Talking About Childhood Obesity

While discussing obesity with pediatric patients and their families can be difficult, it is an essential step toward appropriate weight management. There is paucity of data regarding language preferences when discussing obesity in this population. In this pilot qualitative study, we interviewed 8 parents of patients diagnosed with obesity to identify language and communication preferences for discussing their child’s weight. Interviews were analyzed for emerging themes. Important trends appeared revealing that parents prefer neutral, medical terms discussed at well-child checks or obesity-specific visits. Providers should frame lifestyle changes as positive for all patients and set achievable goals with the help of visual aids. Our analysis uncovered several important communication strategies that can better equip providers to discuss obesity with their pediatric patients. This research may serve as a foundation for larger studies into the topic.

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Recent Advances in Treatment of Childhood Obesity

Current Drug Metabolism ◽

10.2174/1389200221666200817112311 ◽

2020 ◽

Vol 21 (14) ◽

pp. 1072-1078

Author(s):

Walter Milano ◽

Paola Ambrosio ◽

Francesca Carizzone ◽

Walter Di Munzio ◽

Valeria De Biasio ◽

...

Keyword(s):

Public Health ◽

Physical Activity ◽

Bariatric Surgery ◽

Childhood Obesity ◽

Treatment Strategies ◽

Lifestyle Changes ◽

Family Context ◽

Review Of The Literature ◽

Biological Factors ◽

The Family

: Childhood obesity has assumed epidemic proportions and is currently one of the most widespread public health problems. Many are the factors involved in the pathogenesis of excess weight with interactions between genetic, environmental and biological factors and therefore, also the therapeutic approach must be multidisciplinary and multidimensional. In this review of the literature, we report the contiguity of childhood obesity with eating disorders and the importance of involving the family context in order to induce stable lifestyle changes, both in relation to dietary and nutritional habits, but also in increasing physical activity. Finally, among the therapeutic options, although for selected cases, pharmacotherapy and bariatric surgery can be used as treatment strategies.

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Dificuldades do Profissional Enfermeiro ao Cuidar de Pacientes Pediátricos Portadores de Câncer/ Difficulties of the Professional Nurse when Taking Care of Pediatric Patients with Cancer

REVISTA CIÊNCIAS EM SAÚDE ◽

10.21876/rcsfmit.v4i3.227 ◽

1970 ◽

Vol 4 (3) ◽

pp. 41-47

Author(s):

Renata Pinto Ribeiro ◽

Teresa Francisca Moraes Pinto ◽

Clarissa Santos Carvalho Ribeiro ◽

Valdinéa Luiz Hertel

Keyword(s):

Qualitative Study ◽

Pediatric Patients ◽

Structured Interview ◽

Coping Mechanisms ◽

Emotional Involvement ◽

Children With Cancer ◽

Professional Nurse ◽

Patients With Cancer ◽

Oncological Diseases ◽

Taking Care

Objetivo: O objetivo desse estudo foi de identificar as dificuldades do profissional enfermeiro frente à criança com câncer, verificar se há preparo adequado para atender às necessidades de uma criança com doenças oncológicas; e qual a forma de enfrentamento utilizada pelo profissional diante das dificuldades encontradas, no atendimento a essa criança. Metodologia: Trata-se de uma pesquisa qualitativa, objetivando identificar quais dificuldades o profissional de enfermagem enfrenta no cuidado de criança com câncer e de seus familiares, os mecanismos de enfrentamento dessas dificuldades no atendimento dos mesmos e se há preparo adequado dos mesmos para atender as necessidades dessas crianças. Os sujeitos foram quatro enfermeiras que cuidam ou já cuidaram de crianças com câncer no Hospital Bom Pastor – Varginha/MG. A coleta de dados foi desenvolvida por uma entrevista semiestruturada. Resultados: Constatou-se que as dificuldades são: cuidar de criança em estado grave, seus pais e o envolvimento emocional. Aos meios de enfrentamento referem à oração e a distração. Quanto ao preparo do profissional referem despreparo para atuar nesta área. Conclusão: Conclui-se que há falta de preparo aos profissionais, embora os mesmos cuidem com humanização dessas crianças. Palavras-chave: Enfermeiro; Crianças; Câncer. ABSTRACT: Objective: The aim of this study was to identify the difficulties of the professional nurse when taking care of a child with cancer, check the adequate preparation to meet the needs of children with oncological diseases; and what form of coping with the situation the professionals used when taking care of this child. Methodology: This was a qualitative study , aiming to identify the difficulties the professional faces in the care of children with cancer and their families , the coping mechanisms of these difficulties in the care and if there is adequate preparation thereof to meet the needs of these children. The subjects were four nurses who care or have cared for children with cancer at Good Shepherd Hospital – Varginha/MG. Data collection was carried out by a semi - structured interview. Results: It was found that the difficulties are care of a child in serious condition, his parents and the emotional involvement. Means of coping relate to prayer and distraction. As to their preparation, professionals refer as being unprepared to act in this area. Conclusion: We concluded that there is lack of preparation of professionals, although they take care of these children in a humanistic way Keywords: Nurse; children; Cancer.

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Mexican American Mothers’ Perceptions of their Role in Childhood Obesity Prevention: A Qualitative Study

Journal of Research in Obesity ◽

10.5171/2014.845124 ◽

2014 ◽

pp. 1-10

Author(s):

Erica Sosa ◽

E. Lisako McKyer ◽

Patricia Goodson ◽

Linda Castillo

Keyword(s):

Childhood Obesity ◽

Qualitative Study ◽

Obesity Prevention ◽

Mexican American ◽

Childhood Obesity Prevention

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Disconnection in Information Exchange During Pediatric Trauma Transfers: A Qualitative Study

Journal of Patient Experience ◽

10.1177/23743735211056513 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110565

Author(s):

Hadley S Sauers-Ford ◽

James B Aboagye ◽

Stuart Henderson ◽

James P Marcin ◽

Jennifer L Rosenthal

Keyword(s):

Qualitative Study ◽

Information Exchange ◽

Pediatric Patients ◽

Traumatic Injury ◽

Pediatric Trauma ◽

Structured Interviews ◽

Theoretical Concepts ◽

Qualitative Thematic Analysis ◽

Clinician Communication ◽

Flow Of Information

Pediatric patients experiencing an emergency department (ED) visit for a traumatic injury often transfer from the referring ED to a pediatric trauma center. This qualitative study sought to evaluate the experience of information exchange during pediatric trauma visits to referring EDs from the perspectives of parents and referring and accepting clinicians through semi-structured interviews. Twenty-five interviews were conducted (10 parents and 15 clinicians) and analyzed through qualitative thematic analysis. A 4-person team collaboratively identified codes, wrote memos, developed major themes, and discussed theoretical concepts. Three interdependent themes emerged: (1) Parents’ and clinicians’ distinct experiences result in a disconnect of information exchange needs; (2) systems factors inhibit effective information exchange and amplify the disconnect; and (3) situational context disrupts the flow of information contributing to the disconnect. Individual-, situational-, and systems-level factors contribute to disconnects in the information exchanged between parents and clinicians. Understanding how these factors’ influence information disconnect may offer avenues for improving patient–clinician communication in trauma transfers.

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Media and Communication Strategies Supporting Parents and Children in COVID-19 Pandemic Environment

Postmodernism Problems ◽

10.46324/pmp2102170 ◽

2021 ◽

Vol 11 (2) ◽

pp. 170-177

Author(s):

Mihaela Racheva

Keyword(s):

Childhood Obesity ◽

Communication Strategies ◽

Emotional Problems ◽

Social And Emotional ◽

Parents And Children ◽

The Social ◽

Media And Communication

The article addresses the social and emotional problems of children and students during the isolation that transformed the lives of children, parents, and society. Emphasis is placed on the need to support parents and train them in skills that will be useful in the fight against childhood obesity in Bulgaria (based on media and communication strategies) in the context of the COVID-19.

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TYPES OF COMMUNICATION STRATEGIES USED BY YOUNG LEARNERS IN EFL CLASSROOMS

Lingua Scientia ◽

10.23887/ls.v25i2.18823 ◽

2018 ◽

Vol 25 (2) ◽

pp. 53

Author(s):

Dewi N.L.T. ◽

Batan I Gede ◽

Myartawan I P.N.W

Keyword(s):

Focus Group ◽

Qualitative Study ◽

Foreign Language ◽

Focus Group Discussion ◽

Communication Strategies ◽

Group Discussion ◽

Repetition Code ◽

Young Learners ◽

Proficiency Level ◽

Efl Classrooms

The learner’s proficiency level in communication using English as a foreign language was indicated by their capability to make use of strategies to communicate both in written as well as spoken forms. This qualitative study focused on finding out (i) the types of communication strategies used by the students in EFL classrooms at SMP Negeri 4 Singaraja, and (ii) the students’ reasons towards the use of their communication strategies. The data were obtained from observation and focus group discussion. All data were analysed descriptively. The results of the study indicated that numerous types of strategies were used by the students when communicating in the classroom. They are the use of fillers, self-repetition, code switching, appeal for help, self-repair, asking for confirmation, massage abandonment, omission, approximation, and literal translation. Various types of reasons were expressed by the students toward the use of communication strategies such as thinking time, anxiety, and proficiency level.

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Are predominantly western standards and expectations of informed consent in surgery applicable to all? A qualitative study in a tertiary care hospital in Sri Lanka

BMJ Open ◽

10.1136/bmjopen-2018-025299 ◽

2019 ◽

Vol 9 (1) ◽

pp. e025299

Author(s):

Udagedara Mudiyanselage Jayami Esha Samaranayake ◽

Yasith Mathangasinghe ◽

Anura Sarath Kumara Banagala

Keyword(s):

Informed Consent ◽

Qualitative Study ◽

Tertiary Care Hospital ◽

Comparative Method ◽

Tertiary Care ◽

Lifestyle Changes ◽

Cultural Norms ◽

Sri Lankan ◽

Care Hospital ◽

Asking Questions

ObjectiveTo identify the different perceptions on informed surgical consent in a group of Sri Lankan patients.MethodsA qualitative study was conducted in a single surgical unit at a tertiary care hospital from January to May 2018. The protocol conformed to the Declaration of Helsinki. Patients undergoing elective major surgeries were recruited using initial purposive and later theoretical sampling. In-depth interviews were conducted in their native language based on the grounded theory. Initial codes were generated after analysing the transcripts. Constant comparative method was employed during intermediate and advanced coding. Data collection and analyses were conducted simultaneously, until the saturation of the themes. Finally, advanced coding was used for theoretical integrations.ResultsThirty patients (male:female=12:18) were assessed. The mean age was 41±9 years. Sinhalese predominated (50.0%, n=15). Majority underwent thyroidectomy (36.7%, n=11). The generated theory categorises the process of obtaining informed consent in four phases: initial interaction phase, reasoning phase, convincing phase and decision-making phase. Giving consent for surgery was a dependent role between patient, family members and the surgeon, as opposed to an individual decision by the patient. Some patients abstained from asking questions from doctors since doctors were ‘busy’, ‘short-tempered’ or ‘stressed out’. Some found nurses to be more approachable than doctors. Patients admitted that having a bystander while obtaining consent would relieve their stress. They needed doctors to emphasise more on postoperative lifestyle changes and preprocedure counselling at the clinic level. To educate patients about their procedure, some suggested leaflets or booklets to be distributed at the clinic before ward admission. The majority disliked watching educational videos because they were ‘scared’ to look at surgical dissections and blood.ConclusionThe informed consent process should include key elements that are non-culture specific along with elements or practices that consider the cultural norms of the society.

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