"Taking the Snail for a Walk": A Multi-Stakeholder Qualitative Study Exploring Chinese Parents' Feeding Experiences...

Childhood overweight and obesity are major global health concerns. Parents significantly influence children's eating behaviours and weight through feeding practices. In China, limited qualitative research explores parents' lived experiences in this context. This study aimed to examine Chinese parents' feeding experiences, challenges, coping strategies, and support needs in the home environment. A purposive sampling strategy was employed. Qualitative data were collected through semi-structured interviews and focus groups with parents (n = 35), kindergarten teachers (n = 16), and healthcare professionals (n = 11) in China. Data were analysed using reflexive thematic analysis. The Family Systems Theory and Ecological Systems Theory informed the interpretation of the findings. Four key themes were identified: (1) feeding as a dynamic, phased, and adaptive process; (2) feeding can be challenging; (3) multiple feeding strategies as a response to challenges; and (4) opportunities for better supporting parents and families. Parents described an evolving process of feeding, marked by a shift from parent-led approaches toward more balanced and adaptable routines. They encountered challenges, including limited time and knowledge, high expectations, family conflict, and insufficient support. In response, they employed diverse strategies such as acquiring greater knowledge, reflecting on practices, and seeking social support. Many parents also highlighted the need for trustworthy information, professional guidance, structured learning opportunities, and peer support. This study underscores the dynamic and multifaceted nature of parental feeding practices and calls for targeted, contextually appropriate interventions to support Chinese parents in fostering children's healthy eating habits during early childhood.