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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Exploring the basis for parents' negative reactions to being informed that their child is overweight
Fiona Gillison1, Fay Beck1, Joanna Lewitt2
11 Department for Health, University of Bath, Bath BA2 7AY, UK.
Insights
Parents often reject feedback about their child's weight due to distrust in measurements and concerns about health and eating disorders. Improving communication strategies is key to better parental engagement in childhood obesity initiatives.
Area of Science:
- Public Health
- Childhood Obesity Research
- Parental Engagement Strategies
Background:
- Parental awareness is crucial for addressing childhood obesity.
- Negative parental reactions to weight feedback can impede engagement with health services.
Purpose of the Study:
- To understand parents' negative reactions to childhood weight feedback.
- To inform the design of more acceptable services for parents.
Main Methods:
- Qualitative analysis of open-ended survey responses from parents.
- Postal questionnaire distributed to parents in one UK local authority.
Main Results:
- 14% of eligible parents responded; 43/45 rejected the feedback.
- Reasons for rejection included distrust in measurement, downplaying importance of weight, and fear of triggering eating disorders.
- Parents perceived feedback as criticism of their parenting skills.
Conclusions:
- Tailor communication letters to parents.
- Provide information on weight importance separate from lifestyle factors.
- Address parental concerns regarding discussing weight with children to mitigate risks of eating disorders.
Objective:
Increasing parental awareness of childhood obesity is an important part of tackling the issue. However, parents' negative reactions to being informed that their children are overweight or obese can hinder their engagement with relevant services. The present study aimed to develop a deeper understanding of why parents react negatively, to help commissioners and service providers design services that are more acceptable to them.
Design:
Open, qualitative responses to a survey were collected using a postal questionnaire. Responses were analysed using content analysis.
Setting:
One local authority in south-west England.
Subjects:
The sample frame included all parents receiving letters informing them that their child was overweight (91st-98th centile) or very overweight (98th-100th centile) through the UK National Child Measurement Programme in 2012.
Results:
Forty-five of 313 eligible parents (14 %) responded to the survey, of whom forty-three rejected either to the judgement that their child was overweight and/or being provided with this feedback. Primary reasons for objection included: lack of trust in the measures used, lack of belief that being overweight is important for children's health (relative to a healthy lifestyle), and fear that discussing weight with children will trigger eating disorders. In addition, parents' responses suggested that they considered receiving this feedback to be a criticism of their parenting skills.
Conclusions:
Overall, three areas for improving communication with parents were suggested: tailoring letters; providing information about the importance of weight independently of lifestyle; and addressing parents' concerns about the risks of talking to children about their weight.
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