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. Author manuscript; available in PMC: 2017 Apr 1.
Published in final edited form as: Matern Child Nutr. 2014 Apr 10;12(2):326–338. doi: 10.1111/mcn.12131

Table 4.

Taxonomy of themes and subthemes.

This table provides an overview of the key themes and subthemes resulting from the qualitative analysis.

Domain Theme Subtheme
How provider can help child lose weight:
  • Monitor weight, health risks

  • Use discretion in weight discussions

  • Discuss weight-related health risks

  • Do not use scare tactics

  • Provide specific guidance

  • Healthy diet and lifestyle changes

  • Weight-status improvement plan

  • Consistent follow-up

  • Monitor child’s progress, not just weight

  • Provide encouragement


Most important thing to help child lose weight:
  • Family

  • Parental role-modeling

  • Limit unhealthful foods provided by family and friends

  • Decrease unhealthy snacks, breads/tortillas, fried/fatty foods, eating out, and sugary foods/drinks

  • Dietary changes

  • Decrease portions and second helpings

  • Increase fruits and vegetables

  • Drink water and substitute artificial sweeteners for sugar in drinks

  • Activity changes

  • Fun, varied, regular activity and sports participation

  • Limit TV viewing and video games


Important things to include in weight-management strategy:
  • General strategy components

  • Emphasize healthy lifestyle

  • Small changes to current routines

  • Rewards

  • Motivational leader

  • Activity strategies

  • Schedule daily activities

  • Emphasize play and enjoyment

  • General dietary strategies

  • Healthful eating, not specific diets

  • Specific dietary strategies

  • Child suitability

  • Simple, explicit instructions

  • Provide examples of lower-cost diet and activity substitutions


Specific dietary strategies:
  • Equally effective if followed

  • Each has strengths and challenges (Table 4)