overgewicht obesity overweight
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 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
Exclusion criteria
Exclusion criteria: 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Implementation study: The integrated preventive care chain in 's-Hertogenbosch has two important aspects: The central role of the youth health care nurse as coach, coordinator and linking pin, and the local alignment/cooperation between schools, GP's, YHC and other (health)professionals. - Degree of implementation of the preventive care chain (role of YHC nurses) - Determinants of implementation of the preventive care chain (role of YHC nurses) - Experience with the preventive care chain of professionals, parents and children who are involved - Reach and flow in the preventive care chain Effect study: - Health-related quality of life of the child, measured with the PedsQL (parent-proxy report). | — |
Secondary
| Measure | Time frame |
|---|---|
| Effect study: - BMI-SD: based on age and gender specific curves, measured by youth health care nurse during regular contacts (documented in digital, regular YHC child file). - Physical activity, nutrition (digital questionnaire) - Psychosocial problems of the child (SDQ, digital questionnaire) - Empowerment of parent (EMPO, digital questionnaire) Other outcomes: motivation of parent, welfare of parents, health-related parenting style, parents subjective rating of childs degree of overweight. Overweight related quality of life (only for children with obesity (IWQol, parent-proxy report). Attainment of personal goals, valuation of YHC support and local organization/cooperation of support for overweight in general. | — |
Countries
Netherlands