The use of behavioural change techniques in treatment of paediatric obesity: qualitive evaluation of parental perspectives on treatment

L. Stewart, J. Chapple, Adrienne Hughes, V. Poustie, John J Reilly

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background Treatment for childhood obesity is characterized by nonattendance and widespread failure to achieve weight maintenance. The use of behavioural change methods is suggested for engaging families in changing lifestyles. Qualitative methods may improve understanding of patient perceptions, thus improving treatment. The present study aimed to explore the thoughts and feelings of parents whose children had undertaken dietetic consultations either employing behavioural change techniques or delivered by dietitians with no formal training in these techniques. The study used purposive sampling, interviewing 17 parents of children attending 6-month outpatient treatments for obesity (body mass index > 98th percentile). Parent’s perceptions of the dietetic treatment were explored by in-depth interviews and analysed using Framework methods.

Results Parents who had taken part in the behavioural change techniques applauded the process, finding it child-friendly and talked of ‘forming a partnership’. Conversely, standard care treatment was less well received. Developing a rapport with the dietitian was significant for the parents in their perception of a positive experience.

Conclusions The present study may help inform future treatments for childhood obesity by providing insights into the aspects of treatment and approaches applauded by parents. It highlights the possible value of use of behavioural change skills by dietitians to engage with families of obese children.

LanguageEnglish
Pages464-473
Number of pages10
JournalJournal of Human Nutrition and Dietetics
Volume21
Issue number5
DOIs
Publication statusPublished - Oct 2008

Fingerprint

Pediatric Obesity
Parents
Nutritionists
Dietetics
Therapeutics
Life Style
Teaching
Emotions
Body Mass Index
Outpatients
Referral and Consultation
Obesity
Maintenance
Interviews
Weights and Measures

Keywords

  • childhood obesity
  • exercise
  • paediatric obesity
  • behavioural change
  • childhood
  • obesity
  • parents
  • training
  • treatment

Cite this

@article{eb4e46b0dc084207906b528667949cc5,
title = "The use of behavioural change techniques in treatment of paediatric obesity: qualitive evaluation of parental perspectives on treatment",
abstract = "Background Treatment for childhood obesity is characterized by nonattendance and widespread failure to achieve weight maintenance. The use of behavioural change methods is suggested for engaging families in changing lifestyles. Qualitative methods may improve understanding of patient perceptions, thus improving treatment. The present study aimed to explore the thoughts and feelings of parents whose children had undertaken dietetic consultations either employing behavioural change techniques or delivered by dietitians with no formal training in these techniques. The study used purposive sampling, interviewing 17 parents of children attending 6-month outpatient treatments for obesity (body mass index > 98th percentile). Parent’s perceptions of the dietetic treatment were explored by in-depth interviews and analysed using Framework methods.Results Parents who had taken part in the behavioural change techniques applauded the process, finding it child-friendly and talked of ‘forming a partnership’. Conversely, standard care treatment was less well received. Developing a rapport with the dietitian was significant for the parents in their perception of a positive experience.Conclusions The present study may help inform future treatments for childhood obesity by providing insights into the aspects of treatment and approaches applauded by parents. It highlights the possible value of use of behavioural change skills by dietitians to engage with families of obese children.",
keywords = "childhood obesity, exercise, paediatric obesity, behavioural change, childhood, obesity, parents, training, treatment",
author = "L. Stewart and J. Chapple and Adrienne Hughes and V. Poustie and Reilly, {John J}",
year = "2008",
month = "10",
doi = "10.1111/j.1365-277X.2008.00888.x",
language = "English",
volume = "21",
pages = "464--473",
journal = "Journal of Human Nutrition and Dietetics",
issn = "0952-3871",
number = "5",

}

TY - JOUR

T1 - The use of behavioural change techniques in treatment of paediatric obesity

T2 - Journal of Human Nutrition and Dietetics

AU - Stewart, L.

AU - Chapple, J.

AU - Hughes, Adrienne

AU - Poustie, V.

AU - Reilly, John J

PY - 2008/10

Y1 - 2008/10

N2 - Background Treatment for childhood obesity is characterized by nonattendance and widespread failure to achieve weight maintenance. The use of behavioural change methods is suggested for engaging families in changing lifestyles. Qualitative methods may improve understanding of patient perceptions, thus improving treatment. The present study aimed to explore the thoughts and feelings of parents whose children had undertaken dietetic consultations either employing behavioural change techniques or delivered by dietitians with no formal training in these techniques. The study used purposive sampling, interviewing 17 parents of children attending 6-month outpatient treatments for obesity (body mass index > 98th percentile). Parent’s perceptions of the dietetic treatment were explored by in-depth interviews and analysed using Framework methods.Results Parents who had taken part in the behavioural change techniques applauded the process, finding it child-friendly and talked of ‘forming a partnership’. Conversely, standard care treatment was less well received. Developing a rapport with the dietitian was significant for the parents in their perception of a positive experience.Conclusions The present study may help inform future treatments for childhood obesity by providing insights into the aspects of treatment and approaches applauded by parents. It highlights the possible value of use of behavioural change skills by dietitians to engage with families of obese children.

AB - Background Treatment for childhood obesity is characterized by nonattendance and widespread failure to achieve weight maintenance. The use of behavioural change methods is suggested for engaging families in changing lifestyles. Qualitative methods may improve understanding of patient perceptions, thus improving treatment. The present study aimed to explore the thoughts and feelings of parents whose children had undertaken dietetic consultations either employing behavioural change techniques or delivered by dietitians with no formal training in these techniques. The study used purposive sampling, interviewing 17 parents of children attending 6-month outpatient treatments for obesity (body mass index > 98th percentile). Parent’s perceptions of the dietetic treatment were explored by in-depth interviews and analysed using Framework methods.Results Parents who had taken part in the behavioural change techniques applauded the process, finding it child-friendly and talked of ‘forming a partnership’. Conversely, standard care treatment was less well received. Developing a rapport with the dietitian was significant for the parents in their perception of a positive experience.Conclusions The present study may help inform future treatments for childhood obesity by providing insights into the aspects of treatment and approaches applauded by parents. It highlights the possible value of use of behavioural change skills by dietitians to engage with families of obese children.

KW - childhood obesity

KW - exercise

KW - paediatric obesity

KW - behavioural change

KW - childhood

KW - obesity

KW - parents

KW - training

KW - treatment

U2 - 10.1111/j.1365-277X.2008.00888.x

DO - 10.1111/j.1365-277X.2008.00888.x

M3 - Article

VL - 21

SP - 464

EP - 473

JO - Journal of Human Nutrition and Dietetics

JF - Journal of Human Nutrition and Dietetics

SN - 0952-3871

IS - 5

ER -