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.

Anales De Pediatria
|August 7, 2021
PubMed

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.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
782
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
125
Study Designs in Epidemiology01:20

Study Designs in Epidemiology

Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
530
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.6K
Binge Eating Disorders01:23

Binge Eating Disorders

Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
226
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
1.8K