1. First, tell me about the general procedures in your office for monitoring infant growth? (Prompt) Like how and when are infants weighed and measured, who does this. |
a. And how is this information recorded? |
b. What specific measurements are recorded at a typical well baby visit? |
c. Is it different for a sick visit? |
2. What growth charts do you use for most infants in your practice? |
a. Oh OK. And why do you use that growth chart? |
b. Have you ever used any other growth charts? |
3. After infants are weighed and measured for a well-baby appointment and their information is recorded, do you personally review it before going in to see the patient? |
a. (If yes) OK great, can you tell me about that process? |
b. (If no) OK, can you tell me how you review it? Like when and what process you typically use? |
4. Tell me about your typical approach to discussing infant weight and growth during a well-baby visit? |
5. How do parents/caregivers typically respond? Is there anything you do to help them understand their infant’s growth better? |
6. Thinking about infants less than 2 months, what are the most common concerns you hear from parents around infant weight gain? |
7. And then thinking about infants aged 2 to 4 months, what are the most common concerns you hear from parents around infant weight gain? |
8. And lastly, thinking about infants aged 4 to 6 months what are the most common concerns you hear from parents around infant weight gain? |
9. Tell me about a recent experience in clinic when you were concerned about infant weight gain? |
10. In your practice, do you get concerned about infants gaining too little weight? Tell me about that. |
a. How do you perceive or pick up on an infant who may not be gaining weight appropriately? |
b. Tell me about your response to an infant who may not be gaining weight appropriately? |
c. Tell me about how you monitor an infant who may not be gaining weight appropriately? (Prompt) In your practice, are there specific parameters that you watch for? |
11. Now shifting gears to infants who might be gaining too much weight, in your practice, do you get concerned about infants gaining too much weight? Tell me about that. |
a. How do you perceive or pick up on an infant who may be gaining too much weight? |
b. Tell me about your response to an infant who may be gaining too much weight? |
c. Tell me about how you monitor an infant who may be gaining too much weight? (Prompt) In your practice, are there specific parameters that you watch for? |
12. Speaking of excess weight gain in infants, do you believe in the concept of “infant obesity”? (Prompt: Tell me more about that) |
a. If so, how do you define it? |
b. If not, can you tell me why not, and what you have seen in your practice to inform this? |
13. Tell me about your practices at counseling families of infants with rapid or excessive weight gain? |
14. What do you think are some causes of rapid or excessive infant weight gain? |