Abstract:
INTRODUCTION:Childhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children's weight-related behaviours, good communication between parents and health care professionals (HCPs) is essential. This systematic review provides a meta-synthesis of qualitative studies exploring the barriers and facilitators experienced by HCPs when discussing child weight with parents. METHODS:Searches were conducted using the following databases: MEDLINE (OVID), Psych INFO (OVID), EMBASE (OVID), Web of Knowledge and CINAHL. Thirteen full-text qualitative studies published in English language journals since 1985 were included. Included studies collected data from HCPs (e.g., nurses, doctors, dieticians, psychologists, and clinical managers) concerning their experiences of discussing child weight-related issues with parents. An inductive thematic analysis was employed to synthesize findings. FINDINGS:Emerging subthemes were categorized using a socio-ecological framework into intra/interpersonal factors, organizational factors, and societal factors. Perceived barriers and facilitators most commonly related to intra/interpersonal level factors, that is, relating to staff factors, parental factors, or professional-parent interactions. HCPs also attributed a number of barriers, but not facilitators, at the organizational and societal levels. CONCLUSION:The findings of this review may help to inform the development of future weight-related communication interventions. Whilst intra/interpersonal interventions may go some way to improving health care practice, it is crucial that all stakeholders consider the wider organizational and societal context in which these interactions take place. Statement of contribution What is already known on the subject? Childhood obesity is one of the United Kingdom's most serious current public health challenges. Health care professionals are in a prime position to identify child weight issues during routine consultations. However, they often feel unable or unequipped to raise the topic and provide information on child weight management. What does this study add? To our knowledge, this is the first review to synthesize barriers and facilitators to discussing child weight. This review interprets key barriers and facilitators in the context of the socio-ecological model. Supports the development of interventions matched to the appropriate level of the socio-economic model.
journal_name
Br J Health Psycholjournal_title
British journal of health psychologyauthors
Bradbury D,Chisholm A,Watson PM,Bundy C,Bradbury N,Birtwistle Sdoi
10.1111/bjhp.12312subject
Has Abstractpub_date
2018-09-01 00:00:00pages
701-722issue
3eissn
1359-107Xissn
2044-8287journal_volume
23pub_type
杂志文章,meta分析abstract:OBJECTIVES:This article reviews evidence regarding effects of psychotherapy on overall cancer survival time. Special emphasis is given to research on adverse effects of depression on cancer survival, breast cancer, and mediating psychophysiological pathways linking psychosocial support to longer survival. DESIGN:It re...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1111/bjhp.12061
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Psychological factors have been identified with respect to female urinary incontinence. However, there is limited research regarding psychological interventions. The effectiveness of cognitive behaviour therapy (CBT) as a treatment for women with urinary incontinence was investigated. DESIGN:The study adopte...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1348/135910705X53876
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:To explore quality of life outcomes and the factors that influenced adjustment among individuals diagnosed with an acoustic neuroma. DESIGN:This qualitative study involved a focus group design. METHODS:Twenty-one participants who had been diagnosed with and/or treated for an acoustic neuroma since 2000 att...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910708X372527
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:To develop a questionnaire to measure the extent and severity of the concerns of people with an implanted cardioverter defibrillator. DESIGN:Items were generated from patient interviews, expert review and the research literature on patients' worries and concerns. A pilot version was administered to a series...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910705X52264
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:The study sought to (1) explain intentions to get tested for chlamydia regularly in a group of young people living in deprived areas using the theory of planned behaviour (TPB); and (2) test whether self-identity explained additional variance in testing intentions. DESIGN:A cross-sectional design was used f...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12036
更新日期:2014-02-01 00:00:00
abstract::This study aimed to estimate the association between anxiety associated with COVID-19 and somatic symptoms, using data from a large, representative sample (N = 2,025) of the UK adult population. Results showed that moderate to high levels of anxiety associated with COVID-19 were significantly associated with general s...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12430
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:This study examined the impact of future friends and the contribution of different social influence and selection processes in predicting adolescents' smoking behaviour by extending the theory of planned behaviour (TPB). We investigated the impact of previous smoking, direct pressure from friends, descriptive...
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pub_type: 杂志文章
doi:10.1348/135910710X531608
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To investigate physiotherapist's (PTs) fidelity to 31 protocol-listed behaviour change techniques (BCTs) during a group-based self-management intervention. This study also explored the PTs delivery of these BCTs beyond the present or absent dichotomy, using a third variable, partial delivery (i.e., attempted...
journal_title:British journal of health psychology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:Using the transactional model of stress and coping, the present study investigated whether specific coping resources act as buffers of the relationship between perceived stress and psychological well-being among rheumatoid arthritis (RA) patients. DESIGN:A longitudinal observational study was carried out wi...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1348/135910706X109288
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVES:To assess myocardial infarction (MI) patients' causal beliefs, how they change over time and the effects of different assessment methods. METHOD:The study used a longitudinal design with a follow-up to 1 year. The participants were 100 MI patients who were recruited within 72 hours of admission. Each partic...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910701169070
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:Consistent with behaviour observed in prior crises, individuals are stockpiling supplies during the novel coronavirus (COVID-19) pandemic. The goal of this study was to describe stockpiling behaviour in response to COVID-19 and investigate individual predictors of stockpiling. METHODS:Workers (N = 363, 54.7...
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pub_type: 杂志文章
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更新日期:2020-10-20 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910703762879246
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:Analysis of health service statistics reveals that men tend to under-use primary health care services. Previous research has suggested that men view illness as a form of weakness and have negative views about men who seek medical help. It has also indicated that some men believe that male General Practitioner...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X479113
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:The objective of this study was to systematically review existing empirical research assessing levels and correlates of distress in significant others of patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). METHODS:Systematic searches in CINAHL, Web of Science and PsycINFO were conducted ...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
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更新日期:2016-11-01 00:00:00
abstract::Objectives The Capabilities, Opportunities, Motivations, Behaviour (COM-B) model is being used extensively to inform intervention design, but there is no standard measure with which to test the predictive validity of COM or to assess the impact of interventions on COM. We describe the development, reliability, validit...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12417
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:A school-based vaccination programme to prevent infection with the human papillomavirus (HPV), the virus that causes cervical cancer, began in October 2008 in England. The present study evaluated the role of temporal perspective in the formation of attitudes and intentions towards the vaccine. DESIGN:A cross...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X437092
更新日期:2010-02-01 00:00:00
abstract::This study examined beliefs about the causes and determinants of health, illness, and recovery in an opportunistic sample from Malaysia. In all, 371 women and 350 men completed the Health and Illness Scale, a 124-item scale that examined beliefs about current and future health, and beliefs about the causes of illness ...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910708X370781
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:Examine differences in the relationship between conformity to masculine norms and engagement in health behaviour among a cross-cultural sample of Hong Kong Chinese, mainland Chinese, Caucasian, and South Asian men living in Hong Kong. DESIGN:Cross-sectional. METHODS:A community sample of 495 Hong Kong Chine...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12345
更新日期:2019-02-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910703770238284
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVES:In the framework of the EU project 'Improving quality and safety in the hospital: The link between organizational culture, burnout and quality of care', focus groups (FGs) were conducted to explore hospital environment stressors and their relationship with health care professional (HP) well-being and quality...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12041
更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1348/135910710X522734
更新日期:2011-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/bjhp.12195
更新日期:2016-09-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
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更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Excessive alcohol consumption increases when students enter university. This study tests whether combining (1) messages that target key beliefs from the theory of planned behaviour (TPB) that underlie binge drinking, (2) a self-affirmation manipulation to reduce defensive processing, and (3) implementation i...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Reliable methods have been developed for characterizing behavioural interventions in terms of component practitioner-delivered behaviour change techniques (BCTs). As yet, no corresponding methods have been developed for characterizing client responses. PURPOSE:To develop a method for characterizing clients'...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12188
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:While effective preventative medication is readily available for asthma, adherence is a major problem due to patients' beliefs about their illness and medication. We investigated whether a text message programme targeted at changing patients' illness and medication beliefs would improve adherence in young adu...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.2044-8287.2011.02033.x
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:The objective of this study was to systematically review the evidence for the potential promise of behaviour change techniques (BCTs) to increase physical activity among people with dementia (PWD). METHODS:PsychINFO, MEDLINE, CINAHL, and the Cochrane Central Register of Controlled Trials databases were searche...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1111/bjhp.12279
更新日期:2018-02-01 00:00:00
abstract::An experimental evaluation of a safer sex promotion leaflet was undertaken to assess its capacity to change antecedent cognitions of condom use. The leaflet was identified in a previous study as addressing research-based cognitive antecedents of condom use. A pre-post-test experimental study including three conditions...
journal_title:British journal of health psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1348/135910705X27640
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the effects of a novel intervention, compared with usual chlamydia testing promotion, on chlamydia test uptake and intentions among young people living in deprived areas. The intervention was based on the theory of planned behaviour, augmented with self-identity, and targeted th...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/bjhp.12065
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Behaviour change interventions often target 'important' beliefs. The literature proposes four methods for assessing importance of attitudinal beliefs: elicitation frequency, importance ratings, and strength of prediction (bivariate and multivariate). We tested congruence between these methods in a Delphi stu...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12066
更新日期:2014-05-01 00:00:00