Table 3 Perceived barriers by group of professionals
Total group | General practitioners | Youth Health Care Physicians | Youth Health Care Nurses | Pediatricians | Mental health professionals | Dieticians | Physiotherapists | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | |
Insufficient time | 215 | 37% | 15 | 60% | 45 | 49% | 95 | 37% | 15 | 48% | 8 | 16% | 30 | 39% | 7 | 17% |
Not stated in my job description | 14 | 2% | 1 | 4% | 0 | 0% | 1 | 0.4% | 0 | 0% | 3 | 6% | 3 | 4% | 6 | 15% |
Insufficient care to refer to | 137 | 24% | 5 | 20% | 38 | 41% | 61 | 24% | 17 | 55% | 5 | 10% | 7 | 9% | 4 | 10% |
Child or parent with Dutch as second language | 253 | 44% | 12 | 48% | 46 | 50% | 126 | 49% | 7 | 23% | 14 | 28% | 33 | 42% | 15 | 37% |
Child or parent with low cognitive abilities | 207 | 36% | 11 | 44% | 38 | 41% | 99 | 38% | 8 | 26% | 9 | 18% | 28 | 36% | 14 | 34% |
Not enough training in specific communication strategies | 110 | 19% | 7 | 28% | 18 | 20% | 44 | 17% | 1 | 3% | 9 | 18% | 18 | 23% | 13 | 32% |
My own weight | 18 | 3% | 1 | 4% | 1 | 1% | 10 | 4% | 0 | 0% | 2 | 4% | 3 | 4% | 1 | 2% |
Not enough knowledge about which words are best to use | 86 | 15% | 7 | 28% | 10 | 11% | 34 | 13% | 1 | 3% | 4 | 8% | 16 | 21% | 14 | 34% |
Afraid that discussing the weight of the child will harm the child emotionally | 178 | 31% | 6 | 24% | 24 | 26% | 78 | 30% | 3 | 10% | 14 | 28% | 34 | 44% | 19 | 46% |
Difficult to make children and parents realize the impact of overweight/obesity on health | 101 | 18% | 3 | 12% | 18 | 20% | 51 | 20% | 0 | 0% | 7 | 14% | 17 | 22% | 5 | 12% |
Negative experiences with discussing weight and lifestyle | 99 | 17% | 2 | 8% | 33 | 36% | 52 | 20% | 2 | 7% | 6 | 12% | 2 | 3% | 2 | 5% |
Expectation that the child and/or parent will react negatively | 217 | 38% | 12 | 48% | 46 | 50% | 101 | 39% | 5 | 16% | 12 | 24% | 21 | 27% | 20 | 49% |
Discussing weight could stand in the way of having a good relationship with the child or parent | 110 | 19% | 6 | 24% | 17 | 19% | 43 | 17% | 2 | 7% | 13 | 26% | 14 | 18% | 15 | 37% |
Discussing weight could be perceived as a negative judgment about the whole family | 253 | 43.8% | 12 | 48% | 46 | 50% | 126 | 49% | 7 | 23% | 14 | 28% | 33 | 42% | 15 | 37% |
Parents with overweight or obesity | 239 | 41% | 9 | 36% | 39 | 42% | 125 | 48% | 3 | 10% | 13 | 26% | 30 | 39% | 20 | 49% |
Insufficient knowledge about the causes of overweight and obesity | 31 | 5% | 1 | 4% | 0 | 0% | 19 | 7% | 0 | 0% | 5 | 10% | 3 | 4% | 3 | 8% |