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Barriers and facilitators to health care professionals discussing child weight with parents: A meta-synthesis of qualitative studies

Bradbury, D, Chisholm, A, Watson, PM, Bundy, C, Bradbury, N and Birtwistle, SB Barriers and facilitators to health care professionals discussing child weight with parents: A meta-synthesis of qualitative studies. British Journal of Health Psychology. ISSN 1359-107X (Accepted)

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Abstract

Introduction: Childhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children’s weight-related behaviours, good communication between parents and Health Care Professionals (HCPs) is essential. This systematic review provides a meta-synthesis of qualitative studies exploring the barriers and facilitators experienced by HCPs when discussing child weight with parents. Methods: Searches were conducted using the following databases; Medline (OVID), Psych INFO (OVID), EMBASE (OVID), Web of Knowledge and CINHAL. 13 full-text qualitative studies published in English language journals since 1985 were included. Included studies collected data from HCPs (e.g. nurses, doctors, dieticians, psychologists and clinical managers) concerning their experiences of discussing child weight-related issues with parents. An inductive thematic analysis was employed to synthesise findings. Findings: Emerging sub themes were categorised using a socio-ecological framework into intra/inter-personal factors, organisational factors and societal factors. Perceived barriers and facilitators most commonly related to intra/inter-personal level factors i.e. relating to staff factors, parental factors or professional-parent interactions. HCPs also attributed a number of barriers, but not facilitators, at the organisational and societal levels. Conclusion: The findings of this review may help to inform the development of future weight-related communication interventions. Whilst intra/inter-personal interventions may go some way to improving health care practice, it is crucial that all stakeholders consider the wider organisational and societal context in which these interactions take place.

Item Type: Article
Uncontrolled Keywords: 1701 Psychology, 1117 Public Health And Health Services, 1608 Sociology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Sport & Exercise Sciences
Publisher: Wiley
Date Deposited: 18 Apr 2018 10:48
Last Modified: 18 Oct 2018 04:31
URI: http://researchonline.ljmu.ac.uk/id/eprint/8511

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