title: Brief report: parent perspectives of nutritional status and mealtime behaviors in children with sickle cell disease.
abstract: OBJECTIVE
  To qualitatively evaluate parent perspectives of eating problems, nutritional status, and the potential for nutritional intervention in children with sickle cell disease (SCD).
  
  
  METHODS
  Twenty parents of children with SCD participated in one of three focus groups to discuss questions related to the study's objectives. Three coders rated transcripts to identify common perceptions and experiences (themes) among participants.
  
  
  RESULTS
  Poor appetite and its impact on nutritional and general health were particular concerns for parents. Parents addressed eating challenges with dietary supplementation, limit setting, and compromising at meals, often without consultation from health professionals. An intervention program should include facilitators, such as flexible scheduling and incentives to counter barriers, such as scheduling and child care conflicts.
  
  
  CONCLUSIONS
  Parents of children with SCD reported a range of eating behavior challenges. Parents presented ideas on how nutritional intervention could be culturally sensitive and on how to promote participation in such programs.
authors.affiliation: Cincinnati Children's Hospital Medical Center/University of Cincinnati School of Medicine, Cincinnati, Ohio 45229, USA. Monica.Mitchell@chmcc.org
authors.forename: Monica J
authors.initials: MJ
authors.lastname: Mitchell
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Kawchak
authors.forename: Lori J
authors.initials: LJ
authors.lastname: Stark
authors.forename: Babette S
authors.initials: BS
authors.lastname: Zemel
authors.forename: Kwaku
authors.initials: K
authors.lastname: Ohene-Frempong
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Stallings
mesh_terms: D000293:Adolescent; D000328:Adult; D000755:Anemia, Sickle Cell / Q000523:psychology*; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status; D010290:Parents