Faculty of Health and Applied Sciences, University of the West of England, Bristol, Bristol, UK.
Public Health and Wellbeing, City of Wolverhampton Council, Wolverhampton, UK.
Child Care Health Dev. 2021 Jul;47(4):562-574. doi: 10.1111/cch.12854. Epub 2021 Feb 16.
Healthcare professionals are ideally placed to discuss weight management with children and families to treat and prevent childhood obesity. The aim of this review was to collect and synthesize primary research evidence relating to health professional's views and experiences of discussing weight with children and their families.
Systematic searches were conducted using the following databases: MEDLINE (OVID), Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE (OVID), PsycINFO (OVID) and Healthcare Management Information Consortium (HMIC). Twenty-six full text qualitative studies published in English Language journals since inception to October 2019 were included. Papers were quality assessed and synthesized using an inductive thematic analysis approach.
Data analysis generated five themes: sensitivity of the issue, family-professional relationships, whole systems approach, professional competency and sociocultural context.
Supporting behaviour change through discussion of healthy weight with children and families is an important part of the health professional's role. Tailored information for professionals, including resources and training, facilitates them to confidently talk to children and families about weight prioritized within interventions. The success of such interventions requires commitment from a range of professionals to ensure healthy weight is tackled through a whole system approach.
医疗保健专业人员是讨论儿童和家庭体重管理以治疗和预防儿童肥胖的理想人选。本研究旨在收集和综合有关健康专业人员与儿童及其家庭讨论体重的看法和经验的主要研究证据。
系统检索了以下数据库：MEDLINE（OVID）、护理与健康相关文献累积索引（CINAHL）、EMBASE（OVID）、PsycINFO（OVID）和医疗保健管理信息联合会（HMIC）。纳入了自成立至 2019 年 10 月以英文发表的 26 篇全文定性研究论文。使用归纳主题分析方法对论文进行了质量评估和综合分析。
数据分析生成了五个主题：问题的敏感性、家庭与专业人员的关系、整体系统方法、专业能力和社会文化背景。
通过与儿童及其家庭讨论健康体重来支持行为改变是健康专业人员角色的重要组成部分。为专业人员提供量身定制的信息，包括资源和培训，使他们有信心在干预措施中优先考虑与儿童和家庭谈论体重。此类干预措施的成功需要一系列专业人员的承诺，以确保通过整体系统方法解决健康体重问题。
