Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers

지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구

  • Lee, Bo Young (Department of Foodservice Management and Nutrition, Graduate School, Sangmyung University) ;
  • Park, Mi-Young (Department of Food and Nutrition & Research Institute of Obesity Sciences, Sungshin Women's University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University) ;
  • Shim, Jea Eun (Department of Food and Nutrition, Daejeon University) ;
  • Hwang, Ji-Yun (Department of Foodservice Management and Nutrition, Sangmyung University)
  • 이보영 (상명대학교 대학원 외식영양학과) ;
  • 박미영 (성신여자대학교 식품영양학과 비만과학연구소) ;
  • 김기랑 (단국대학교 식품영양학과) ;
  • 심재은 (대전대학교 식품영양학과) ;
  • 황지윤 (상명대학교 식품영양학과)
  • Received : 2020.04.23
  • Accepted : 2020.06.25
  • Published : 2020.06.30
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Abstract

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

Keywords

References

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