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Table 5 Key barriers to addressing obesity prevention in routine practice (n = 55)

From: Obesity prevention in early life: an opportunity to better support the role of Maternal and Child Health Nurses in Australia

Barrier Not a barrier at all No (%) Minor barrier No (%) Substantial barrier No (%)
Parent related barriers    
Parents don’t recognise their child is overweight (n = 51) 5 (9.8) 13 (25.5) 33 (64.7)
Some parents react negatively to me raising the issue of their child’s weigh (n = 51) 9 (17.6) 8 (15.7) 34 (66.7)
Parent is not motivated to change the diet or lifestyle of the family (n = 51) 4 (7.8) 21 (41.2) 26 (51.0)
Socio-economic factors affect the ability of families to make a change (e.g. cost of healthy food) (n = 51) 7 (13.7) 23 (41.1) 21 (41.2)
Addressing the child’s weight is not a priority for parents (n = 50) 10 (20.0) 21 (42.0) 19 (38.0)
A lack of relevance to the parent or child’s presenting issue (n = 51) 15 (29.4) 26 (51.0) 15 (29.4)
Service related barriers    
A lack of referral pathways to provide additional/ongoing support for parents if required (n = 51) 13 (25.5) 23 (45.1) 15 (29.4)
A lack of time (n = 51) 20 (39.2) 19 (33.9) 12 (23.5)
A lack of appropriate education materials for parents available in my clinic/practice (n = 51) 11 (21.6) 30 (58.8) 10 (19.6)
A lack of support from managers/supervisors for me to undertake this work in my role (n = 51) 44 (86.3) 6 (11.8) 1 (2.0)
Practitioner related barriers    
My advice and support does little to promote the adoption of a healthy lifestyle for parents and their children (n = 51) 15 (29.4) 28 (54.9) 8 (15.7)
I feel uncomfortable raising the issue of infants and young children’s weight with parents (n = 51) 32 (62.7) 16 (31.4) 3 (5.9)
Lack of relevance to my role (n = 51) 37 (72.5) 12 (23.5) 2 (3.9)
I lack knowledge about how to most effectively prevent child overweight and obesity. (n = 51) 42 (82.4) 7 (13.7) 2 (3.9)
I lack confidence to counsel parents about healthy eating and physical activity (n = 51) 43 (84.3) 8 (15.7) 0 (0)
My own lifestyle habits (n = 51) 46 (90.2) 5 (9.8) 0 (0)
I don’t find this kind of work professionally rewarding n = 51 49 (96.1) 2 (3.9) 0 (0)