Economic and other barriers to adopting recommendations to prevent childhood obesity: results of a focus group study with parents

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dc.contributor.author Sonneville, Kendrin R
dc.contributor.author La Pelle, Nancy
dc.contributor.author Taveras, Elsie M
dc.contributor.author Gillman, Matthew W
dc.contributor.author Prosser, Lisa A
dc.date.accessioned 2010-11-04T19:17:55Z
dc.date.available 2010-11-04T19:17:55Z
dc.date.issued 2009-12-21
dc.identifier http://dx.doi.org/10.1186/1471-2431-9-81
dc.identifier.uri http://hdl.handle.net/2027.42/78270
dc.description.abstract Abstract Background Parents are integral to the implementation of obesity prevention and management recommendations for children. Exploration of barriers to and facilitators of parental decisions to adopt obesity prevention recommendations will inform future efforts to reduce childhood obesity. Methods We conducted 4 focus groups (2 English, 2 Spanish) among a total of 19 parents of overweight (BMI ≥ 85th percentile) children aged 5-17 years. The main discussion focused on 7 common obesity prevention recommendations: reducing television (TV) watching, removing TV from child's bedroom, increasing physically active games, participating in community or school-based athletics, walking to school, walking more in general, and eating less fast food. Parents were asked to discuss what factors would make each recommendation more difficult (barriers) or easier (facilitators) to follow. Participants were also asked about the relative importance of economic (time and dollar costs/savings) barriers and facilitators if these were not brought into the discussion unprompted. Results Parents identified many barriers but few facilitators to adopting obesity prevention recommendations for their children. Members of all groups identified economic barriers (time and dollar costs) among a variety of pertinent barriers, although the discussion of dollar costs often required prompting. Parents cited other barriers including child preference, difficulty with changing habits, lack of information, lack of transportation, difficulty with monitoring child behavior, need for assistance from family members, parity with other family members, and neighborhood walking safety. Facilitators identified included access to physical activity programs, availability of alternatives to fast food and TV which are acceptable to the child, enlisting outside support, dietary information, involving the child, setting limits, making behavior changes gradually, and parental change in shopping behaviors and own eating behaviors. Conclusions Parents identify numerous barriers to adopting obesity prevention recommendations, most notably child and family preferences and resistance to change, but also economic barriers. Intervention programs should consider the context of family priorities and how to overcome barriers and make use of relevant facilitators during program development.
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dc.format.extent 345610 bytes
dc.format.mimetype text/xml
dc.format.mimetype application/pdf
dc.title Economic and other barriers to adopting recommendations to prevent childhood obesity: results of a focus group study with parents
dc.type Journal Article
dc.description.bitstreamurl http://deepblue.lib.umich.edu/bitstream/2027.42/78270/1/1471-2431-9-81.xml
dc.description.bitstreamurl http://deepblue.lib.umich.edu/bitstream/2027.42/78270/2/1471-2431-9-81.pdf
dc.language.rfc3066 en
dc.description.version Peer Reviewed
dc.rights.holder Sonneville et al.; licensee BioMed Central Ltd.
dc.date.updated 2010-11-04T19:17:55Z
dc.owningcollname Interdisciplinary and Peer-Reviewed
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