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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
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Official URL: https://doi.org/10.1186/s13104-018-3428-0
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 | |||||||||
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| 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 |
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| 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: |
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| 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 | |||||||||
| RIOXX Funder/Project Grant: |
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