Begen Fiona M, Barnett Julie, Barber Miriam, Payne Ros, Gowland M Hazel, Lucas Jane S
Department of Psychology, University of Bath, Claverton Down, Bath, UK.
Creative Research Ltd, Bishops Castle, UK.
BMC Public Health. 2017 Jul 20;18(1):38. doi: 10.1186/s12889-017-4594-z.
For parents and caregivers of food hypersensitive (FH) children, accommodating their child's dietary needs when eating out can be a challenging experience. This study explored caregivers' experiences and behaviours when eating out with their FH child in order to gain insights into how they support and prepare their child in negotiating safe eating out experiences.
A cross-sectional, qualitative design was used. In depth, semi-structured interviews were carried out with 15 caregivers of children with FH. Interviews were analysed using framework analysis.
Caregivers reported a number of issues relating to eating out with their FH child, or allowing their child to eat out without their supervision. Through themes of 'family context', 'child-focused concerns', and 'venue issues', caregivers described how they managed these and explained the limitations and sacrifices that FH imposed on their child, themselves, and family members.
Through deeper understanding of the anxieties, negotiations and compromises experienced by caregivers of children with FH when they are eating out, clinicians and support charities can tailor their support to meet the needs of caregivers and children. Support and education provision should focus on providing caregivers of children with FH the tools and strategies to help enable safe eating out experiences.
对于食物过敏（FH）儿童的家长和照顾者而言，外出就餐时满足孩子的饮食需求可能是一次具有挑战性的经历。本研究探讨了照顾者与FH儿童外出就餐时的经历和行为，以便深入了解他们如何支持孩子并帮助孩子应对安全的外出就餐体验。
采用横断面定性设计。对15名FH儿童的照顾者进行了深入的半结构化访谈。访谈采用框架分析法进行分析。
照顾者报告了一些与带FH儿童外出就餐或让孩子在无人监管的情况下外出就餐相关的问题。通过“家庭背景”“以孩子为中心的担忧”和“场所问题”等主题，照顾者描述了他们如何应对这些问题，并解释了FH给孩子、他们自己和家庭成员带来的限制和牺牲。
通过更深入地了解FH儿童的照顾者在外出就餐时所经历的焦虑、协商和妥协，临床医生和支持性慈善机构可以调整他们的支持方式，以满足照顾者和儿童的需求。支持和教育应侧重于为FH儿童的照顾者提供帮助实现安全外出就餐体验的工具和策略。
