Health Care Providers' Perspectives on Family Compliance and Behavior Change in a Childhood Obesity Program

Autor/inn/en	Silver, Michelle Pannor; Cronin, Shawna M.
Titel	Health Care Providers' Perspectives on Family Compliance and Behavior Change in a Childhood Obesity Program
Quelle	In: Health Education & Behavior, 46 (2019) 4, S.582-591 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Silver, Michelle Pannor)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119831053
Schlagwörter	Allied Health Personnel; Compliance (Psychology); Obesity; Family Role; Life Style; Intervention; Child Health; Family Programs; Behavior Change; Low Income Groups; Attitudes; Cultural Influences; Role Models; Parent Role; Foreign Countries; Intergenerational Programs; Canada + Suchen Sie Ihr Suchwort? Adipositas; Lebensstil; Family program; Familienprogramm; Attitude; Einstellung; Verhalten; Cultural influence; Kultureinfluss; Identifikationsfigur; Parental role; Elternrolle; Ausland; Kanada
Abstract	Background: Evidence suggests that children and adolescents growing up in low-income families and those with underrepresented ethnocultural backgrounds tend to have high prevalence rates of obesity and more difficulty adhering to childhood obesity interventions. However, less is known about how intergenerational, family-based approaches to lifestyle interventions for childhood obesity support sustained behavior change. Aims: The aim of this study was to explore the perspectives of health care providers regarding family adherence and behavior change in a childhood obesity program that served ethnoculturally diverse and low-income families. Method: Semistructured in-person interviews were conducted with 18 providers at one of three hospitals participating in a Canadian family-based childhood obesity program. Data were thematically analyzed using a constant comparative approach. Results: The following key themes emerged as challenges from the provider's perspective for family adherence and behavior modification in the childhood obesity program: divergent views about obesity, complicated lives and logistical priorities, parental role modeling, and intergenerational tensions. Discussion and Conclusion: This examination of providers' perspectives on family adherence and behavior modification relevant to the management of childhood obesity highlight the importance of tailoring childhood obesity programs to the complex and diverse needs of families from diverse backgrounds. Recommendations include methods of service delivery that address logistical challenges and are better suited to extended families, particularly grandparents. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01