Table 4 Barriers spontaneously mentioned by participants
Level of the barrier | Description of the barriers |
|---|---|
Practitioner | Limited knowledge; lack of familiarity with guideline content; disagreement with guideline content; lack of confidence; concern about offending parent; harm to relationship with family |
Parent (beliefs of HVs) | Socioeconomic situation; lack of understanding; lack of motivation and concern; families with complex multiple issues; misperception of healthy child weight; influence of grandparents; parental lifestyle |
Organisation | Lack of practice tools; time constraints/ competing priorities; lack of united approach to the ‘problem’; lack of role support (training, resources, funding); regular weight monitoring of 0-2 year olds not a key performance indicator of HV services |
Environment | Availability of baby foods in UK supermarkets marked as appropriate for 4 month old infants |