Diane O Tyler1, Sharon D Horner. 1. School of Nursing, University of Texas at Austin, Austin, TX, USA. dtyler@mail.utexas.edu
Abstract
PURPOSE: This paper aims to examine the collaborative negotiation process, an interventional approach being tested at a primary-care school-based clinic to help low-income families improve lifestyle and weight-related health indicators in their overweight children. DESIGN AND METHODS: Process evaluation of the intervention employed in an ongoing longitudinal pilot study. Descriptive analysis is from structured field notes and audiotapes of parent-child-provider interactions during intervention visits (n=111). RESULTS: Activity levels and eating patterns were families' main concerns in managing their children's weight. Challenges and facilitators of implementing health plans were explored. PRACTICE IMPLICATIONS: The collaborative negotiation intervention provides a family-centered approach to engage families in management of children's weight.
PURPOSE: This paper aims to examine the collaborative negotiation process, an interventional approach being tested at a primary-care school-based clinic to help low-income families improve lifestyle and weight-related health indicators in their overweight children. DESIGN AND METHODS: Process evaluation of the intervention employed in an ongoing longitudinal pilot study. Descriptive analysis is from structured field notes and audiotapes of parent-child-provider interactions during intervention visits (n=111). RESULTS: Activity levels and eating patterns were families' main concerns in managing their children's weight. Challenges and facilitators of implementing health plans were explored. PRACTICE IMPLICATIONS: The collaborative negotiation intervention provides a family-centered approach to engage families in management of children's weight.