Vårdcentralen Staffanstorp, Södergatan 2, Staffanstorp, 245 31, Sweden.
Faculty of Medicine, Department of Health Sciences, Lund University, BOX 157, Lund, 222 40, Sweden.
BMC Health Serv Res. 2023 Mar 27;23(1):289. doi: 10.1186/s12913-023-09308-8.
Because overweight and obesity are still increasing and prevention of childhood obesity is more likely to be effective when initiated in preschool children, the Child Health Service in the south of Sweden developed a structured child-centred health dialogue model targeting all 4-year-old children and their families. The aim of this study was to describe parents' recalled experiences of this health dialogue in children with overweight.
A qualitative inductive approach with purposeful sampling was used. Thirteen individual interviews with parents (including 11 mothers and 3 fathers) were conducted and analysed with qualitative content analysis.
The analysis resulted in two categories: 'A valuable visit with a subtle individual impact' that described parents' recalled experiences of the health dialogue and 'There is a complex interaction between weight and lifestyle' that reflected the parents' perceptions of the relationship between their children's weight and lifestyle.
Parents recalled the child-centred health dialogue as important and described discussing a healthy lifestyle as one of the obligations of the Child Health Service. Parents wanted confirmation that their family lifestyle was healthy; however, they did not want to discuss the relationship between their family lifestyle and their children's weight. Parents expressed that when their child followed the child's growth curve, then this indicated healthy growth. This study supports using the child-centred health dialogue as a model to provide structure for discussing a healthy lifestyle and growth but highlights the difficulties of discussing body mass index and overweight, especially in the presence of children.
由于超重和肥胖仍在增加，并且在学龄前儿童中开展儿童肥胖预防工作更有可能取得成效，因此瑞典南部的儿童健康服务部门针对所有 4 岁儿童及其家庭制定了一种以儿童为中心的结构化健康对话模式。本研究旨在描述超重儿童的父母对这种健康对话的回忆体验。
采用目的性抽样的定性归纳法。对 13 名父母（包括 11 名母亲和 3 名父亲）进行了 13 次单独访谈，并进行了定性内容分析。
分析结果得出两个类别：“具有微妙个体影响的有价值访问”，描述了父母对健康对话的回忆体验；“体重和生活方式之间存在复杂的相互作用”，反映了父母对孩子体重和生活方式之间关系的看法。
父母回忆起以儿童为中心的健康对话很重要，并描述了讨论健康生活方式是儿童健康服务的义务之一。父母希望确认他们的家庭生活方式是健康的；然而，他们不想讨论家庭生活方式与孩子体重之间的关系。父母表示，当孩子遵循孩子的生长曲线时，这表明生长健康。本研究支持使用以儿童为中心的健康对话模式为讨论健康生活方式和生长提供结构，但强调了讨论体重指数和超重的困难，尤其是在有孩子在场的情况下。
