Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child

Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents’ views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child...

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Autores principales:	Paulina Nowicka, Johan Keres, Anna Ek, Karin Nordin, Pernilla Sandvik
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	covert control overt control child development food environment obesity Medicine R
Acceso en línea:	https://doaj.org/article/718f47d0400947509070f5fada08cf0c
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spelling	oai:doaj.org-article:718f47d0400947509070f5fada08cf0c2021-11-11T16:26:45ZChanging the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child10.3390/ijerph1821112931660-46011661-7827https://doaj.org/article/718f47d0400947509070f5fada08cf0c2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11293https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents’ views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child. Semi-structured interviews were conducted with 33 parents (85% mothers, 48% with a university degree) of 33 children (mean age 9.3 (SD 0.7), 46% girls) from Sweden. The interviews were analyzed using thematic analysis. Two main themes were developed. <i>Making changes in the home food environment</i> illustrates the types of changes families make over time in relation to child development. It consists of three subthemes: covert changes, overt changes and child-directed changes. The second theme, <i>an ongoing negotiation</i>, captures parents’ experiences of managing the home food environment as a continuous process of balancing and recalibrating in relation to present challenges and concerns about the future. It includes three subthemes: concern and care, two steps forward one back and maintaining everyday balance. Managing the home food environment is a constant process affected by everyday life, parents’ strategies and the child’s development. Our findings can strengthen childhood obesity treatment and help prepare parents for challenges that lie ahead.Paulina NowickaJohan KeresAnna EkKarin NordinPernilla SandvikMDPI AGarticlecovert controlovert controlchild developmentfood environmentobesityMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11293, p 11293 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covert control overt control child development food environment obesity Medicine R
spellingShingle	covert control overt control child development food environment obesity Medicine R Paulina Nowicka Johan Keres Anna Ek Karin Nordin Pernilla Sandvik Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
description	Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents’ views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child. Semi-structured interviews were conducted with 33 parents (85% mothers, 48% with a university degree) of 33 children (mean age 9.3 (SD 0.7), 46% girls) from Sweden. The interviews were analyzed using thematic analysis. Two main themes were developed. <i>Making changes in the home food environment</i> illustrates the types of changes families make over time in relation to child development. It consists of three subthemes: covert changes, overt changes and child-directed changes. The second theme, <i>an ongoing negotiation</i>, captures parents’ experiences of managing the home food environment as a continuous process of balancing and recalibrating in relation to present challenges and concerns about the future. It includes three subthemes: concern and care, two steps forward one back and maintaining everyday balance. Managing the home food environment is a constant process affected by everyday life, parents’ strategies and the child’s development. Our findings can strengthen childhood obesity treatment and help prepare parents for challenges that lie ahead.
format	article
author	Paulina Nowicka Johan Keres Anna Ek Karin Nordin Pernilla Sandvik
author_facet	Paulina Nowicka Johan Keres Anna Ek Karin Nordin Pernilla Sandvik
author_sort	Paulina Nowicka
title	Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
title_short	Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
title_full	Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
title_fullStr	Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
title_full_unstemmed	Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child
title_sort	changing the home food environment: parents’ perspectives four years after starting obesity treatment for their preschool aged child
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/718f47d0400947509070f5fada08cf0c
work_keys_str_mv	AT paulinanowicka changingthehomefoodenvironmentparentsperspectivesfouryearsafterstartingobesitytreatmentfortheirpreschoolagedchild AT johankeres changingthehomefoodenvironmentparentsperspectivesfouryearsafterstartingobesitytreatmentfortheirpreschoolagedchild AT annaek changingthehomefoodenvironmentparentsperspectivesfouryearsafterstartingobesitytreatmentfortheirpreschoolagedchild AT karinnordin changingthehomefoodenvironmentparentsperspectivesfouryearsafterstartingobesitytreatmentfortheirpreschoolagedchild AT pernillasandvik changingthehomefoodenvironmentparentsperspectivesfouryearsafterstartingobesitytreatmentfortheirpreschoolagedchild
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Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child

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