Institute of Sport Sciences, Shanghai University of Sport, Changhai Road 399, Shanghai, 200438, P.R. China.
College of Education & Human Ecology, Department of Human Sciences, The Ohio State University, PAES Building A270 305 Annie and John Glenn Avenue, Columbus, OH, 43210-1224, USA.
BMC Pediatr. 2023 Sep 12;23(1):457. doi: 10.1186/s12887-023-04295-5.
Parents from urban, lower social economic classes often encounter unique challenges in their lives, which shape how they work with their children who are overweight or obese to change their exercise and eating behaviors at home. The present study took an initial step to address a gap in the literature by describing the challenges that parents from lower social economic classes in an urban city encountered in changing exercise and eating behaviors of their children who are overweight or obese.
A conversational style semi-structured interview with prompts and probes was conducted to 44 parents whose child is overweight or obese. Inductive content analysis and constant comparison was used to analyze the data. Data trustworthiness was established by using a variety of strategies.
Two major themes with eight sub-themes emerged from the data: Challenges to promote a healthy active lifestyle, and challenges from their child's development and lifestyle behavior. Eight sub-themes were: (1) Need for effective strategies for a lifestyle behavior change, (2) monitor and promote healthy choices, (3) money, time, and dangerous neighborhood, (4) scientific knowledge to promote a healthy active lifestyle, (5) developmental changes of adolescence, (6) unmotivated and lack of persistence, (7) sneaking eating, and (8) peer pressure.
The challenges, from economic to parenting, are certainly of importance, and understanding these challenges will be crucial to help school-based professionals develop interventions. Those identified challenges should be clearly placed within family-school collaboration practices.
城市中社会经济地位较低的家长在生活中经常会遇到独特的挑战，这些挑战影响了他们与超重或肥胖的孩子一起在家中改变锻炼和饮食习惯的方式。本研究通过描述城市中社会经济地位较低的家长在改变超重或肥胖孩子的锻炼和饮食习惯方面所面临的挑战，初步填补了文献中的空白。
采用带有提示和探针的对话式半结构式访谈，对 44 名超重或肥胖儿童的家长进行了访谈。采用归纳内容分析和恒定性比较对数据进行分析。通过多种策略来建立数据的可信度。
数据中出现了两个主要主题和八个子主题：促进健康积极生活方式的挑战，以及来自孩子发展和生活方式行为的挑战。八个子主题分别是：（1）需要有效的生活方式行为改变策略，（2）监测和促进健康选择，（3）金钱、时间和危险的邻里环境，（4）促进健康积极生活方式的科学知识，（5）青春期的发展变化，（6）缺乏动力和坚持，（7）偷吃，以及（8）同伴压力。
从经济到育儿，这些挑战无疑非常重要，了解这些挑战对于帮助学校专业人员制定干预措施至关重要。那些已确定的挑战应明确置于家校合作实践中。
