Adolescent-parent interactions and attitudes around screen time and sugary drink consumption: a qualitative study

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Adolescent-parent interactions and attitudes around screen time and sugary drink consumption: a qualitative study Libby A Hattersley1, Vanessa A Shrewsbury2, Lesley A King*1, Sarah A Howlett1, Louise L Hardy1 and Louise A Baur2 Address: 1Physical Activity Nutrition Obesity Research Group, University of Sydney, Sydney, Australia and 2Discipline of Paediatrics and Child Health, University of Sydney, Sydney, Australia Email: Libby A Hattersley - [email protected]; Vanessa A Shrewsbury - [email protected]; Lesley A King* - [email protected]; Sarah A Howlett - [email protected]; Louise L Hardy - [email protected]; Louise A Baur - [email protected] * Corresponding author

Published: 9 September 2009 International Journal of Behavioral Nutrition and Physical Activity 2009, 6:61

doi:10.1186/1479-5868-6-61

Received: 16 May 2009 Accepted: 9 September 2009

This article is available from: http://www.ijbnpa.org/content/6/1/61 © 2009 Hattersley et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background: Little is known about how adolescents and their parents interact and talk about some of the key lifestyle behaviors that are associated with overweight and obesity, such as screen time (ST) and sugary drink (SD) consumption. This qualitative study aimed to explore adolescents' and parents' perceptions, attitudes, and interactions in regards to these topics. Methods: Using an exploratory approach, semi-structured focus groups were conducted separately with adolescents and (unrelated) parents. Participants were recruited from low and middle socio-economic areas in the Sydney metropolitan area and a regional area of New South Wales, Australia. Transcripts were analysed using thematic analysis for each of the four content areas (adolescent-ST, adolescent-SD consumption, parents' views on adolescents' ST and parents' views on adolescents' SD consumption). Results: Nine focus groups, with a total of 63 participants, were conducted. Broad themes spanned all groups: patterns of behavior; attitudes and concerns; adolescent-parent interactions; strategies for behavior change; and awareness of ST guidelines. While parents and adolescents described similar patterns of behaviour in relation to adolescents' SD consumption and ST, there were marked differences in their attitudes to these two behaviours which were also evident in the adolescent-parent interactions in the home that they described. Parents felt able to limit adolescents' access to SDs, but felt unable to control their adolescents' screen time. Conclusion: This study offers unique insights regarding topics rarely explored with parents or adolescents, yet which are part of everyday family life, are known to be linked to risk of weight g