Economic and Other Barriers to Adopting Recommendations to Prevent Childhood Obesity: Results of a Focus Group Study with Parents

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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 La Pelle, Nancy
dc.contributor.author Sonneville, Kendrin Rae
dc.contributor.author Taveras, Elsie Mireya
dc.contributor.author Gillman, Matthew William
dc.contributor.author Prosser, Lisa Alison
dc.date.accessioned 2012-02-14T00:07:28Z
dc.date.issued 2009
dc.identifier.citation Sonneville, Kendrin R., Nancy La Pelle, Elsie M. Taveras, Matthew W. Gillman, and Lisa A. Prosser. 2009. Economic and other barriers to adopting recommendations to prevent childhood obesity: Results of a focus group study with parents. BMC Pediatrics 9: 81. en_US
dc.identifier.issn 1471-2431 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:8160846
dc.description.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. en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.relation.isversionof doi:10.1186/1471-2431-9-81 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2806253/pdf/ en_US
dash.license LAA
dc.title Economic and Other Barriers to Adopting Recommendations to Prevent Childhood Obesity: Results of a Focus Group Study with Parents en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal BMC Pediatrics en_US
dash.depositing.author Sonneville, Kendrin Rae
dc.date.available 2012-02-14T00:07:28Z
dash.affiliation.other HMS^Pediatrics-Children's Hospital en_US
dash.affiliation.other HMS^Population Medicine en_US
dash.affiliation.other SPH^Nutrition en_US

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