Parents’ views on child physical activity and their implications for physical activity parenting interventions: a qualitative study

BMC Pediatrics

Katrina M Turner³  Sarah Stewart-Brown⁴  Kenneth R Fox²  Patricia J Lucas¹  Simon J Sebire²  Russell Jago²  Joanna K Goodred²  Georgina F Bentley² 

[1] Centre for Research in Health and Social Care, School for Policy Studies, University of Bristol, Bristol, UK;Centre for Exercise, Nutrition & Health Sciences, School for Policy Studies, University of Bristol, Bristol, UK;School of Social and Community Medicine, University of Bristol, Bristol, UK;Warwick Medical School, University of Warwick, Coventry, UK

关键词: Intervention;    Parenting;    Physical activity;   

Others  :  1170608
DOI  :  10.1186/1471-2431-12-180

 received in 2012-09-03, accepted in 2012-11-11,  发布年份 2012

【 摘 要 】

Background

Establishing healthy physical activity (PA) behaviours in early childhood is important for future PA behaviours. Parents play a central role in young children’s PA. However, there is currently little research on parenting interventions to increase child PA. This study was formative work to inform the content of a pilot randomised-controlled trial.

Methods

In-depth telephone interviews were carried out with 32 parents of 6 to 8 year old children residing in two areas that varied in their socio-economic characteristics, in Bristol, UK. Data were analysed thematically using a framework approach.

Results

Most parents described their child as being active or very active and indicated that they did not perceive a need for an increase in their child’s PA. Parents used a variety of visual cues to make this judgement, the most common being that they perceived their child as having lots of energy or that they did not view them as overweight. Parents reported environmental factors such as monetary cost, time constraints, lack of activity provision and poor weather as the main barriers to their child’s PA. Parental support and child’s enjoyment of PA appeared to be important facilitators to children participating in PA.

Conclusion

Improving parents’ knowledge of the PA recommendations for children, and increasing their awareness of the benefits of PA beyond weight status may be an important first step for a parenting PA intervention. Although parents commonly perceive environmental factors as the main barriers to their child’s PA, parental concern about low levels of child PA, their capacity to support behaviour change, child motivation, self confidence and independence may be key areas to address within an intervention to increase child PA. Effective methods of helping parents address the latter have been developed in the context of generic parenting programmes.

【 授权许可】

   
2012 Bentley et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Laaksonen DE, Lindström J, Lakka TA, Eriksson JG, Niskanen L, Wikström K, Aunola S, Keinänen-Kiukaanniemi S, Laakso M, Valle TT, et al.: Physical activity in the prevention of type 2 diabetes. Diabetes 2005, 54(1):158-165.
• [2]Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, Ilanne-Parikka P, Keinänen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, et al.: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001, 344(18):1343-1350.
• [3]Hu G, Tuomilehto J, Silventoinen K, Barengo NC, Peltonen M, Jousilahti P: The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47,212 middle-aged Finnish men and women. Int J Obes Relat Metab Disord 2005, 29(8):894-902.
• [4]Parfitt G, Eston RG: The relationship between children’s habitual activity level and psychological well-being. Acta Paediatr 2005, 94:1791-1797.
• [5]Dietz WH: Childhood weight affects adult morbidity and mortality. J Nutr 1998, 128(2):411S-414S.
• [6]Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, et al.: Evidence based physical activity for school-age youth. J Pediatr 2005, 146:732-737.
• [7]Craig R, Mindell J, Hirani V: Health Survey for England 2008. Leeds: The Health and Social Care Information Centre; 2009.
• [8]Riddoch CJ, Mattocks C, Deere K, Saunders J, Kirkby J, Tilling K, Leary SD, Blair SN, Ness AR: Objective measurement of levels and patterns of physical activity. Arch Dis Child 2007, 92:963-969.
• [9]Dauer VP, Pangrazi RP: Dynamic Physical Education for Elementary School Children. 9th edition. New York: Macmillan; 1989.
• [10]Fox KR: How to help your children become more active. In Active healthy living. Edited by Ganzalez-Gross M. Brussels: Coca Cola Europe; 2009:52-67.
• [11]Jago R, Baranowski T, Baranowski JC, Thompson D, Greaves KA: BMI from 3–6 years of age is predicted by TV viewing and physical activity, not diet. Int J Obes Relat Metab Disord 2005, 29(6):557-564.
• [12]Malina RM: Tracking of physical activity and physical fitness across the lifespan. Res Q Exerc Sport 1996, 67(3):48-57.
• [13]Twisk JW, Kemper HCG, van Mechelen W: Tracking of activity and fitness and the relationship with cardiovascular disease risk factors. Med Sci Sports Exerc 2000, 32(8):1455-1461.
• [14]Department of Health: Start Active, Stay Active: A report on physical activity from the four home countries. London: Chief Medical Officers; 2011.
• [15]Gruber K, Haldeman L: Using the family to combat childhood and adult obesity. Prev Chronic Dis 2009, 6:A106.
• [16]Salmon J, Booth ML, Phongsavan P, Murphy N, Timperio A: Promoting physical activity participation among children and adolescents. Epidemiol Rev 2007, 29(1):144-159.
• [17]van Sluijs EM, McMinn AM, Griffin SJ: Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ 2007, 335:703.
• [18]van Sluijs EMF, Griffin SJ, van Poppel MNM: A cross-sectional study of awareness of physical activity: associations with personal, behavioral and psychosocial factors. IJBNPA 2007, 4:53.
• [19]Brockman R, Jago R, Fox KR, Thompson JL, Cartwright K, Page AS: “Get off the sofa and go and play": family and socioeconomic influences on the physical activity of 10–11 year old children. BMC Publ Health 2009, 21:253.
• [20]Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc 2000, 32(5):963-975.
• [21]Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M: Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003, 25(4):277-282.
• [22]Davison KK, Cutting TM, Birch LL: Parents’ activity-related parenting practices predict girls’ physical activity. Med Sci Sports Exerc 2003, 35(9):1589-1595.
• [23]Hennessy E, Hughes SO, Goldberg JP, Hyatt RR, Economos CD: Parent–child interactions and objectively measured child physical activity: a cross-sectional study. IJBNPA 2010, 7:71.
• [24]Jago R, Davison KK, Brockman R, Page AS, Thompson JL, Fox KR: Parenting styles, parenting practices, and physical activity in 10- to 11-year olds. Prev Med 2010, 52:44-47.
• [25]Golan M, Weizman A, Apter A, Fainaru M: Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr 1998, 67(6):1130-1135.
• [26]Golan M, Crow S: Parents are key players in the prevention and treatment of weight-related problems. Nutr Rev 2004, 62:39-50.
• [27]Robertson W, Friede T, Blissett J, Rudolf MC, Wallis M, Stewart-Brown S: Pilot of "Families for Health": community-based family intervention for obesity. Arch Dis Child 2008, 93(11):921-926.
• [28]Watkinson C, van Sluijs EM, Sutton S, Marteau T, Griffin SJ: Randomised controlled trial of the effects of physical activity feedback on awareness and behaviour in UK adults: the FAB study protocol. BMC Publ Health 2010, 10:144. BioMed Central Full Text
• [29]van Sluijs EMF, Griffin SJ, van Poppel MNM: A cross-sectional study of awareness of physical activity: associations with personal, behavioral and psychosocial factors. IJBNPA 2007., 4(53)
• [30]Corder K, van Sluijs EMF, McMinn AM AC, Griffin SJ: Perception versus reality awareness of physical activity levels of British children. Am J Prev Med 2010, 38(1):1-8.
• [31]Hesketh K, Waters E, Green J, Salmon L, Williams J: Healthy eating, activity and obesity prevention: a qualitative study of parent and child perceptions in Australia. Health Promot Int 2005, 20:19-26.
• [32]Mitchell J, Skouteris H, McCabe M, Ricciardelli LA, Milgrom J, Baur LA, Fuller-Tyszkiewicz M, Dwyer G: Physical activity in young children: a systematic review of parental influences. Early Child Dev Care 2011, 82(11):1-27.
• [33]Smith M: Parental influences on the physical activity behaviour of children of various ethnic backgrounds. Res Q Exerc Sport 2005, 76(1):50-51.
• [34]Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ 2008, 337:a1655.
• [35]Jago R, Fox KR, Page AS, Brockman R, Thompson JT: Development of scales to assess children's perceptions of friend and parental influences on physical activity. IJBNPA 2009, 6:67.
• [36]Thompson JL, Jago R, Brockman R, Cartwright K, Page A, Fox KR: Physically active families – de-bunking the myth? A qualitative study of family participation in physical activity. Child Care Health Dev 2009, 32(2):265-274.
• [37]Sturges JE, Hanrahan KJ: Comparing telephone and face-to-face qualitative interviewing: a research note. Qual Res 2004, 4(1):107-118.
• [38]Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol 2006, 3:77-101.
• [39]Richie J, Spencer L: Qualitative data analysis for applied policy research. In Analysing Qualitative Data. Edited by Bryman , Burgess . London: Routledge; 1994:173-194.
• [40]Cottrell L, Harris CV, Bradlyn A, Gunel E, Neal WA, Abildso L, Coffman JW: Identifying the people and factors that influence children's intentions to make lifestyle changes. Health Promot Pract 2012, 13(2):183-189.
• [41]Lucas P, Arai L, Baird J, Kleijnen J, Law C, Roberts H: A systematic review of lay views about infant size and growth. Arch Dis Child 2007, 92(2):120-127.
• [42]Lopez NV, Ayala GX, Corder K, Eisenberg CM, Zive MM, Wood C, Elder JP: Parent support and parent-mediated behaviors are associated with children's sugary beverage consumption. J Acad Nutr Diet 2012, 112(4):541-547.
• [43]Watkinson C, van Sluijs EM, Sutton S, Hardeman W, Corder K, Griffin SJ: Overestimation of physical activity level is associated with lower BMI: a cross-sectional analysis. IJBNPA 2010, 7:68.
• [44]Ronda G, Van Assema P, Brug J: Stages of change, psychological factors and awareness of physical activity level in the Netherlands. Health Promot Int 2001, 16(4):305-314.
• [45]Corder K, van Slujis EMF, Goodyer I, Ridgway CL, Steele RM, Bamber D, Dunn V, Griffin SJ, Ekelund U: Physical activity awareness of British adolescents. Arch Pediatr Adolesc Med 2011, 165(7):603-609.
• [46]Dwyer J, Needham L, Simpson J, Heeney E: Parents report intrapersonal, interpersonal, and environmental barriers to supporting healthy eating and physical activity among their preschoolers. Appl Physiol Nutr Metab 2008, 33:338-346.
• [47]Withall J, Jago R, Cross J: Families’ and health professionals’ perceptions of influences on diet, activity and obesity in a low-income community. Health Place 2009, 15:1078-1085.
• [48]Sallis JF, McKenzie TL, Elder JP, Broyles SL, Nader PR: Factors parents use in selecting play spaces for young children. Arch Pediatr Adolesc Med 1997, 151(4):414-417.
• [49]Smith BJ, Grunseit A, Hardy LL, King L, Wolfenden L, Milat A: Parental influences on child physical activity and screen time: a population based study. BMC Publ Health 2010, 10:593. BioMed Central Full Text
• [50]Hohepa M, Scragg R, Schofield G, Kolt GS, Schaaf D: Social support for youth physical activity: importance of siblings, parents, friends and school support across a segmented school day. IJBNPA 2007, 4:54.
• [51]Sallis JF, Alcaraz JE, McKenzie TL, Hovell MF, Kolody B, Nader PR: Parental behavior in relation to physical activity and fitness in 9-year-old children. Am J Dis Child 1992, 146(11):1383-1388.
• [52]Weiss M, Hayashi C: All in the family: parent–child influences in competitive youth gymnastics. Pediatr Exerc Sci 1995, 7:36-48.
• [53]Welk GJ, Wood K, Morss G: Parental influences on physical activity in children: an exploration of potential mechanisms. Pediatr Exerc Sci 2003, 15:19-33.
• [54]Deci EL, Driver RE, Hotchkiss L, Robbins RJ, McDougal Wilson I: The relation of mothers’ controlling vocalizations to children’s intrinsic motivation. J Exp Child Psychol 1993, 55:151-162.
• [55]Grolnick WS, Ryan RM: Parent styles associated with children’s self-regulation and competence in school. J Educ Psychol 1989, 81:143-154.
• [56]Biddle S, Armstrong N: Children’s physical activity: and exploratory study of psychological correlates. Soc Sci Med 1992, 34(3):325-331.
• [57]Harter S: A new self-report scale of intrinsic versus extrinsic orientation in the classroom: motivation and informational components. Development Psychol 1981, 17:300-312.
• [58]Bois JE, Sarrazin PG, Brustad RJ, Trouilloud DO, Cury F: Elementary schoolchildren's perceived competence and physical activity involvement: the influence of parents' role modelling behaviours and perceptions of their child's competence. Psychol Sport Exerc 2005, 6(4):381-397.
• [59]Dempsey JM, Kimiecik JC, Horn TS: Parental influence on children's moderate to vigorous physical activity participation: an expectancy-value approach. Int J Exerc Sci 1993, 5:151-167.
• [60]Kimiecik JC, Horn TS: Examining the relationship between family context and children’s physical activity beliefs: the role of parenting style. Psychol Sport Exerc 2012, 13:10-18.