1Severn Postgraduate Medical Education School of Public Health,Deanery House,Vantage Point,Old Gloucester Road,Bristol BS16 1GW,UK.
2Department of Nursing and Midwifery, Faculty of Health & Applied Sciences,University of the West of England,Bristol,UK.
Public Health Nutr. 2018 Oct;21(15):2884-2892. doi: 10.1017/S1368980018001556. Epub 2018 Jun 19.
To develop a descriptive account of parents' experiences of written feedback from the National Child Measurement Programme (NCMP), based on primary data collected from semi-structured focus groups.
Four focus groups were held with a purposive sample of parents who had recently received written weight feedback from the NCMP in one local authority in England. Thematic data analysis was undertaken to develop a narrative of emergent themes regarding parents' experiences and the social influences shaping this.Setting/SubjectsThe population of interest was parents of 4- and 5-year-olds who had recently received written feedback from the NCMP. Eighteen parents participated and represented the full spectrum of categories provided in NCMP feedback (under-, healthy, over- and very overweight).
Participants often rejected overweight feedback as lacking in credibility and considered NCMP communication to be targeting parents other than themselves. Family and peers collaborated in the dismissal of overweight feedback, further legitimising participants' decision to disregard their child's overweight categorisation.
Our study provides an insight into parents' experiences of NCMP feedback, including how they relate to and understand that experience within a social context. By doing so, it makes a unique contribution to the existing body of evidence. Recommendations for practice based on the findings include further efforts to raise parents' and communities' awareness of childhood obesity, risks associated with childhood excess weight and obesity prevalence as a mainstream issue.
基于从英格兰一个地方当局中最近从国家儿童测量计划(NCMP)收到书面体重反馈的父母的半结构化焦点小组收集的原始数据,对父母的经验进行描述性说明,并描述影响这种经验的社会因素。
针对最近从 NCMP 收到书面体重反馈的父母,我们开展了四个焦点小组,采用了有目的的抽样方法。采用主题数据分析来形成有关父母的经验和影响这种经验的社会因素的叙述。
背景/对象:感兴趣的人群是最近从 NCMP 收到书面反馈的 4 至 5 岁儿童的父母。18 名家长参加了研究,代表了 NCMP 反馈中提供的所有类别(体重不足、健康、超重和非常超重)的完整范围。
参与者通常拒绝接受超重反馈,认为其缺乏可信度,并认为 NCMP 的沟通对象不是他们自己。家庭和同龄人一起否定超重反馈,进一步使参与者决定无视孩子的超重分类合理化。
我们的研究深入了解了父母对 NCMP 反馈的经验,包括他们如何在社会背景下与这种经验相关联并理解这种经验。通过这样做,它为现有证据体系做出了独特的贡献。基于研究结果的实践建议包括进一步努力提高家长和社区对儿童肥胖、与儿童超重相关的风险以及肥胖流行作为一个主流问题的认识。