title: Childhood obesity prevention: fathers' reflections with healthcare providers.
abstract: BACKGROUND
  To prevent childhood obesity, parents and their children's healthcare providers need to engage in effective dialogue. We know much about mothers' experiences, but very little about fathers' experiences.
  
  
  METHODS
  We explored African-American, Caucasian, and Latino fathers' perceptions and experiences communicating with their children's provider during clinic visits regarding weight, diet, and physical activity. Focus groups (n=3), grouped by race/ethnicity, including a total of 24 fathers, were conducted. The men were asked open-ended questions; responses were recorded and transcribed, and analyzed using ATLAS.ti.
  
  
  RESULTS
  Findings revealed that these fathers were involved in their children's healthcare and found providers to be helpful partners in keeping their children healthy, yet they generally felt "left out" during clinic appointments. The quality of the relationship with their children's provider influenced how receptive fathers were to discussing their children's weight, diet, and physical activity behaviors. Fathers made suggestions to help improve communication between providers and fathers, such as personalizing the discussion.
  
  
  CONCLUSIONS
  These fathers expressed strong feelings about the provider-parent relationship when discussing weight, diet, and physical activity.
authors.affiliation: Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Lowenstein
authors.forename: Eliana M
authors.initials: EM
authors.lastname: Perrin
authors.forename: Diane
authors.initials: D
authors.lastname: Berry
authors.forename: Maihan B
authors.initials: MB
authors.lastname: Vu
authors.forename: Lisa
authors.initials: L
authors.lastname: Pullen Davis
authors.forename: Jianwen
authors.initials: J
authors.lastname: Cai
authors.forename: Janice P
authors.initials: JP
authors.lastname: Tzeng
authors.forename: Alice S
authors.initials: AS
authors.lastname: Ammerman
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D004032:Diet; D004522:Educational Status; D015444:Exercise; D005219:Father-Child Relations; D005220:Fathers; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology / Q000208:ethnology; D044465:White People / Q000706:statistics & numerical data*