{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T23:08:29Z","timestamp":1769641709758,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T00:00:00Z","timestamp":1478736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006685","name":"Health Research Council of the City of New York","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006685","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Parental inability to recognize child overweight and physician reluctance to instigate discussion prevents behaviour change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate parental acceptance of child overweight status following screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Interviewers used motivational interviewing or best practice care to discuss overweight status of 271 young children (BMI\u2009\u2265\u200985<jats:sup>th<\/jats:sup>) with parents using simple traffic\u2010light BMI charts. Follow\u2010up sessions two weeks later (<jats:italic>n<\/jats:italic>\u2009=\u2009251, 93%) were coded qualitatively to assess parental reactions to the information (overweight diagnosis) and how it was presented (feedback condition).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight\u2010two percent of parents rated the charts positively with few (8\u201310%) feeling judged. Motivational interviewing parents viewed feedback as more empathetic (relative risk, 95% CI: 4.07, 1.64\u201310.09), but more uncomfortable (12.2, 1.48\u2013100.1) than best practice care parents. Overall, 65.2% of parents accepted their child was overweight, 22.1% were ambivalent and 12.7% rejected the information. Although motivational interviewing parents were less likely to accept it (OR, 95% CI: 0.49, 0.37\u20130.64) and more likely to be ambivalent (2.01, 1.17\u20133.47), the most important predictor of acceptance was a positive experience of feedback (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Simple traffic\u2010light charts facilitate discussion of child overweight status with parents. Style of feedback is less relevant than ensuring a positive experience for parents to increase acceptance of the weight information.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12195","type":"journal-article","created":{"date-parts":[[2016,11,15]],"date-time":"2016-11-15T13:32:54Z","timestamp":1479216774000},"page":"639-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Parental reactions to weight screening in young children: a randomized controlled trial"],"prefix":"10.1111","volume":"13","author":[{"given":"A. M.","family":"Dawson","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. A.","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Psychology Victoria University of Wellington  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Preventive and Social Medicine University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. J.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Dunedin School of Medicine University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ross","sequence":"additional","affiliation":[{"name":"General Practice University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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