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Responding positively to “children who like to eat” : parents’ experiences of skills-based treatment for childhood obesity

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Ek, Anna, Nordin, Karin, Nyström, Christine Delisle, Sandvik, Pernilla, Eli, Karin and Nowicka, Paulina (2020) Responding positively to “children who like to eat” : parents’ experiences of skills-based treatment for childhood obesity. Appetite, 145 . 104488. doi:10.1016/j.appet.2019.104488

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Official URL: http://dx.doi.org/10.1016/j.appet.2019.104488

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Abstract

This study aims to understand the challenges parents of preschoolers with obesity face. We assessed parents' experiences of a group treatment program focused on parenting skills; the treatment program was evaluated in a randomized controlled trial in Stockholm County. After completing the program's 10 weekly sessions, parents were invited to participate in a semi-structured interview. The interviews were audio recorded, transcribed and analyzed using thematic analysis. In total, 36 parents (67% mothers, mean age 39 years, 33% foreign background, 50% with university degree) were interviewed. Two main themes were developed: Emotional burden and Skills and strength from others. Emotional burden encompassed the parents' experiences of raising a child with obesity. Parents spoke about the difficulties of managing their child's appetite and of seeking help and treatment, as well as their feelings about the social stigma attached to obesity. Skills and strength from others encompassed the parents' experiences of participating in group treatment. Parents reported that they appreciated the practical behavior change techniques taught, especially those regarding food and how to make everyday life more predictable, and said the focus on parenting skills gave them the confidence to apply the techniques in everyday life. Parents also highlighted the strength of the group setting, saying it enabled them to discuss perceived challenges and learn from other parents. Our findings show that childhood obesity carries social and emotional implications for parents, and that an intervention that provides parents with skill-building and a discussion space can help in negotiating these implications. This suggests that childhood obesity intervention programs benefit from including a parent-based approach which offers training in parenting skills and support in managing socially and emotionally challenging situations.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Obesity in children, Appetite, Obesity in children -- Treatment
Journal or Publication Title: Appetite
Publisher: Elsevier BV
ISSN: 0195-6663
Official Date: 1 February 2020
Dates:
DateEvent
1 February 2020Published
15 October 2019Available
10 October 2019Accepted
Volume: 145
Article Number: 104488
DOI: 10.1016/j.appet.2019.104488
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
2014-02404VetenskapsrådetUNSPECIFIED
VINNOVA 2011-3443Svenska LäkaresällskapetUNSPECIFIED
UNSPECIFIEDStiftelsen Sven Jerrings Fondhttp://dx.doi.org/10.13039/501100007373
UNSPECIFIEDStiftelsen Samaritenhttp://dx.doi.org/10.13039/501100008352
UNSPECIFIEDMagnus Bergvalls Stiftelsehttp://dx.doi.org/10.13039/501100006285
UNSPECIFIEDFredrik och Ingrid Thurings Stiftelsehttp://dx.doi.org/10.13039/501100003186
UNSPECIFIEDHelge Ax:son Johnsons Stiftelsehttp://dx.doi.org/10.13039/501100003788
UNSPECIFIEDCrown Princess Lovisa FoundationUNSPECIFIED
UNSPECIFIEDStiftelsen Frimurare Barnhuset i Stockholmhttp://dx.doi.org/10.13039/501100006741
UNSPECIFIEDFoundation Pediatric CareUNSPECIFIED
UNSPECIFIEDMartin Rinds Stiftelsehttp://dx.doi.org/10.13039/501100010664
UNSPECIFIEDJane och Dan Olssons Stiftelse UNSPECIFIED
UNSPECIFIEDStiftelsen Clas Groschinskys Minnesfondhttp://dx.doi.org/10.13039/501100006350
UNSPECIFIEDStiftelsen Sigurd & Elsa Goljes MinneUNSPECIFIED
UNSPECIFIEDìShizu Matsumuraîs DonationUNSPECIFIED

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