Closing the preventive care chain for overweight children: evaluation of the implementation of an integrated, locally aligned approach, enforcing primary care.
- Conditions
- overgewichtobesityoverweight10024450
- Registration Number
- NL-OMON44622
- Lead Sponsor
- niversiteit van Tilburg
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 210
Implementation study:
- Parents (and children) aged 4-12 years old living in *s-Hertogenbosch in Noord, Zuidoost or Maaspoort
- Youth Health Care professionals, general practitioners, specialized care professionals, sport facilitators, lifestyle coaches, schools and project leaders working in *s-Hertogenbosch Noord, Zuidoost or Maaspoort.
- Basic level of Dutch
- Parent(s) can also participate in the effect study;Effect study:
- Children identified as being overweight or obese by YHC screening, GP consultation or measurement at school. BMI is calculated and cut-offs are based on age and gender specific BMI curves.
- Child is 4-12 years old
- Basic level of Dutch (child and parents)
- Living in one of the three neighbourhoods in *s-Hertogenbosch; Noord, Zuidoost or Maaspoort, or one of the control neighbourhouds
- At least one YHC contact
Implementatie study :
- Professional works shorter than 3 months in one of three pilot neighbourhoods in *s-Hertogenbosch
- Parent lives shorter than 3 months in one of three pilot neighbourhoods in 's-Hertogenbosch.
- Professional or parent is unable to speak Dutch at a basic level
Effect study:
A potential subject who meets any of the following criteria will be excluded from participation in this study:
- Severe physical impairments
- Severe mental problems
- Parent has an inadequate level of the Dutch language to complete questionnaires
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Implementation study:<br /><br><br /><br>The integrated preventive care chain in 's-Hertogenbosch has two important<br /><br>aspects: The central role of the youth health care nurse as coach, coordinator<br /><br>and linking pin, and the local alignment/cooperation between schools, GP's, YHC<br /><br>and other (health)professionals.<br /><br><br /><br>- Degree of implementation of the preventive care chain (role of YHC nurses)<br /><br>- Determinants of implementation of the preventive care chain (role of YHC<br /><br>nurses)<br /><br>- Experience with the preventive care chain of professionals, parents and<br /><br>children who are involved<br /><br>- Reach and flow in the preventive care chain<br /><br><br /><br><br /><br>Effect study:<br /><br><br /><br>- Health-related quality of life of the child, measured with the PedsQL<br /><br>(parent-proxy report). </p><br>
- Secondary Outcome Measures
Name Time Method <p>Effect study:<br /><br><br /><br>- BMI-SD: based on age and gender specific curves, measured by youth health<br /><br>care nurse during regular contacts (documented in digital, regular YHC child<br /><br>file).<br /><br>- Physical activity, nutrition (digital questionnaire)<br /><br>- Psychosocial problems of the child (SDQ, digital questionnaire)<br /><br>- Empowerment of parent (EMPO, digital questionnaire)<br /><br><br /><br>Other outcomes: motivation of parent, welfare of parents, health-related<br /><br>parenting style, parents subjective rating of childs degree of overweight.<br /><br>Overweight related quality of life (only for children with obesity (IWQol,<br /><br>parent-proxy report). Attainment of personal goals, valuation of YHC support<br /><br>and local organization/cooperation of support for overweight in general. </p><br>