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Challenges of implementing routine health behavior change support in a children's hospital setting
Laura Elwell1, Jane Powell2, Sharon Wordsworth3
1Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, England, UK.
Insights
Implementing health behavior change advice in children's hospitals is challenging due to health professional and patient factors. Targeted training is crucial for pediatric health professionals to improve patient health outcomes.
Area of Science:
- Pediatric Healthcare
- Health Behavior Change
- Implementation Science
Background:
- Health behavior change initiatives often face implementation challenges.
- Integrating brief advice into routine pediatric care requires understanding specific barriers.
Purpose of the Study:
- To explore barriers and facilitators to implementing health behavior change brief advice in a UK children's hospital.
- To identify factors influencing the routine practice of health behavior change support for children.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- 33 health professionals from diverse roles and specialties in a UK children's hospital were interviewed.
Main Results:
- Two key themes emerged: 'health professional knowledge, beliefs and behaviors' and 'patient and family related challenges'.
- Specific challenges include lack of confidence, prioritizing patient relationships, knowledge gaps, and low patient motivation.
Conclusions:
- Pediatric health professionals encounter unique challenges in supporting health behavior change.
- Skills-based training is essential for equipping pediatric professionals to effectively promote health behavior change in young patients and their families.
Objective:
Evidence indicates that health behavior change initiatives are often not implemented successfully. This qualitative study aims to understand the barriers and facilitators to implementation of health behavior change brief advice into routine practice in an acute children's hospital setting.
Methods:
Semi-structured interviews were conducted with health professionals working at a UK children's hospital (n=33). Participants were purposively sampled to incorporate a range of specialties, job roles and training.
Results:
An inductive thematic framework analysis identified two emergent themes. These capture the challenges of implementing routine health behavior change support in a children's hospital setting: (1) 'health professional knowledge, beliefs and behaviors' and (2) 'patient and family related challenges'.
Conclusion:
This study enhances findings from previous research by outlining the challenges pediatric health professionals face in relation to supporting health behavior change. Challenges include failure to assume responsibility, low confidence, prioritization of the health provider relationship with patients and families, health provider and patient knowledge, and low patient and family motivation.
Practice Implications:
Skills-based behavior change training is needed for pediatric health professionals to effectively support health behavior change.
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