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The Journal of School Nursing
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Feature Article

Childhood Overweight: Parental Perceptions and Readiness for Change

Kristen R. Howard, RN, MSN, FNP

Kristen R. Howard, RN, MSN, FNP, is a registered nurse practitioner at Spanaway Family Medical Center near Tacoma, WA, and is a diabetes camp medical staff member

Although the national health crisis of childhood obesity is a well-documented problem, few if any clinical interventions have had success in curbing its growth. In fact, childhood obesity, along with its associated morbidities, continues to climb even in the face of increased awareness. Research shows that factors contributing to obesity are almost entirely modifiable on some level. Furthermore, specific behavior changes have been shown to result in positive outcomes, yet these changes have not been widely implemented by practitioners, families, or individuals. The transtheoretical model of health behavior change offers insight into assessing individuals and targeting interventions for behavior change. This article focuses on guiding school nurses to assess parents of school-age children at risk for obesity for readiness for health behavior change, then choosing parent-focused interventions based on their stage of readiness for change.

Key Words: behavioral change • childhood overweight • health behavior • obesity • parental perceptions • transtheoretical model

The Journal of School Nursing, Vol. 23, No. 2, 73-79 (2007)
DOI: 10.1177/10598405070230020301
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