical (time constraints, available support) and interpersonal (therapeutic relationship concerns) barriers to HLC provision were identified. Conclusion: This study highlights the recognition among HCPs of the importance of HLC provision, along with a desire for improved training opportunities to enhance their skills. Future possible interventions include motivational interviewing and weight stigma training to bolster HCPs' confidence and efficacy in delivering HLC. These findings contribute valuable insights for enhancing HCPs' abilities and willingness to promote healthy living behaviours among pediatric patients.

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Public health nurses’ experiences following up children with overweight and obesity according to national guidelines. A qualitative study

Nygaard,

Øen

2024

International Journal of Qualitative Studies on Health and Well

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Purpose This study aimed to develop knowledge of how the follow-up regarding overweight and obesity among children in primary school is experienced by the PHN and how the guidelines may be used to improve health services in this follow-up. Methods We analysed semi-structured interviews of 9 PHNs using qualitative content analysis. Results Two themes emerged: Following up with children with overweight and obesity is an important but challenging duty; The PHNs call for clearer guidelines. Following five sub-themes: PHNs strive to adhere to the guidelines, show compassion in the follow-up, have difficulty handling parents’ feelings and reactions, feel alone with the responsibility, and have suggestions for clearer guidelines. Conclusions PHNs call for enough resources to communicate the results of the child’s weight in a sufficient form. PHNs and families should establish common goals. The PHN should avoid one-way communication but meet the parents’ concerns and needs. This requires the PHN to focus on building a secure relation to the child and the families, as described by Peplau. Guidelines must include instructions and tools on how to communicate and meet the family’s concerns. Political action and increased funding could strengthen the follow-up and thereby prevent more obesity among children, which can be a predictor of poorer health outcomes later in life.

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Paediatric teams in front of childhood obesity: A qualitative study within the STOP project

Cited by 5 publications

References 46 publications

Misalignment among adolescents living with obesity, caregivers, and healthcare professionals: ACTION Teens global survey study

Misalignment among adolescents living with obesity, caregivers, and healthcare professionals: ACTION Teens global survey study

Barriers and facilitators to healthy living counselling in Canadian pediatric tertiary care: a survey of healthcare providers

Public health nurses’ experiences following up children with overweight and obesity according to national guidelines. A qualitative study

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