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The difficult conversation : a qualitative evaluation of the ‘Eat Well Move More’ family weight management service

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Johnson, Rebecca E., Oyebode, Oyinlola, Walker, Sadie, Knowles, Elizabeth and Robertson, Wendy (2018) The difficult conversation : a qualitative evaluation of the ‘Eat Well Move More’ family weight management service. BMC Research Notes, 11 (1). 325. doi:10.1186/s13104-018-3428-0 ISSN 1756-0500.

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Official URL: https://doi.org/10.1186/s13104-018-3428-0

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Abstract

Objective

The Eat Well Move More (EWMM) family and child weight management service is a 12-week intervention integrating healthy eating and physical activity education and activities for families and children aged 4–16. EWMM service providers identified low uptake 12 months prior to the evaluation. The aims of this study were to describe referral practices and pathways into the service to identify potential reasons for low referral and uptake rates.

Results

We conducted interviews and focus groups with general practitioners (GPs) (n = 4), school nurses, and nursing assistants (n = 12). Data were analysed using thematic analysis. School nurses highlighted three main barriers to making a referral: parent engagement, child autonomy, and concerns over the National Child Measurement Programme letter. GPs highlighted that addressing obesity among children is a ‘difficult conversation’ with several complex issues related to and sustaining that difficulty. In conclusion, referral into weight management services in the community may persistently lag if a larger and more complex tangle of barriers lie at the point of school nurse and GP decision-making. The national prevalence of, and factors associated with this hesitation to discuss weight management issues with parents and children remains largely unknown.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Food -- Health aspects, Exercise -- Health aspects, Obesity in children -- Prevention, Weight loss, School nursing
Journal or Publication Title: BMC Research Notes
Publisher: BioMed Central Ltd.
ISSN: 1756-0500
Official Date: 21 May 2018
Dates:
DateEvent
21 May 2018Published
10 May 2018Accepted
Volume: 11
Number: 1
Article Number: 325
DOI: 10.1186/s13104-018-3428-0
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 11 May 2018
Date of first compliant Open Access: 13 July 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDSolihull (England). Metropolitan Borough Councilhttp://viaf.org/viaf/155020360
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