Pediatricians' Communication About Weight With Overweight Latino Children and Their Parents

Turer, Christy B.; Montaño, Sergio; Lin, Hua; Hoang, Kim; Flores, Glenn

doi:10.1542/peds.2014-1282

Cited by 18 publications

(24 citation statements)

References 28 publications

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“…The lived experience literature recommended that HCPs should ensure that their communication (verbal and non‐verbal) conveys respect, trust, openness and sensitivity to cultural values . Some authors suggested that HCPs use parents’ non‐verbal cues (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Both parents and HCPs recommended using communication tools, such as growth charts, pictures and handouts as a non‐judgmental way to facilitate conversations about a child's weight status , although the exact nature of the tools varied. Such visual tools were especially recommended when a HCP is not fluent in the client/family's native language . Using tools may also help HCPs provide a rationale for the changes in behaviour that they are recommending , e.g.…”

Section: Resultsmentioning

confidence: 99%

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Communicating with children and families about obesity and weight‐related topics: a scoping review of best practices

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Communicating with children and families about obesity and weight‐related topics: a scoping review of best practices

et al. 2016

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“…To our knowledge, only one study has examined the healthcare provider communication experiences of parents of minority children with obesity during weight management conversations. This study, conducted among Latino parents, found that pediatricians frequently use stigmatizing terms like “fat” to describe the child’s body and rarely discuss culturally relevant dietary recommendations [31]. …”

Section: Introductionmentioning

confidence: 99%

The association between parent-reported provider communication quality and child obesity status: Variation by parent obesity and child race/ethnicity

Wong

Showell

Bleich

et al. 2017

Patient Education and Counseling

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Objective To examine the association between healthcare provider communication quality and child obesity status, and the role of parent obesity and child race/ethnicity regarding this association Methods We conducted a cross-sectional secondary data analysis with the 2011–2013 Medical Expenditures Panel Survey of parents with children ages 6–12 (n = 5,390). We used multivariable logistic regression to examine the association of parent-reported healthcare provider communication quality (explaining well, listening carefully, showing respect, and spending enough time) with child obesity status, and effect modification by parent obesity and child race/ethnicity. Results Parents of obese children were more likely to report that their child’s healthcare provider listened carefully (OR=1.41, p=0.002) and spent enough time (OR=1.33, p=0.022) than parents of non-obese children. Non-obese parents of obese children experienced better communication in the domains of listening carefully (p<0.001) and spending enough time (p=0.007). Parents of obese non-Hispanic Asian children and non-Hispanic Black children were more likely to report that providers explained things well (p=0.043) and listened carefully (p=0.012), respectively. Conclusion Parents of obese children experienced better communication if parents were non-obese or children were non-Hispanic Black or Asian. Practice implications Healthcare providers should ensure effective communication with obese parents of obese children.

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“…Childhood obesity is strongly associated with multiple comorbid problems, such as high blood pressure, hyperlipidemia, dysglycemia, poor health status, and emotional/behavioral problems 9-10,12 ; however, rates of risk-factor screening and communication appear to be suboptimal, according to data from a cross-sectional study of video-recorded provider-patient communication regarding weight-management: providers discussed family history in 35% of visits, communicated abnormal physical-exam findings in 42% of visits, and recommended obesity-related laboratory studies in 62% of visits. 13 The study findings suggest that performing risk-factor screening and result communication may help providers partner with parents and overweight children on weight management.…”

Section: Discussionmentioning

confidence: 87%

Primary-Care Weight-Management Strategies: Parental Priorities and Preferences

Turer

Upperman

Merchant

et al. 2016

Academic Pediatrics

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Objective Examine parental perspectives/rankings of the most important weight-management clinical practices; and, determine whether preferences/rankings differ when parents disagree that their child is overweight. Methods Mixed-methods analysis of a 32-question survey of parents of 2-18 year-old overweight children assessing parental agreement that their child is overweight, the single most important thing providers can do to improve weight status, ranking AAP-recommended clinical practices, and preferred follow-up interval. Four independent reviewers analyzed open-response data to identify qualitative themes/subthemes. Multivariable analyses examined parental rankings, preferred follow-up interval, and differences by agreement with their child’s overweight assessment. Results Thirty-six percent of 219 children were overweight, 42% were obese, and 22% severely obese; 16% of parents disagreed with their child’s overweight assessment. Qualitative analysis of the most important practice to help overweight children yielded 10 themes; unique to parents disagreeing with their children’s overweight assessments was, “change weight-status assessments.” After adjustment, the three highest-ranked clinical practices included, “check for weight-related problems,” “review growth chart,” and “recommend general dietary changes” (all P<.01);” parents disagreeing with their children’s overweight assessments ranked “review growth chart” as less important, and “reducing screen time” and “general activity changes” as more important. The mean preferred weight-management follow-up interval (10-12 weeks) did not differ by agreement with children’s overweight assessments. Conclusions Parents prefer weight-management strategies that prioritize evaluating weight-related problems, growth-chart review, and regular follow-up. Parents who disagree that their child is overweight want changes in how overweight is assessed. Using parent-preferred weight-management strategies may prove useful in improving child weight status.

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Pediatricians' Communication About Weight With Overweight Latino Children and Their Parents

Cited by 18 publications

References 28 publications

Communicating with children and families about obesity and weight‐related topics: a scoping review of best practices

Communicating with children and families about obesity and weight‐related topics: a scoping review of best practices

The association between parent-reported provider communication quality and child obesity status: Variation by parent obesity and child race/ethnicity

Primary-Care Weight-Management Strategies: Parental Priorities and Preferences

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