Variations in perceptions of parenting role related to children's physical activity and sedentary behaviours - a qualitative study in a Northern European context.

Background The aim of the study was to increase understanding of the variation in parental perceptions of their roles and responsibilities in relation to children's physical activity and sedentary behaviours. Methods This qualitative study was based on data from the Healthy School Start intervention study II, in the form of recorded motivational interviewing (MI) sessions with mothers and fathers participating in the intervention. Forty-one MI sessions where parents discussed physical activity and/or sedentary behaviour were selected for analysis. Data analysis was performed using a phenomenographic approach. Results Three categories describing a structural relationship of parents' different views on their own role in relation to their child's habits were identified: 1) The parent decides - Child physical activity according to my beliefs and views as a parent and where I, as a parent, decide, 2) Parent-child interaction - child physical activity is formed in interaction between me as a parent and my child or 3) The child/someone else decides - The child or someone other than me as a parent decides or has the responsibility for my child's physical activity. All three categories included four subcategories of specific activities: organised activity, activity in everyday life, being active together and screen time, describing practical approaches used in each of the three categories. Conclusions This study found variation in mothers' and fathers' perceptions of their roles and responsibilities for their child's physical activity and sedentary behaviours related to specific types of activities. The results indicate areas where parents need support in how to guide their children and how parental responsibility can have a positive influence on children's physical activity and sedentary habits.