Wake Forest School of Medicine, Bowman Gray Center, Winston-Salem, NC, USA.
Department of Pediatrics, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA.
Child Obes. 2020 Oct;16(7):510-519. doi: 10.1089/chi.2019.0207. Epub 2020 Jul 28.
Family-oriented therapies are the gold standard of childhood obesity treatment, yet little is known about if or how information gathered by one parent from a health care provider is translated to the home. We assessed how families of children and adolescents with overweight and obesity communicate weight-related information received from their provider to family members not present at the visit. Parents and children (9-18 years old, = 112) completed the McMaster's Family Assessment Device Communication Subscale (FADc) and investigator-derived questions describing weight-related communication practices with family members. We used descriptive statistics to describe communication practices and separate logistic regression models to assess associations of communication practices with parent-reported FADc, child BMI -score, child sex, parent BMI, household income, and site. Most parents discuss with other family members: their child's weight (60.4%) or weight management discussions with the child's provider (57.9%). Median parent FADc score was 2.0 (IQR 0.5). The most common facilitator to weight-related conversations was understanding what the provider said (95.1%). Higher FADc score (worse communication) was associated with whether parents ask other family members' opinions about weight information received from their child's provider [odds ratio 0.22 (95% confidence interval 0.05-0.99)]. Higher income was associated with many healthy communication practices. Slightly more than half of parents discuss with family members what their provider said regarding their child's weight. More effort must be placed on aiding parents in relaying information from the provider to other family members in the home to encourage family lifestyle changes and alleviate childhood obesity.
以家庭为导向的治疗方法是儿童肥胖治疗的金标准，但人们对父母从医疗保健提供者那里收集的信息如何传递到家庭知之甚少。我们评估了超重和肥胖儿童和青少年的家庭如何将从提供者那里获得的与体重相关的信息传达给不在就诊现场的家庭成员。父母和孩子（9-18 岁， = 112）完成了麦克马斯特家庭评估设备沟通量表（FADc）和研究者衍生的问题，描述了与不在场的家庭成员沟通与体重相关的信息的实践。我们使用描述性统计来描述沟通实践，并使用独立逻辑回归模型来评估沟通实践与父母报告的 FADc、儿童 BMI 得分、儿童性别、父母 BMI、家庭收入和地点的关联。大多数父母会与其他家庭成员讨论：他们孩子的体重（60.4%）或与孩子提供者的体重管理讨论（57.9%）。父母的中位数 FADc 得分为 2.0（IQR 0.5）。促进与体重相关对话最常见的因素是理解提供者所说的话（95.1%）。较高的 FADc 得分（沟通较差）与父母是否询问其他家庭成员对从孩子提供者那里获得的体重信息的意见有关[比值比 0.22（95%置信区间 0.05-0.99）]。较高的收入与许多健康的沟通实践有关。略多于一半的父母会与家人讨论提供者对孩子体重的看法。必须更加努力地帮助父母将提供者的信息传达给家庭中的其他成员，以鼓励家庭生活方式的改变，缓解儿童肥胖。
