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Patient Educ Couns. 2015 Jan;98(1):85-9. doi: 10.1016/j.pec.2014.10.016. Epub 2014 Oct 28.

Disparities in parent confidence managing child weight-related behaviors.

Author information

1
Department of Pediatrics, Nemours Alfred I. duPont Hospital for Children, Wilmington, USA. Electronic address: tphan@nemours.org.
2
Department of Pediatrics, Nemours Alfred I. duPont Hospital for Children, Wilmington, USA.

Abstract

OBJECTIVE:

To describe ethnic disparities in parental confidence managing child weight-related behaviors.

METHODS:

This was a cross-sectional survey of 59 parents of children with obesity between 4 and 7 years of age presenting to a tertiary care pediatric weight management clinic. Parents completed a validated measure assessing their confidence managing their child's weight-related behaviors (parent confidence score). Student's t-tests and linear regression analyses were used to determine parent and child characteristics associated with parent confidence score.

RESULTS:

Families were ethnically diverse with half being of Hispanic ethnicity. Mean parent confidence score was 159 (SD 66) with 71% of parents with parent confidence scores below the clinical cut-off for the measure. Parent confidence score was lower among Hispanic (mean 133, SD 67) compared to non-Hispanic parents (mean 184, SD 55, p < 0.01). Parent confidence score was most strongly associated with parental ethnicity (β = -0.39, p = 0.002, adjusted R(2) = 0.14).

CONCLUSION:

Parental confidence managing weight-related behaviors was low among parents of young obese children, especially those of Hispanic ethnicity.

PRACTICE IMPLICATIONS:

This study highlights the need to assess parental confidence in managing weight-related behaviors as part of pediatric obesity care and to provide counseling to improve parental management of weight-related behaviors in a culturally-appropriate manner.

KEYWORDS:

Child obesity; Ethnic disparities; Motivational interviewing; Parent confidence

PMID:
25468400
PMCID:
PMC5621738
DOI:
10.1016/j.pec.2014.10.016
[Indexed for MEDLINE]
Free PMC Article

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