{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:13:10Z","timestamp":1761808390787,"version":"3.41.2"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["PR\u2010PRU\u20100916\u201021001"],"award-info":[{"award-number":["PR\u2010PRU\u20100916\u201021001"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Health Care Professionals struggle to initiate conversations about overweight in toddlerhood. A novel 3D body size scale (3D BSS) may facilitate engagement with this topic during pediatric appointments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore barriers and facilitators to using the 3D BSS through a mixed\u2010methods design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For the qualitative phase, parents of toddlers (n = 38) participated in semi\u2010structured interviews introducing the 3D BSS of 4\u20135\u2010year\u2010old children. For the quantitative phase, pre\u2010 and post\u2010interview questionnaires were administered to ascertain the acceptability of the 3D BSS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Parents rated the 3D BSS as \u201cvery\u201d (n = 20, 52.6%) to \u201cmoderately\u201d (n = 12, 31.6%) acceptable. Thematic analysis revealed four barriers to acceptability: i) the sensitive nature of child weight, ii) the belief that weight does not determine health, iii) the visual normalisation of overweight and iv) the need to account for individual variation in growth patterns. However, these barriers could be overcome through three facilitators: i) the provision of expert guidance ii) the value of simple tools, and iii) tailoring conversations to familial needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Parents considered the 3D BSS an acceptable visual resource to discuss child weight during routine appointments. However, the acceptability of the tool was conditional on a sensitive, collaborative, and tailored delivery approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12715","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T00:51:43Z","timestamp":1597971103000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The acceptability and feasibility of using a <scp>3D<\/scp> body size scale to initiate conversations about weight in toddlerhood: a mixed\u2010methods study"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6125-3683","authenticated-orcid":false,"given":"Kristiane","family":"Tommerup","sequence":"first","affiliation":[{"name":"Obesity Research Group, Department of Behavioural Science and Health University College London (UCL)  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6925-6667","authenticated-orcid":false,"given":"Andrea D.","family":"Smith","sequence":"additional","affiliation":[{"name":"Obesity Research Group, Department of Behavioural Science and Health University College London (UCL)  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3432-3778","authenticated-orcid":false,"given":"Elizabeth H.","family":"Evans","sequence":"additional","affiliation":[{"name":"School of Psychology Newcastle University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7247-6599","authenticated-orcid":false,"given":"Helen","family":"Croker","sequence":"additional","affiliation":[{"name":"Great Ormond Street Institute of Child Health, Faculty of Population Health Sciences University College London (UCL)  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7808-4943","authenticated-orcid":false,"given":"Andrew","family":"Steptoe","sequence":"additional","affiliation":[{"name":"Obesity Research Group, Department of Behavioural Science and Health University College London (UCL)  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9642-4462","authenticated-orcid":false,"given":"Martin J.","family":"Tovee","sequence":"additional","affiliation":[{"name":"Department of Psychology Northumbria University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5452-2512","authenticated-orcid":false,"given":"Alison","family":"Fildes","sequence":"additional","affiliation":[{"name":"School of Psychology University of Leeds  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0066-2827","authenticated-orcid":false,"given":"Clare","family":"Llewellyn","sequence":"additional","affiliation":[{"name":"Obesity Research Group, Department of Behavioural Science and Health University College London (UCL)  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62037-5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1803527"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2801"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2690"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2012.00462.x"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"431","article-title":"Healthcare professionals\u2019 perception of overweight in preschool\u2010aged children","volume":"84","author":"Bocca G","year":"2015","journal-title":"Horm Res Paediatr"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12570"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2479"},{"volume-title":"UK\u2010WHO growth charts\u20140\u20104 years","year":"2019","author":"RCPCH","key":"e_1_2_10_10_1"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05127.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.10.010"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0797"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12312"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx129"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.73.1.25"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.01.023"},{"key":"e_1_2_10_18_1","unstructured":"NHS.uk.Your baby's health and development reviews \u2010 NHS.https:\/\/www.nhs.uk\/conditions\/pregnancy-and-baby\/baby-reviews\/. 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