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Health professional perspectives on lifestyle behaviour change in the paediatric hospital setting: a qualitative

Laura Elwell1, Jane Powell, Sharon Wordsworth

  • 1Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Whittal Street, Birmingham B4 6NH, UK. laura.elwell@bch.nhs.uk.

BMC Pediatrics
|March 14, 2014
PubMed

Insights

Implementing lifestyle behaviour change brief advice in children's hospitals faces barriers and facilitators. Understanding these factors is crucial for effective paediatric healthcare professional training and support.

Area of Science:

  • Paediatric Healthcare
  • Health Behaviour Change Interventions
  • Implementation Science

Background:

  • Existing research on lifestyle behaviour change initiatives primarily focuses on primary care and adult hospital settings.
  • Limited understanding of specific challenges in implementing these interventions within acute paediatric environments.

Purpose of the Study:

  • To identify barriers and facilitators to implementing routine lifestyle behaviour change brief advice in an acute children's hospital setting.

Main Methods:

  • Qualitative study involving interviews with 33 health professionals (nurses, doctors, allied health, support staff) in a UK children's hospital.
  • Thematic framework analysis was used to analyze interview responses regarding attitudes towards lifestyle behaviour change support.

Main Results:

  • Key barriers and facilitators included personal experience, hospital environment constraints, patient condition appropriateness, job role priorities, and perceived benefits.
  • Lifestyle behaviour change advice was often perceived as educational rather than a direct behaviour change activity.

Conclusions:

  • Understanding factors for successful delivery of lifestyle behaviour change support is essential for effective implementation in paediatric acute settings.
  • Paediatric health professionals may require additional support and training to effectively implement these interventions.
Abstract

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