Uy Marc James Abrigo, Pereira Mark A, Berge Jerica M, Loth Katie A
1 University of Minnesota, Minneapolis, MN, USA.
Clin Pediatr (Phila). 2019 Feb;58(2):226-237. doi: 10.1177/0009922818812489. Epub 2018 Nov 15.
The primary objective of this study was to describe parents' preference for how physicians should approach diet and weight-related advice for their child. Semi-structured interviews were conducted with parents (n = 40) of preschoolers, transcribed verbatim, and double-coded using an inductive thematic analysis approach. Parents identified recommendations for how physicians should approach conversations about weight. Themes included (1) Tone and Approach are Important, (2) Avoid Judgment, (3) Have Regard for Parental Expertise, (4) Consider the Timing of the Discussion with Parents, and (5) Equip Parents with Concrete and Individualized Recommendations. Future research should focus on developing brief, effective communication tools to guide discussions with parents about child nutrition and weight. Opportunities to learn about and practice the use of these brief interventions should be incorporated into medical education with the goal of providing clinicians the learning opportunities, skills/tools, and resources needed to adequately and respectfully discuss weight and diet with parents and children.
本研究的主要目的是描述家长对于医生应如何向其孩子提供饮食和体重相关建议的偏好。对学龄前儿童的家长（n = 40）进行了半结构化访谈，访谈内容逐字记录，并采用归纳主题分析方法进行双重编码。家长们明确了医生应如何开展关于体重的对话的建议。主题包括：（1）语气和方式很重要；（2）避免评判；（3）尊重家长的专业知识；（4）考虑与家长讨论的时机；（5）为家长提供具体且个性化的建议。未来的研究应专注于开发简短、有效的沟通工具，以指导与家长就儿童营养和体重进行的讨论。了解和实践使用这些简短干预措施的机会应纳入医学教育，目的是为临床医生提供充分且尊重地与家长和孩子讨论体重和饮食所需的学习机会、技能/工具及资源。
