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让参与成人体重管理项目的父母获得儿童体重管理支持的可行性:一项混合方法研究。

Feasibility of engaging parents attending an adult weight management programme with child weight management support: a mixed methods study.

作者信息

Mears Ruth, Searle Aidan, Sharp Deborah, Jago Russell, Shield Julian Ph

机构信息

Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

出版信息

BMJ Paediatr Open. 2025 Jan 20;9(1):e002975. doi: 10.1136/bmjpo-2024-002975.

Abstract

OBJECTIVE

To explore whether parents' attendance at a commercial adult weight management programme (WMP) offers an opportunity to identify and signpost families to child weight management support, if appropriate to a child's weight status.

DESIGN

Mixed methods study including a cross-sectional online survey and semistructured telephone interviews.

SETTING AND PARTICIPANTS

Parents attending Slimming World (UK-based adult commercial WMP), with one or more children aged 5-11 years, were invited to take part. There were 396 survey and 18 telephone interview participants.

RESULTS

Most parents (78%) attending the adult WMP and worried about their child's weight were receptive to being offered support for their child. Nearly all (98%) of these parents were happy for the adult WMP to signpost to this support. Nearly half of parents (47%, n=122/262) not worried about their child's weight were still interested in a child height and weight check. The preferred intervention format and delivery possibilities differed among parents, with 'no-one size fits all', while recognising that change takes time, and weekly sessions may be too frequent. Parents were clear that the focus of support should be on healthy lifestyle not weight. Many parents felt a parent 'peer support' group would be helpful.

CONCLUSIONS

Parents actively addressing their own weight, through an adult WMP, are receptive to being offered and signposted to support for their child, where they have concerns about their child's weight. These findings support a new referral pathway into child weight management services, through parents attending an adult WMP.

摘要

目的

探讨父母参加商业性成人体重管理项目(WMP)是否提供了一个机会,以便在适用于孩子体重状况的情况下,识别并为家庭指明儿童体重管理支持的方向。

设计

混合方法研究,包括横断面在线调查和半结构化电话访谈。

背景与参与者

邀请参加“瘦身世界”(英国的成人商业性WMP)且有一个或多个5-11岁孩子的父母参与。共有396名调查参与者和18名电话访谈参与者。

结果

大多数参加成人WMP且担心孩子体重的父母(78%)愿意接受为其孩子提供的支持。几乎所有(98%)这些父母都乐意让成人WMP指明这种支持。近一半不担心孩子体重的父母(47%,n=122/262)仍对儿童身高和体重检查感兴趣。父母对首选的干预形式和提供方式存在差异,不存在“一刀切”的情况,同时认识到改变需要时间,每周的课程可能过于频繁。父母明确表示支持的重点应是健康生活方式而非体重。许多父母认为家长“同伴支持”小组会有帮助。

结论

通过成人WMP积极解决自身体重问题的父母,在担心孩子体重时,愿意接受并被指明为其孩子提供支持。这些发现支持了一条新的转诊途径,即通过参加成人WMP的父母进入儿童体重管理服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17eb/11749568/1ba1ad295736/bmjpo-9-1-g001.jpg

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