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Big hearts, small hands: a focus group study exploring parental food portion behaviours
Kristina Curtis1, Louise Atkins2, Katherine Brown3
1Behaviour & Interventions Research, Faculty of Health & Life Sciences, Coventry University (Joint with Public Health Warwickshire), Mile Lane, Coventry, CV1 2NL, UK. kristina.curtis@coventry.ac.uk.
BMC Public Health
|September 20, 2017
Summary
Understanding parents' portion control for childhood weight management requires addressing internal, social, and environmental factors. This study used the COM-B model and Theoretical Domains Framework to identify key influences on parents' behaviors.
Area of Science:
- Behavioral Science
- Public Health
- Childhood Obesity
Background:
- Establishing healthy food portion sizes is crucial for managing childhood weight.
- Factors influencing parents' portion control behaviors are not well understood.
- Existing behavior change theories often overlook affective and habitual influences.
Purpose of the Study:
- To identify theoretically derived influences on parents' portion control behaviors using the COM-B model and Theoretical Domains Framework (TDF).
- To examine a broad spectrum of factors, including emotional and habitual influences, affecting parents' portion control.
Main Methods:
- Six focus groups were conducted with caseworkers and parents of children with overweight or healthy weight.
- Thematic analysis was performed on the focus group data.
- The COM-B model and TDF were utilized as coding frameworks for analysis.
Main Results:
- Behavioral analysis indicated a need for change across all three COM-B domains and nine TDF domains.
- Parents' internal processes (emotions, habits, beliefs), social influences (partners, grandparents), and environmental factors (household objects) impact portion control.
- These factors interact to influence portion size behaviors within the home environment.
Conclusions:
- This study is the first to apply COM-B/TDF frameworks to childhood weight management.
- Findings provide novel targets for intervention development to improve parental portion control.
- Future research should explore mediating and moderating effects of identified variables.
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