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Paediatric teams in front of childhood obesity: A qualitative study within the STOP project
Emma Argelich1, Maria Elòdia Alemany2, Bàrbara Amengual-Miralles3
1CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; Grupo de investigación en Nutrición Comunitaria y Estrés Oxidativo, Universidad de las Islas Baleares & IDISBA, Palma de Mallorca, Spain; Hospital de Manacor, Manacor, Spain.
Insights
Pediatric staff understand childhood obesity treatment but need motivation training. Effective care requires parental recognition of the problem and a trusting relationship, overcoming health system barriers.
Area of Science:
- Pediatric healthcare
- Public health
- Childhood obesity management
Background:
- Childhood overweight and obesity present a significant public health challenge.
- Effective support for families requires understanding factors influencing care approaches.
- Addressing childhood obesity necessitates insights into healthcare provider perspectives.
Purpose of the Study:
- To evaluate pediatric healthcare staff attitudes and feelings regarding childhood obesity discussions with parents.
- To identify perceived barriers and facilitators to effective childhood obesity care.
- To explore strategies for improving pediatric staff-parent interactions on obesity.
Main Methods:
- Qualitative study utilizing semi-structured interviews with 57 pediatric staff (pediatricians, nurses) in Mallorca.
- Participants were from primary healthcare centers and hospitals.
- Thematic analysis was employed to interpret the qualitative data.
Main Results:
- Key themes included parental attitudes towards childhood obesity, parental help-seeking behaviors, and pediatric staff approaches to discussing obesity.
- Sub-themes revealed parental awareness and requests for assistance.
- Barriers identified involved health system limitations, teamwork, health policy, and family participation.
Conclusions:
- Pediatric staff possess knowledge for treating childhood obesity but require enhanced training in motivational techniques.
- Building parental recognition of the problem and fostering trust are crucial for effective therapy.
- Systemic barriers within the healthcare system impede pediatric personnel's ability to manage childhood obesity effectively.
Introduction:
Understanding the underlying factors that influence the approach to overweight and obesity in children is basic to best support families searching a solution to this important public health problem.
Objective:
To assess attitudes and feelings of paediatric staff in addressing overweight and childhood obesity to parents, exploring perceived barriers and facilitators, for an effective care.
Participants And Method:
Qualitative study by means of individual semi-structured questionnaires of paediatric staff (paediatricians and paediatrician nurses; n = 57; 68% female) of primary health care centres and hospitals in Mallorca. Thematic analysis was done.
Results:
Three themes emerged from the data: "Parents' attitude in childhood obesity" (sub-themes "The conscience of parents", "The parents ask for help"), "Paediatric staff and childhood obesity" (sub-themes "Approaching to the problem: The interview with parents", "Looking together for the solution"), and "System barriers" (sub-themes "Improving teamwork and health policy", "Family participation in addressing childhood obesity").
Conclusions:
Paediatric staffs know how to treat childhood obesity, but demand training on motivation. Effectivity on therapy of childhood obesity will be obtained after parents/carers recognize the problem and establish a trustful relationship with paediatric staff. The health system is still a barrier to the activity of paediatric personnel.
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