Center of Excellence for Child Health Services, Baltzarsgatan, 31 205 02, Malmö, Sweden.
Department of Health Sciences, Faculty of Medicine, Lund, University, Lund, Sweden.
BMC Health Serv Res. 2019 Oct 30;19(1):774. doi: 10.1186/s12913-019-4550-y.
The Child Health Services in Sweden is a well-attended health promoting setting, and thereby has an important role in promoting healthy living habits in families with young children. Due to lack of national recommendations for health dialogues, a Child Centred Health Dialogue (CCHD) model was developed and tested in two Swedish municipalities. The aim of this study was to explore parents' experiences of health dialogues based on the CCHD model focusing on food and eating habits during the scheduled child health visit at four years of age.
A qualitative design with purposeful sampling was used. Twelve individual interviews with parents were conducted and analysed with qualitative content analysis.
The analysis resulted in three categories: The health dialogue provides guidance and understanding; Illustrations promote the health dialogue; and Space for children and parents in the health dialogue. In addition, analysis of the latent content resulted in a single theme reflecting the parents' voice on the importance of having a health dialogue on food and eating habits. The health dialogue, promoted by illustrations, provided guidance and understanding, and gave space for children's and parents' involvement.
The results indicate that health dialogues using the CCHD- model create supportive conditions for family members' active participation in the visits, which may strengthen empowerment and health literacy. The study provides knowledge and guidance for further development, evaluation and implementation of the model.
瑞典的儿童健康服务是一个备受关注的促进健康的环境，因此在促进有年幼子女的家庭养成健康生活习惯方面发挥着重要作用。由于缺乏针对健康对话的国家建议，在两个瑞典市开发并测试了以儿童为中心的健康对话（CCHD）模型。本研究的目的是探讨基于 CCHD 模型的父母对健康对话的体验，重点是在 4 岁时进行的定期儿童健康访问期间的饮食和饮食习惯。
采用有目的抽样的定性设计。对 12 名父母进行了 12 次单独访谈，并使用定性内容分析进行了分析。
分析结果得出了三个类别：健康对话提供指导和理解；说明促进健康对话；健康对话中为儿童和父母提供空间。此外，对潜在内容的分析得出了一个主题，反映了父母对就饮食和饮食习惯进行健康对话的重要性的意见。通过说明促进的健康对话提供了指导和理解，并为儿童和父母的参与提供了空间。
研究结果表明，使用 CCHD-模型进行的健康对话为家庭成员积极参与访问创造了支持性条件，这可能会增强赋权和健康素养。该研究为该模型的进一步开发、评估和实施提供了知识和指导。
