Previously submitted to: JMIR Public Health and Surveillance (no longer under consideration since Jan 17, 2018)
Date Submitted: Jan 14, 2018
Open Peer Review Period: Jan 17, 2018 - Jan 17, 2018
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A qualitative study exploring how Brazilian immigrant mothers living in the United States obtain information about physical activity and screen-viewing for their preschool-aged children
Background:
Parents access to accurate information about physical activity (PA) and screen-viewing (SV) behaviors that they easily understand is central to their ability to implement healthy practices and routines related to these behaviors for their preschool-aged children. To our knowledge, no existing research has examined how Brazilian-born immigrant mothers’ living in the United States (U.S.) access information about PA and SV behaviors for their preschool-aged children. The present study was designed to address this gap in the available literature.
Objective:
To investigate how Brazilian-born immigrant mothers living in the U.S. obtain information about PA and SV behaviors for their preschool-aged children.
Methods:
Focus group discussions (FGDs) with 37 Brazilian immigrant mothers of preschool-age children living in the U.S were conducted. Audio-recorded FGDs were transcribed verbatim in Portuguese and transcripts were analyzed using thematic analyses.
Results:
Analyses revealed that the majority of mothers participating in the study did not initially actively seek information about PA and SV for their preschool-age children. However, nearly all mothers spoke of receiving unsolicited information from their child’s pediatrician and WIC staff during routine health care visits that increased their knowledge about the importance of making sure their children were physically active and not participating in excessive SV. This increased awareness led mothers to actively seek information about PA and SV behaviors via the Internet and through interpersonal communication with fellow Brazilian friends and family. Moreover, nearly all mothers reported valuing information received from their child’s pediatrician that they used to guide them, and validate information about PA and SV behaviors accessed using other sources (e.g., the Internet, family, & friends). Mothers viewed the Internet as being a convenient way to easily access a broad range of information about these behaviors in their native language (Portuguese). Nonetheless, some mothers reported feeling overwhelmed due to the abundance of available information and having difficulty evaluating the quality of a broad range of accessed information.
Conclusions:
Despite widespread Internet use to obtain information in their native language, routine health care visits emerged as an important source of unsolicited and solicited information about PA and SV. Health promotion interventions designed for low-income, Brazilian immigrant parents should consider the multiple information sources used by parents to obtain unsolicited and solicited information about PA and SV for their preschool-aged children. Culturally and linguistically suitable eHealth interventions may be viable ways to provide accurate information to Brazilian immigrant families of preschool-aged children to promote healthful PA and SV behaviors and these eHealth interventions should consider involving pediatricians possibly through including endorsement (e.g., prescription for PA and maximum SV time) given the value mothers placed on their advice or other valued health care professionals (WIC staff).
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