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“现在她像其他人一样更喜欢穿牛仔裤……”——父母对儿童肥胖症的小组和网络治疗的体验。

'Now she prefers jeans, like everyone else…' - Parents' experiences of group- and web-based treatment of children's obesity.

机构信息

Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.

Department of Pediatrics, Sollefteå hospital, Sollefteå, Sweden.

出版信息

Acta Paediatr. 2021 Jun;110(6):1869-1879. doi: 10.1111/apa.15798. Epub 2021 Feb 15.

Abstract

AIM

Web-based interventions have shown promising results in paediatric obesity treatment with the potential to increase coverage of care. This study aimed to explore parental experiences about participating in an intervention to improve healthy behaviours and lower BMI-SDS in children with obesity.

METHODS

This was an interview study with an inductive qualitative approach. Data were collected from individual interviews with 14 parents of 5- to 13-year-old children with obesity. The respondents had participated in a family-based treatment intervention consisting of four group sessions followed by 12-week web-based support. The interviews were analysed using qualitative manifest and latent content.

RESULTS

The overarching theme 'A transformative journey of lifestyle changes for the whole family' described how the participation impacted the lifestyle of the whole family. Four categories: parental awareness, introducing new routines, negotiating family battles and a feeling of support, represented various experiences made by respondents. The parents shared predominantly positive experiences of the intervention but also expressed feelings of guilt and struggled to address their child's obesity.

CONCLUSION

Parents who participated in a study for children with obesity with a web-based component found the programme helpful for achieving healthier lifestyles for the whole family.

摘要

目的

基于网络的干预措施在儿童肥胖症治疗中显示出了有希望的结果,有可能增加治疗的覆盖面。本研究旨在探讨父母参与改善健康行为和降低肥胖儿童 BMI-SDS 的干预措施的体验。

方法

这是一项采用归纳定性方法的访谈研究。数据来自于 14 名 5 至 13 岁肥胖儿童的父母的个人访谈。受访者参加了一项基于家庭的治疗干预,包括四个小组会议,然后是 12 周的基于网络的支持。使用定性显式和潜在内容分析对访谈进行了分析。

结果

“为整个家庭的生活方式改变带来的变革之旅”这一总体主题描述了参与如何影响整个家庭的生活方式。四个类别:父母的意识、引入新的日常生活习惯、协商家庭斗争和感到支持,代表了受访者的各种体验。父母主要分享了对干预措施的积极体验,但也表达了内疚感,并努力解决孩子的肥胖问题。

结论

参与了一项针对肥胖儿童的、具有网络组成部分的研究的父母发现该计划有助于为整个家庭实现更健康的生活方式。

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