RNRCTInternational journal of nursing practice2025

Cobenefits for Participants of a Nurse-Led Telephone-Based Early Childhood Obesity Prevention Intervention: A Multimethod Qualitative Study.

Sarah Taki, Sarah Marshall, Wendy Smith and 8 others

PMID 40785243

WHAT IT FOUND

The nurse telephone trial did not show a clear effect on child BMI.

Nurses' notes and interviews described support beyond obesity prevention, including domestic abuse, financial stress, mental health and referrals.

Key findings

01Mothers discussed relationship, financial and mental health challenges, and some child health concerns included speech and developmental delays.

02Nurses described continuity with the same nurse and proactive calls as building trust and reaching mothers who did not initiate appointments.

03Nurses made referrals with consent to Child and Family Health services, external services and online resources, and encouraged self-referrals to general practice and a perinatal anxiety and depression helpline.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The cobenefits were identified from nurses' notes and nurses' focus group views, not directly from mothers or children, so they may be incomplete or interpreted through the nurses' perspective. The call notes were existing clinical data not collected to measure cobenefits, so some benefits may not have been recorded or captured. The focus group involved only the intervention nurses, and the facilitator had worked with them before the study, which may have shaped what was said. Findings may not apply to other interventions, providers, populations or delivery modes. The study describes perceived or reported benefits and does not test whether the intervention caused them or whether they improved health outcomes. The underlying trial's primary child BMI outcome did not show a clear effect, so this qualitative substudy should not be read as changing that result.

Declared interests

Funded by NSW Health and the Australian National Health and Medical Research Council. The authors declared no conflicts of interest and said the funders had no role in study design, conduct, data collection, management, analysis, manuscript preparation, review, approval, or submission.

The easy way to misread this

Do not read this as proof that nurse telephone support caused family benefits or improved child health. The study reports nurses' notes and perceptions, and the underlying trial did not show a clear effect on child BMI.

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