Abstract
BackgroundThe National Child Measurement Programme (NCMP) is a child weight monitoring system in England, taking place in the first and final years of primary school. Many local authorities consider it important to inform parents if their child is overweight, and do so by letter alongside the offer of support and advice. Such letters have been met with mixed reactions from parents, but research seeking to better understand parents’ responses is often limited by reliance on survey data and low participation rates. This study aimed to collect a broad variety of perspectives on the programme by analyzing views expressed in parent-to-parent discussions posted online.MethodsUK-based online parenting fora were used to identify discussion threads based around the NCMP between 2010 and 2017. Thirty-one discussion threads from two parent fora were identified. Thematic analysis was used to identify themes in these data.ResultsThe primary themes identified related to (1) the legitimacy of feedback and judgement from health professionals, (2) the relative importance of collecting population level data above individual preferences, and (3) risks versus benefits of having conversations with children about weight. Most threads adopted an ‘argument, counter-argument’ format, providing two sides to each issue raised. Information and opinions consistent with public health messages were frequently provided, such as how data are used, that feedback is intended to be helpful, and the importance of collecting national data. There was little evidence of individual parents shifting their views in response to others’ arguments.ConclusionsThis study provides novel insight into peer-to-peer debates about the NCMP, including the arguments parents find convincing and acceptable for and against a national programme to weigh children and provide feedback to parents about their weight. Online fora were used as an opportunity to express criticism or distress, but also to seek advice from peers regarding concerns about whether or not to opt-out. Thus, both general issues related to the legitimacy of population screening and outcomes for individual children were of concern to parents.
Highlights
The National Child Measurement Programme (NCMP) is a child weight monitoring system in England, taking place in the first and final years of primary school
In England, population trends of childhood weight are monitored by the National Child Measurement Programme (NCMP; [12])
A template for the letter, designed to provide a clear and unambiguous message in a supportive tone is provided to local authorities by Public Health England (PHE), but there is no requirement for this to be used
Summary
The National Child Measurement Programme (NCMP) is a child weight monitoring system in England, taking place in the first and final years of primary school. Many local authorities consider it important to inform parents if their child is overweight, and do so by letter alongside the offer of support and advice. According to the most recent UK data, 22.6% of children in the Reception year (aged 4–5) and 34.2% in Year 6 (aged 10– 11) were overweight or obese [22] This increase between the beginning and the end of primary school is a cause for concern, demonstrating a need for effective targeted interventions to tackle childhood excess weight, prevent deterioration in health and give children the best possibilities for a healthy life. More recent templates have been more explicit in this recommended statement
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