School of Social and Behavioural Sciences, Tranzo, Tilburg University, Postbus 90153, 5000 LE, Tilburg, The Netherlands.
GGD Hart voor Brabant, Postbus 3024, 5003 DA, Tilburg, The Netherlands.
BMC Public Health. 2019 Jul 23;19(1):979. doi: 10.1186/s12889-019-7304-1.
Children with overweight often do not receive appropriate integrated care. An innovative integrated network approach of preventive care for overweight children aged 4-12 years old has been developed and implemented in four neighbourhoods of 's-Hertogenbosch, The Netherlands. This new approach focusses on self-management of the family and is based on the principles of stepped and matched care. Youth health care (YHC) nurses support the families in their new role as central care providers. The aim of this study is to evaluate the implementation and effectiveness of this network approach.
The implementation of the new approach (reach, functioning of the central care provider, network functioning and patient satisfaction) is assessed by interviews and checklists with professionals and parents of 4-12 year old overweight or obese children. To evaluate effectiveness, we aim to compare 120 overweight or obese children in 's-Hertogenbosch with 60 overweight or obese children outside 's-Hertogenbosch during one year of YHC involvement. Quality of life, psychosocial problems of the child and parental empowerment are the main outcomes of the effectiveness study. Outcomes are measured with digital questionnaires at inclusion, at three months and one year after inclusion. BMI measurements and referrals are distracted from medical files.
Integrated care for overweight and obese children is high on the agenda of many municipalities in The Netherlands. The new approach is expected to have beneficial effects for overweight children, their parents and professionals. With the results of this study, we can optimize the support for overweight and obese children and their parents. The first results are expected to be available in 2019.
This study is registered in the Dutch Trial Register on 10 November 2017 (NTR number NTR6813). https://www.trialregister.nl/trial/6596 Word count: 281 (max 350).
超重儿童通常得不到适当的综合护理。荷兰“斯海尔托亨博斯”的四个社区已经开发并实施了一种针对 4-12 岁超重儿童的预防保健综合网络方法。这种新方法侧重于家庭的自我管理，并基于阶梯式和匹配式护理的原则。青年保健护士支持家庭承担新的核心护理提供者角色。本研究旨在评估该网络方法的实施情况和效果。
通过对专业人员和 4-12 岁超重或肥胖儿童家长的访谈和检查表评估新方法的实施情况（可及性、核心护理提供者的功能、网络功能和患者满意度）。为了评估效果，我们旨在在 YHC 参与的一年中，比较“斯海尔托亨博斯”的 120 名超重或肥胖儿童和“斯海尔托亨博斯”以外的 60 名超重或肥胖儿童。生活质量、儿童心理社会问题和父母赋权是效果研究的主要结果。使用数字问卷在纳入时、纳入后三个月和一年进行测量。BMI 测量和转介从医疗档案中获得。
综合护理超重和肥胖儿童是荷兰许多市政府的重要议程。预计新方法对超重儿童、他们的父母和专业人员都有有益的影响。通过本研究的结果，我们可以优化超重和肥胖儿童及其父母的支持。预计 2019 年将获得第一批结果。
本研究于 2017 年 11 月 10 日在荷兰试验注册处注册（NTR 编号 NTR6813）。https://www.trialregister.nl/trial/6596 字数：281（最大 350）。
