Big hearts, small hands: a focus group study exploring parental food portion behaviours

Article English OPEN
Kristina Curtis ; Louise Atkins ; Katherine Brown (2017)
  • Publisher: BMC
  • Journal: BMC Public Health, volume 17 (issn: 1471-2458, eissn: 1471-2458)
  • Related identifiers: pmc: PMC5604285, doi: 10.1186/s12889-017-4711-z
  • Subject: Portion sizes | Research Article | RA1-1270 | Public aspects of medicine | Parental dietary behaviours | Childhood weight management | Behaviour change | Health promotion | Behaviour change, Childhood obesity prevention, Childhood weight management, Health promotion, Parental dietary behaviours, Portion sizes, Theory | Theory | Childhood obesity prevention

Abstract Background The development of healthy food portion sizes among families is deemed critical to childhood weight management; yet little is known about the interacting factors influencing parents’ portion control behaviours. This study aimed to use two synergistic theoretical models of behaviour: the COM-B model (Capability, Opportunity, Motivation – Behaviour) and Theoretical Domains Framework (TDF) to identify a broad spectrum of theoretically derived influences on parents’ portion control behaviours including examination of affective and habitual influences often excluded from prevailing theories of behaviour change. Methods Six focus groups exploring family weight management comprised of one with caseworkers (n = 4), four with parents of overweight children (n = 14) and one with parents of healthy weight children (n = 8). A thematic analysis was performed across the dataset where the TDF/COM-B were used as coding frameworks. Results To achieve the target behaviour, the behavioural analysis revealed the need for eliciting change in all three COM-B domains and nine associated TDF domains. Findings suggest parents’ internal processes such as their emotional responses, habits and beliefs, along with social influences from partners and grandparents, and environmental influences relating to items such as household objects, interact to influence portion size behaviours within the home environment. Conclusion This is the first study underpinned by COM-B/TDF frameworks applied to childhood weight management and provides new targets for intervention development and the opportunity for future research to explore the mediating and moderating effects of these variables on one another.
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