An-Jou Chen, Wan-Ting Chen, I-An Wang, Nadia Wang, Wei J Chen, Chuan-Yu Chen
Association between childhood negative life events with alcohol expectancies in early adolescence: Cumulative risk and latent class approaches
Drug and alcohol dependence
primary care community healthcare professionals hcps well placed discuss child excess weight parents support make changes however hcps concerns addressing issue need understand factors influence hcps initiating conversations inform strategies support explore hcps working primary care community settings experiences conversations child weight parents factors create barriers facilitate conversations qualitative study gps primary care nurses pns school nurses sns england gps pns recruited participate semistructured interviews sns community healthcare nhs trust recruited participate focus groups vignettes used stimulate discussion data analysed guided framework approach thirteen gps seven pns 20 sns participated following three themes identified regarding barriers hcps conversations child excess weight structural organisational hcp related parent family related themes identified factors facilitate conversations structural changes example dedicated appointments access weight assessment data joinedup working across agencies hcp approaches example providing appropriate dietary physical activity advice hcp knowledge skills example enhancing hcps general weight managementrelated skills knowledge child weight management services range barriers exist hcps addressing child excess weight parents primary care community settings actions effect structural changes support hcps developing relevant knowledge skills required overcome barriers