照顾者调查肥胖学龄前儿童转介至 Whānau Pakari-多学科健康生活方式干预计划。

Caregiver survey of preschool children with obesity referred to Whānau Pakari-a multidisciplinary healthy lifestyle intervention programme.

机构信息

Liggins Institute, University of Auckland, 85 Park Road, Grafton, Auckland 1023, New Zealand.

Liggins Institute, University of Auckland, 85 Park Road, Grafton, Auckland 1023, New Zealand; Department of Paediatrics: Child and Youth Health, Level 1, Building 507, Grafton Campus, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand; Tamariki Pakari Child Health and Wellbeing Trust, New Plymouth, New Zealand.

出版信息

N Z Med J. 2022 Apr 14;135(1553):27-34.

PMID:35728202

Abstract

AIM

To examine caregiver perceptions relating to the acceptability of weight screening at New Zealand's B4 School Check (B4SC), and the accessibility and acceptability of a healthy lifestyle programme (Whānau Pakari) for preschool children (Whānau Pakari preschool programme) identified with weight issues.

METHOD

An online survey was designed to assess agreement with statements relating to the B4SC healthy weight check and Whānau Pakari programme. Eligible participants (n=125) were caregivers of preschool children identified with obesity (BMI ≥98th centile), or overweight (BMI >91st centile) with weight-related co-morbidities, at the B4SC and referred to Whānau Pakari over the period July 2016 to March 2019.

RESULTS

Twenty-nine caregivers responded to the survey (23%). The majority (76%, n=22) were open to discussing their child's weight. However, whilst most caregivers were comfortable receiving a weight referral to a healthy lifestyle programme for their child, some were ambivalent (24%, n=7) or disagreed (21%, n=6) to feeling comfortable about this. Furthermore, only 38% (n=11) of caregivers were concerned about their child's weight.

CONCLUSIONS

Findings reveal a reasonable level of acceptability by caregivers to aspects of the B4SC healthy weight check. However, caregiver perceptions may not always be in alignment with the support offered by B4SC health professionals. Regular healthy lifestyle messaging by health professionals, and positive referral experiences, are key to subsequent engagement with healthy lifestyle programmes.

摘要

目的

调查新西兰 B4 学校检查（B4SC）中与体重筛查可接受性相关的照顾者认知，以及与体重问题相关的学龄前儿童（Whānau Pakari 学龄前计划）的健康生活方式计划（Whānau Pakari）的可及性和可接受性。

方法

设计了一项在线调查，以评估对与 B4SC 健康体重检查和 Whānau Pakari 计划相关声明的一致性。合格的参与者（n=125）是在 B4SC 中被确定为肥胖（BMI≥98 百分位）或超重（BMI>91 百分位）且伴有与体重相关的合并症的学龄前儿童的照顾者，并在 2016 年 7 月至 2019 年 3 月期间被转介至 Whānau Pakari。