Background:
Childhood obesity affects one in four Australian children and remains a major global health challenge yet healthcare professionals often lack confidence in weight-related discussions. This study explores caregiver perspectives on these conversations and the support needed to improve childhood obesity management.
Methods:
Mixed-methods, cross-sectional study using a self-administered questionnaire completed by caregivers at their child’s first appointment at a Western Australian childhood obesity clinic. The survey assessed caregiver confidence, weight management barriers, and perceived clinician educational needs. Quantitative data were analysed with descriptive statistics, chi-square tests, ANOVA, and logistic regression (Stata 18; p < 0.05). Qualitative data were analysed using inductive content analysis.
Results:
One hundred caregivers participated, reporting on their child (n=64 male, mean age 9.31 ± SD 4.48 years). Concerns were most often raised by GPs (n=31), with 21% of caregivers reporting no confidence in their clinician. Confidence was significantly associated with discussion difficulty (OR 2.17, p = 0.0001) and post-referral support (OR 10.6, p < 0.001). Risk discussions were linked to pre-appointment weight stabilisation (OR 3.71, p = 0.008). Key barriers included long wait times (51%) and limited service availability (32%). Desired clinician improvements included step-by-step plans (66%), family-centred care (44%), and ongoing support (39%). Caregivers educational priorities were healthy eating (44%), mental health (43%), physical activity (41%), weight-related complications (39%), and intuitive eating (38%).
Conclusion:
Caregiver confidence is shaped by the quality of weight discussions, access to services, and follow-up support. Enhancing communication and delivering family-centred care, particularly through clinician-led risk discussions, may improve engagement and paediatric obesity outcomes.