title: Health professional perspectives on lifestyle behaviour change in the paediatric hospital setting: a qualitative study.
abstract: BACKGROUND
  Research exists examining the challenges of delivering lifestyle behaviour change initiatives in practice. However, at present much of this research has been conducted with primary care health professionals, or in acute adult hospital settings. The purpose of this study was to identify barriers and facilitators associated with implementing routine lifestyle behaviour change brief advice into practice in an acute children's hospital.
  
  
  METHODS
  Thirty-three health professionals (nurses, junior doctors, allied health professionals and clinical support staff) from inpatient and outpatient departments at a UK children's hospital were interviewed about their attitudes and beliefs towards supporting lifestyle behaviour change in hospital patients and their families. Responses were analysed using thematic framework analysis.
  
  
  RESULTS
  Health professionals identified a range of barriers and facilitators to supporting lifestyle behaviour change in a children's hospital. These included (1) personal experience of effectiveness, (2) constraints associated with the hospital environment, (3) appropriateness of advice delivery given the patient's condition and care pathway and (4) job role priorities, and (5) perceived benefits of the advice given. Delivery of lifestyle behaviour change advice was often seen as an educational activity, rather than a behaviour change activity.
  
  
  CONCLUSIONS
  Factors underpinning the successful delivery of routine lifestyle behaviour change support must be understood if this is to be implemented effectively in paediatric acute settings. This study reveals key areas where paediatric health professionals may need further support and training to achieve successful implementation.
authors.affiliation: Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Whittal Street, Birmingham B4 6NH, UK. laura.elwell@bch.nhs.uk.
authors.forename: Laura
authors.initials: L
authors.lastname: Elwell
authors.forename: Jane
authors.initials: J
authors.lastname: Powell
authors.forename: Sharon
authors.initials: S
authors.lastname: Wordsworth
authors.forename: Carole
authors.initials: C
authors.lastname: Cummins
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001291:Attitude of Health Personnel; D002648:Child; D002652:Child Behavior; D006776:Hospitals, Pediatric; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D010353:Patient Education as Topic; D010564:Personnel, Hospital; D036301:Qualitative Research; D006113:United Kingdom