Experiences of nurses and coordinators in a childhood obesity prevention trial based on motivational interviewing within Swedish child health services

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2096123. doi: 10.1080/17482631.2022.2096123.

Abstract

Purpose: To explore the experiences of nurses and coordinators in the PRIMROSE childhood obesity prevention trial, and to understand the factors that might help to improve the outcome of future primary prevention of obesity.

Methods: Using a qualitative approach, data were obtained by interviewing nine intervention nurses and three regional study coordinators. All participants were female. The interviews were transcribed and analysed using content analysis.

Results: Two themes emerged: The nurses experienced that it was rewarding to participate in the trial, but challenging to combine the intervention with regular work; and The study coordinators experienced that they were in a difficult position handling the conflicting needs of the research group and the nurses' commitment to usual child health care services. The importance of support, encouragement, briefer and simpler intervention, and adaptation of the training in motivational interviewing to the setting was emphasized. Stress and lack of time were major barriers to deliver the intervention as intended.

Conclusions: Although the PRIMROSE intervention was developed in collaboration with representatives from the child health services, and additional research funding was provided to compensate for time spent working with the trial, nurses experienced stress and time constraints. .

Keywords: Child health services; motivational interviewing; nursing research; paediatric obesity; primary prevention; qualitative research.

MeSH terms

  • Child
  • Child Health Services*
  • Female
  • Humans
  • Male
  • Motivational Interviewing*
  • Pediatric Obesity* / prevention & control
  • Sweden

Grants and funding

The PRIMROSE trial has been supported by grants from: the Swedish Research Council for Health, Working Life and Welfare (2006-0226 and 2011-0413), the Swedish Research Council (K2006-27X- 20069-01-3 and K2012-69X-22058-01-3), the Research and Development Committee, Stockholm County Council (2006-0324), the Regional Research Council of the Uppsala and Örebro Healthcare Region (RFR-12404), Uppsala County Council, Sörmland County Council, the Public Health Committee of Stockholm County Council (0803-377), the Vårdal Foundation (B2007-006), AFA Insurance (H-06:05/070001), the Foundation of the Swedish Diabetes Society (TMA2006-004), and the Karolinska Healthcare Sciences Postgraduate School (2008). The trial has also received faculty funds from the Karolinska Institutet for PhD student grants (2012 and 2013). The funders had no role in the design of the study or the collection, analysis, and interpretation of data, and did not take part in the writing of the manuscript;The Swedish Research Council and the Karolinska Healthcare Sciences Postgraduate School;THe Swedish Research Council for Health, Working Life and Welfare, Swedish Research Council, Research and Development Committee, Stockholm County Council, the Regional Research Council of the Uppsala and Örebro Healthcare Region, Vårdal Foundation, AFA Insurance, the Foundation of the Swedish Diabetes Society;THe Swedish Research Council for Health, Working Life and Welfare, Swedish Research Council, Research and Development Committee, Stockholm County Council, the Regional Research Council of the Uppsala and Örebro Healthcare Region, Vårdal Foundation, AFA Insurance, the Foundation of the Swedish Diabetes Society.