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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Parent and child perceptions of school-based obesity prevention in England: a qualitative study

Authors: Joanne L. Clarke, Tania L. Griffin, Emma R. Lancashire, Peymane Adab, Jayne M. Parry, Miranda J. Pallan, on behalf of the WAVES study trial investigators

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Schools are key settings for childhood obesity prevention, and the location for many intervention studies. This qualitative study aims to explore parent and child experiences of the WAVES study obesity prevention intervention, in order to gain understanding of the mechanisms by which the intervention results in behaviour change, and provide context to support interpretation of the main trial results.

Methods

Focus groups were held with 30 parents and 62 children (aged 6-7 years) from primary schools in the West Midlands, UK. Data analysis (conducted using NVivo 10) was guided by the Framework Approach.

Results

Three over-arching themes were identified: ‘Impact’, ‘Sustainability’ and ‘Responsibilities’, under which sub-themes were determined. Participants were supportive of the school-based intervention. Parental involvement and the influential role of the teacher were seen as key ingredients for success in promoting consistent messages and empowering some parents to make positive behavioural changes at home. Parents recognised that whilst they held the primary responsibility for obesity prevention in their children, they faced a number of barriers to healthier lifestyles, and agreed that schools have an important role to play.

Conclusions

This study enabled us to better understand aspects of the WAVES study intervention programme that have the potential to initiate positive behaviour changes in families, and indicated that a combination of pathways influenced such changes. Pathways included: increasing capability through improving knowledge and skills of children and parents; increasing motivation through parental empowerment and role modelling; and the direct provision of opportunities to lead healthier lifestyles. Strategies to sustain behaviour changes, and the school role in supporting these, are important considerations.
Literature
1.
2.
Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5:4–85.CrossRefPubMed
3.
Waters E, de Silva SA, Hall B, Brown T, Campbell KJ, Gao Y, et al. Interventions for preventing obesity in children (review). Cochrane Collaboration. 2011;12:1–212.
4.
Clarke J, Fletcher B, Lancashire E, Pallan MJ, Adab P. The views of stakeholders on the role of the primary school in preventing childhood obesity: A qualitative systematic review. Obes Rev. 2013;14:975–88.CrossRefPubMed
5.
6.
Pawson R, Tilley N. Realistic evaluation. London: Sage; 1997.
7.
Kingry MJ, Tiedje L, Friedman LL. Focus groups: a research technique for nursing. Nurs Res. 1990;39:2,124–125.CrossRefPubMed
8.
Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350:h1258.CrossRefPubMedPubMedCentral
9.
Adab P, Pallan MJ, Lancashire ER, Hemming K, Frew E, Griffin T, et al. A cluster-randomised controlled trial to assess the effectiveness and cost-effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6–7 year old children: the WAVES study protocol. BMC Public Health. 2015;15(1):488.CrossRefPubMedPubMedCentral
10.
Bucher Della Torre SB, Akré C, Suris JC. Obesity prevention opinions of school stakeholders: a qualitative study. J Sch Health. 2010;80(5):233–9.CrossRefPubMed
11.
Hesketh K, Waters E, Green J, Salmon L, Williams J. Healthy eating, activity and obesity prevention: a qualitative study of parent and child perceptions in Australia. Health Promot Int. 2005;20:19–26.CrossRefPubMed
12.
Pallan M, Parry J, Cheng KK, Adab P. Development of a childhood obesity prevention programme with a focus on UK South Asian communities. Prev Med. 2013;57(6):948–54.CrossRefPubMedPubMedCentral
13.
Patino‐Fernandez AM, Hernandez J, Villa M, Delamater A. School‐based health promotion intervention: parent and school staff perspectives. J Sch Health. 2013;83(11):763–70.CrossRefPubMed
14.
Rawlins E, Baker G, Maynard M, Harding S. Perceptions of healthy eating and physical activity in an ethnically diverse sample of young children and their parents: the DEAL prevention of obesity study. J Human Nutr Diet. 2013;26(2):132–44.CrossRef
15.
Moore G, Audrey S, Barker M, Bond L, Bonell C, Cooper C, et al. Process evaluation in complex public health intervention studies: the need for guidance. J Epidemiol Community Health. 2014;68:101–2.CrossRefPubMed
16.
Griffin TL, Pallan MJ, Clarke JL, Lancashire ER, Lyon A, Parry JM, et al. Process evaluation design in a cluster randomised controlled childhood obesity prevention trial: the WAVES study. Int J Behav Nutr Phys Act. 2014;11:112.CrossRefPubMedPubMedCentral
17.
Griffin TL, Clarke JL, Lancashire ER, Pallan MJ, Passmore S, Adab P. Teacher experiences of delivering an obesity prevention programme (The WAVES study intervention) in a primary school setting. Health Educ J. 2015;74(6):655-67.
18.
Elliott R, Timulak L. Descriptive and interpretive approaches to qualitative research. In: Miles J, Gilbert P, editors. A handbook of research methods for clinical and health psychology. Oxford: UK Oxford University Press; 2005. p. 147–59.
19.
Stewart DW, Shamdasani PN. Focus groups: Theory and practice, vol. 20. London: Sage; 2014.
20.
Morgan M, Gibbs S, Maxwell K, Britten N. Hearing children’s voices: methodological issues in conducting focus groups with children aged 7-11 years. Qual Res. 2002;2(1):5–20.CrossRef
21.
Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analysing Qualitative Data. London: Routledge; 1993. p. 173–94.
22.
Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13:117.CrossRefPubMedPubMedCentral
23.
He FJ, Wu Y, Ma J, Feng X, Wang H, Zhang J, et al. A school-based education programme to reduce salt intake in children and their families (School-EduSalt): protocol of a cluster randomised controlled trial. BMJ Open. 2013;3(7):e003388.CrossRefPubMedPubMedCentral
24.
Dovey TM, Staples PA, Gibson EL, Halford JC. Food neophobia and ‘picky/fussy’eating in children: a review. Appetite. 2008;50(2):181–93.CrossRefPubMed
25.
Birch LL. Effects of peer models’ food choices and eating behaviors on preschoolers’ food preferences. Child Dev. 1980;51(2):489–496.
26.
Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(1):42.CrossRefPubMedPubMedCentral
27.
Eyre ELJ, Duncan MJ, Birch SL, Cox V. Environmental and school influences on physical activity in South Asian children from low socio-economic backgrounds: a qualitative study. J Child Health Care. 2013;19(3):345–58.CrossRefPubMed
28.
Brown J, Michie S, Geraghty AW, Yardley L, Gardner B, Shahab L, et al. Internet-based intervention for smoking cessation (StopAdvisor) in people with low and high socioeconomic status: a randomised controlled trial. Lancet Respir Med. 2014;2(12):997–1006.CrossRefPubMed
29.
Gulliford M, Charlton J, Bhattaraj N, Rudisill C. Social and material deprivation and the cost-effectiveness of an intervention to promote physical activity: cohort study and Markov model. J Public Health (Oxford). 2014;36(4):674–83. doi:10.​1093/​pubmed/​fdt132.CrossRef
30.
Sonneville KR, La Pelle N, Taveras EM, Gillman MW, Prosser LA. Economic and other barriers to adopting recommendations to prevent childhood obesity: results of a focus group study with parents. BMC Pediatr. 2009;9(1):81.CrossRefPubMedPubMedCentral
31.
Sánchez-Carracedo D, Neumark-Sztainer D, López-Guimera G. Integrated prevention of obesity and eating disorders: barriers, developments and opportunities. Public Health Nutr. 2012;15(12):2295–309.CrossRefPubMed
32.
O'Dea JA. Prevention of child obesity: ‘First, do no harm’. Health Educ Res. 2005;20(2):259–65.CrossRefPubMed
33.
Pocock M, Trivedi D, Wills W, Bunn F, Magnusson J. Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies. Obes Rev. 2009;11:338–53.CrossRefPubMed
34.
Stenhammar C, Wells M, Åhman A, Wettergren B, Edlund B, Sarkadi A. ‘Children are exposed to temptation all the time’–parents’ lifestyle‐related discussions in focus groups. Acta Paediatr. 2012;101(2):208–15.CrossRefPubMed
Metadata
Title
Parent and child perceptions of school-based obesity prevention in England: a qualitative study
Authors
Joanne L. Clarke
Tania L. Griffin
Emma R. Lancashire
Peymane Adab
Jayne M. Parry
Miranda J. Pallan
on behalf of the WAVES study trial investigators
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2567-7

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