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Table 1 Clusters identified following coding of all transcripts by university-based researchers

From: Parents’ perceptions of reasons for excess weight loss in obese children: a peer researcher approach

Cluster Description
1. Recognition that a child is overweight • How the parent became aware that the child was overweight
• Memory (or not) of receiving an NCMP letter
• Discussions ‘looking back’ at beliefs about the child’s weight at an earlier time
2. Parents’ health beliefs • Parents’ belief as to whether their child is/was overweight
• Parents’ beliefs about whether the child’s weight status will change if nothing is done.
• Beliefs about the dangers (or not) of being overweight.
3. Parents’ role and responsibility • Parents’ views on the legitimacy of measurement /professional involvement in weight loss – should we be weighing children and telling parents their children are overweight in the first place?
• Parents’ perceptions of their personal responsibility for making sure their child has a healthy weight.
4. Protection from knowledge • Shielding child (or not) from knowledge that they are overweight
• Concerns around risks to the child’s wellbeing from talking about/explicitly addressing weight in the home.
5. Protecting childhood • Discussions about the rights of a child to have a ‘normal’ childhood, to do what other children do, without being worried about their weight.
6. Child’s role • The degree to which parents expect the child to be in control of their choices around weight (e.g., what they eat and drink outside the home)
• Parents’ views of the child’s competency to control their eating and drinking.
• Degree to which parents feel a child’s weight is the child’s own responsibility.
• The degree to which parents involve the child in making lifestyle changes (e.g., gets them involved in food preparation etc.)
7. Social support • Recognition of the importance of social support (within the family, or from groups)
• Peer influences on the child and their weight-related activities (positive or negative)
8. Stigma • Views of fairness/discrimination against people who are overweight in general.
• Discussion of whether weight concern stems from trying to force everyone to be a certain size for aesthetics, rather than for health reasons.
9. Helpfulness of professional support • Parents’ reports of weight management services and whether they have been helpful.
• Parents’ reports of commercial organisations and whether they have been helpful.
10. Barriers and enablers • Suggested tips and tactics.
• Changes that the family has made on purpose to try to reduce the child’s weight
• Changes that the family has made incidentally that have had an impact on the child’s weight
• Discussions of how having a child who is overweight has impacted family life.
• Barriers to making lasting changes.