Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle

Objective: To explore the perspectives of healthcare professionals (HCPs) within an integrated care approach on the facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle. Methods: Semi-structured interviews were conducted with eighteen HCPs wo...

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Main Authors: Naomi de Pooter, Emma van den Eynde, Hein Raat, Jacob C. Seidell, Erica L.T. van den Akker, Jutka Halberstadt
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:PEC Innovation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772628222000590
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author Naomi de Pooter
Emma van den Eynde
Hein Raat
Jacob C. Seidell
Erica L.T. van den Akker
Jutka Halberstadt
author_facet Naomi de Pooter
Emma van den Eynde
Hein Raat
Jacob C. Seidell
Erica L.T. van den Akker
Jutka Halberstadt
author_sort Naomi de Pooter
collection DOAJ
description Objective: To explore the perspectives of healthcare professionals (HCPs) within an integrated care approach on the facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle. Methods: Semi-structured interviews were conducted with eighteen HCPs working within a Dutch integrated care approach. The interviews were analyzed by performing a thematic content analysis. Results: Main facilitators identified by HCPs were support from parents and the social network. Main barriers were first and foremost family’s lack of motivation, which was singled out as a precondition for starting the behavior change process. Other barriers were child’s socio-emotional problems, parental personal problems, lack of parenting skills, parental lack of knowledge and skills regarding a healthier lifestyle, parental lack of problem awareness and HCP’s negative attitude. To overcome these barriers, main needs that HCPs suggested were a tailored approach in healthcare and a supportive HCP. Conclusion: The HCPs identified the breadth and complexity of underlying factors of childhood obesity, of which the family’s motivation was pointed out as a critical factor to address. Innovation: Understanding the patient’s perspective is important for HCPs to provide the tailored care needed to address the complexity of childhood obesity.
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spelling doaj.art-d427313d539c4748ad201f7bf8a5801f2022-12-22T03:00:32ZengElsevierPEC Innovation2772-62822022-12-011100074Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyleNaomi de Pooter0Emma van den Eynde1Hein Raat2Jacob C. Seidell3Erica L.T. van den Akker4Jutka Halberstadt5Department of Public and Occupational Health, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands; Department of Health Sciences, Vrije Universiteit Amsterdam, the Netherlands; Corresponding author at: Department of Public and Occupational Health, Amsterdam UMC Location University of Amsterdam, Amsterdam Public Health Institute, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.Department of Pediatrics, Erasmus MC University Medical Center, Rotterdam, the NetherlandsDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, the NetherlandsDepartment of Health Sciences, Vrije Universiteit Amsterdam, the NetherlandsDepartment of Pediatrics, Erasmus MC University Medical Center, Rotterdam, the NetherlandsDepartment of Health Sciences, Vrije Universiteit Amsterdam, the NetherlandsObjective: To explore the perspectives of healthcare professionals (HCPs) within an integrated care approach on the facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle. Methods: Semi-structured interviews were conducted with eighteen HCPs working within a Dutch integrated care approach. The interviews were analyzed by performing a thematic content analysis. Results: Main facilitators identified by HCPs were support from parents and the social network. Main barriers were first and foremost family’s lack of motivation, which was singled out as a precondition for starting the behavior change process. Other barriers were child’s socio-emotional problems, parental personal problems, lack of parenting skills, parental lack of knowledge and skills regarding a healthier lifestyle, parental lack of problem awareness and HCP’s negative attitude. To overcome these barriers, main needs that HCPs suggested were a tailored approach in healthcare and a supportive HCP. Conclusion: The HCPs identified the breadth and complexity of underlying factors of childhood obesity, of which the family’s motivation was pointed out as a critical factor to address. Innovation: Understanding the patient’s perspective is important for HCPs to provide the tailored care needed to address the complexity of childhood obesity.http://www.sciencedirect.com/science/article/pii/S2772628222000590Pediatric obesityIntegrated careHealthcare professionalsBehavior changeQualitative research
spellingShingle Naomi de Pooter
Emma van den Eynde
Hein Raat
Jacob C. Seidell
Erica L.T. van den Akker
Jutka Halberstadt
Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
PEC Innovation
Pediatric obesity
Integrated care
Healthcare professionals
Behavior change
Qualitative research
title Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
title_full Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
title_fullStr Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
title_full_unstemmed Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
title_short Perspectives of healthcare professionals on facilitators, barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
title_sort perspectives of healthcare professionals on facilitators barriers and needs in children with obesity and their parents in achieving a healthier lifestyle
topic Pediatric obesity
Integrated care
Healthcare professionals
Behavior change
Qualitative research
url http://www.sciencedirect.com/science/article/pii/S2772628222000590
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