PDF(Pubmed)
Abstract：
BACKGROUND: With an increasing number of grandparents providing care to their grandchildren, calls have been made for these caregivers to be considered important stakeholders in encouraging children\'s engagement in health-promoting behaviors, such as physical activity. Understanding the perspectives of grandparents who provide care is crucial to informing efforts that aim to increase children\'s physical activity, yet little is understood about their perceptions of specific barriers and enablers to promoting children\'s physical activity and reducing screen time. The present study sought to explore these perceptions.
METHODS: Semi-structured focus groups and individual interviews were conducted with grandparents who reported providing care to a grandchild aged 3 to 14 years. A total of 20 grandparents were sampled (mean age = 67.8 years). Data were subjected to reflexive thematic analysis.
RESULTS: Key reported barriers to physical activity included (i) the effort (physical and logistical) and financial cost associated with organizing physical activities, (ii) grandparents\' age and mobility issues (e.g., due to injury or illness), (iii) caring for children of different ages (e.g., older children having different physical activity interests than younger children), and (iv) a local environment that is not conducive to physical activity (e.g., lack of appropriate facilities). Barriers to reducing screen time included (i) parents sending children to care with electronic devices and (ii) children\'s fear of missing out on social connection that occurs electronically. Strategies and enablers of physical activity included (i) integrating activity into caregiving routines (e.g., walking the dog), (ii) involving grandchildren in decision making (e.g., asking them in which physical activities they wish to engage), (iii) encouraging grandchildren to engage in activity with other children, and (iv) creating a physical and social environment that supports activity (e.g., owning play equipment). A common strategy for reducing screen time was the creation of a home environment that is not conducive to this activity (e.g., removing electronic devices from view).
CONCLUSIONS: Findings suggest that grandparents may benefit from resources that assist them to identify activities that are inexpensive and require minimal effort to organize. Activities that account for grandparents\' age and health status, as well as any environmental barriers, are likely to be well-received.
METHODS: Semi-structured focus groups and individual interviews were conducted with grandparents who reported providing care to a grandchild aged 3 to 14 years. A total of 20 grandparents were sampled (mean age = 67.8 years). Data were subjected to reflexive thematic analysis.
RESULTS: Key reported barriers to physical activity included (i) the effort (physical and logistical) and financial cost associated with organizing physical activities, (ii) grandparents\' age and mobility issues (e.g., due to injury or illness), (iii) caring for children of different ages (e.g., older children having different physical activity interests than younger children), and (iv) a local environment that is not conducive to physical activity (e.g., lack of appropriate facilities). Barriers to reducing screen time included (i) parents sending children to care with electronic devices and (ii) children\'s fear of missing out on social connection that occurs electronically. Strategies and enablers of physical activity included (i) integrating activity into caregiving routines (e.g., walking the dog), (ii) involving grandchildren in decision making (e.g., asking them in which physical activities they wish to engage), (iii) encouraging grandchildren to engage in activity with other children, and (iv) creating a physical and social environment that supports activity (e.g., owning play equipment). A common strategy for reducing screen time was the creation of a home environment that is not conducive to this activity (e.g., removing electronic devices from view).
CONCLUSIONS: Findings suggest that grandparents may benefit from resources that assist them to identify activities that are inexpensive and require minimal effort to organize. Activities that account for grandparents\' age and health status, as well as any environmental barriers, are likely to be well-received.
摘要：
背景：随着越来越多的祖父母为孙子孙女提供护理，呼吁这些照顾者被认为是鼓励儿童参与促进健康行为的重要利益相关者，比如身体活动。了解提供护理的祖父母的观点对于告知旨在增加儿童身体活动的努力至关重要，然而，他们对促进儿童体育活动和减少屏幕时间的具体障碍和推动者的看法却知之甚少。本研究试图探索这些看法。
方法：对报告为3至14岁的孙子提供护理的祖父母进行了半结构化焦点小组和个人访谈。总共抽取了20名祖父母（平均年龄=67.8岁）。对数据进行了反身性专题分析。
结果：身体活动的主要报告障碍包括（i）与组织身体活动相关的努力（身体和后勤）和财务成本，(Ii)祖父母的年龄和流动性问题(例如，由于受伤或疾病)，(iii)照顾不同年龄的儿童(例如，年龄较大的孩子比年龄较小的孩子有不同的体育活动兴趣)，和(iv)不利于身体活动的当地环境(例如，缺乏适当的设施)。减少屏幕时间的障碍包括（i）父母送孩子照顾电子设备和（ii）儿童害怕错过电子发生的社会联系。身体活动的策略和促进因素包括(i)将活动整合到护理例程中(例如，遛狗)，(ii)让孙辈参与决策(例如，询问他们希望从事哪些体育活动)，(iii)鼓励孙辈与其他子女一起活动，和(Iv)创造支持活动的物理和社会环境(例如，拥有游戏设备)。减少屏幕时间的常见策略是创建不利于此活动的家庭环境（例如，从视图中删除电子设备)。
结论：研究结果表明，祖父母可以从资源中受益，这些资源可以帮助他们确定廉价且需要最少努力组织的活动。说明祖父母年龄和健康状况的活动，以及任何环境障碍，可能会很受欢迎。
方法：对报告为3至14岁的孙子提供护理的祖父母进行了半结构化焦点小组和个人访谈。总共抽取了20名祖父母（平均年龄=67.8岁）。对数据进行了反身性专题分析。
结果：身体活动的主要报告障碍包括（i）与组织身体活动相关的努力（身体和后勤）和财务成本，(Ii)祖父母的年龄和流动性问题(例如，由于受伤或疾病)，(iii)照顾不同年龄的儿童(例如，年龄较大的孩子比年龄较小的孩子有不同的体育活动兴趣)，和(iv)不利于身体活动的当地环境(例如，缺乏适当的设施)。减少屏幕时间的障碍包括（i）父母送孩子照顾电子设备和（ii）儿童害怕错过电子发生的社会联系。身体活动的策略和促进因素包括(i)将活动整合到护理例程中(例如，遛狗)，(ii)让孙辈参与决策(例如，询问他们希望从事哪些体育活动)，(iii)鼓励孙辈与其他子女一起活动，和(Iv)创造支持活动的物理和社会环境(例如，拥有游戏设备)。减少屏幕时间的常见策略是创建不利于此活动的家庭环境（例如，从视图中删除电子设备)。
结论：研究结果表明，祖父母可以从资源中受益，这些资源可以帮助他们确定廉价且需要最少努力组织的活动。说明祖父母年龄和健康状况的活动，以及任何环境障碍，可能会很受欢迎。
