儿童肥胖预防：父亲与医疗保健提供者的思考。
Childhood obesity prevention: fathers' reflections with healthcare providers.
机构信息
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
出版信息
Child Obes. 2013 Apr;9(2):137-43. doi: 10.1089/chi.2012.0111. Epub 2013 Mar 8.
BACKGROUND
To prevent childhood obesity, parents and their children's healthcare providers need to engage in effective dialogue. We know much about mothers' experiences, but very little about fathers' experiences.
METHODS
We explored African-American, Caucasian, and Latino fathers' perceptions and experiences communicating with their children's provider during clinic visits regarding weight, diet, and physical activity. Focus groups (n=3), grouped by race/ethnicity, including a total of 24 fathers, were conducted. The men were asked open-ended questions; responses were recorded and transcribed, and analyzed using ATLAS.ti.
RESULTS
Findings revealed that these fathers were involved in their children's healthcare and found providers to be helpful partners in keeping their children healthy, yet they generally felt "left out" during clinic appointments. The quality of the relationship with their children's provider influenced how receptive fathers were to discussing their children's weight, diet, and physical activity behaviors. Fathers made suggestions to help improve communication between providers and fathers, such as personalizing the discussion.
CONCLUSIONS
These fathers expressed strong feelings about the provider-parent relationship when discussing weight, diet, and physical activity.
背景
为了预防儿童肥胖，父母及其子女的医疗保健提供者需要进行有效的对话。我们对母亲的经验了解很多，但对父亲的经验却知之甚少。
方法
我们探讨了非裔美国人、白人和拉丁裔父亲在诊所就诊时与子女提供者就体重、饮食和身体活动进行沟通的看法和经验。通过按种族/族裔分组的焦点小组（n=3），共包括 24 位父亲，提出了开放式问题；记录并转录了回答，并使用 ATLAS.ti 进行了分析。
结果
研究结果表明，这些父亲参与了子女的医疗保健，并且发现提供者是帮助他们保持子女健康的有益伙伴，但他们在就诊时普遍感到“被排斥在外”。与子女提供者的关系质量影响了父亲对讨论子女体重、饮食和身体活动行为的接受程度。父亲提出了一些建议，以帮助改善提供者与父亲之间的沟通，例如个性化讨论。
结论
在讨论体重、饮食和身体活动时，这些父亲对提供者-家长关系表达了强烈的看法。
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