• Health professionals’ views and experiences of discussing weight with children and their families: A systematic review of qualitative research

      Heath, Gemma; Abdin, Shanara; Welch, Richard (Wiley-Blackwell, 2021-02-10)
      Background: Healthcare professionals are ideally placed to discuss weight management with children and families to treat and prevent childhood obesity. The aim of this review was to collect and synthesise primary research evidence relating to health professional’s views and experiences of discussing weight with children and their families. Methods: Systematic searches were conducted using the following databases: MEDLINE (OVID), Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE (OVID), PsycINFO (OVID) and Healthcare Management Information Consortium (HMIC). Twenty-six full text qualitative studies published in English Language journals since inception to October 2019 were included. Papers were quality assessed and synthesised using an inductive thematic analysis approach. Results: Data analysis generated five themes: Sensitivity of the issue; Family-professional relationships; Whole systems approach, Professional competency, Socio- cultural context. Conclusion: Supporting behaviour change through discussion of healthy weight with children and families is an important part of the health professional’s role. Tailored information for professionals including resources and training which facilitates them to confidently talk to children and families about weight should be prioritised within interventions. Success of such interventions requires commitment from a range of professionals to ensure healthy weight is tackled through a whole system approach.
    • Putting children forward for epilepsy surgery: A qualitative study of UK parents' and health professionals' decision-making experiences

      Heath, G; Abdin, Shanara; Begum, R; Kearney, S; Department of Psychology, Aston University, Birmingham, UK; Department of Psychology, Birmingham Children's Hospital, Birmingham, UK. Electronic address: g.heath1@aston.ac.uk. (Elsevier, 2016-06-29)
      © 2016 Elsevier Inc. Background Against a backdrop of recommendations for increasing access to and uptake of early surgical intervention for children with medically intractable epilepsy, it is important to understand how parents and professionals decide to put children forward for epilepsy surgery and what their decisional support needs are. Aim The aim of this study was to explore how parents and health professionals make decisions regarding putting children forward for pediatric epilepsy surgery. Methods Individual interviews were conducted with nine parents of children who had undergone pediatric epilepsy surgery at a specialist children's hospital and ten healthcare professionals who made up the children's epilepsy surgery service multidisciplinary healthcare team (MDT). Three MDT meetings were also observed. Data were analyzed thematically. Findings Four themes were generated from analysis of interviews with parents: presentation of surgery as a treatment option, decision-making, looking back, and interventions. Three themes were generated from analysis of interviews/observations with health professionals: triangulating information, team working, and patient and family perspectives. Discussion Parents wanted more information and support in deciding to put their child forward for epilepsy surgery. They attempted to balance the potential benefits of surgery against any risks of harm. For health professionals, a multidisciplinary approach was seen as crucial to the decision-making process. Advocating for the family was perceived to be the responsibility of nonmedical professionals. Conclusion Decision-making can be supported by incorporating families into discussions regarding epilepsy surgery as a potential treatment option earlier in the process and by providing families with additional information and access to other parents with similar experiences.