Department of General Practice, Erasmus MC Medical University Center Rotterdam, Rotterdam, The Netherlands.
Department of Public Health, Erasmus MC Medical University Center Rotterdam, Rotterdam, The Netherlands.
Eur J Gen Pract. 2024 Dec;30(1):2413877. doi: 10.1080/13814788.2024.2413877. Epub 2024 Oct 21.
General practitioners (GPs) could play an important role in the management of overweight and obesity in children. However, GPs experience different barriers and are in need of supportive tools. In order to support GPs to identify, address and refer these children, new tools should be developed.
To establish consensus among GPs about the content topics of a supportive tool to identify, address and refer children with overweight and obesity in general practice.
A two-round Delphi study was conducted with GPs identified as experts. A concept of a supportive tool was constructed based on focus-group interviews with GPs, practice nurses and parents of children with and without overweight and literature. The tool was categorised into five topics: identifying, initiating and continuing weight-related conversations, referring and evaluating a tool manual. GPs evaluated statements on the tool's topics in terms of importance. All statements were rated on a 5-point Likert scale and consensus was set at ≥70% of respondents agreeing with the statements.
GPs agreed that a supportive tool must contain a child's specialised BMI calculator; examples to initiate and to continue weight-related conversations with parents and children; a map with available interventions; and a manual including information and resources about health risks of overweight and obesity during childhood.
The content topics of a supportive tool for GPs to identify, discuss and refer children with overweight and obesity were determined through a consensus-driven process. Further validation and assessment are required through a feasibility and implementation study.
全科医生（GP）可以在儿童超重和肥胖的管理中发挥重要作用。然而，GP 们面临着不同的障碍，需要有支持性的工具。为了支持 GP 识别、处理和转介这些儿童，需要开发新的工具。
在识别、处理和转介一般实践中超重和肥胖儿童方面，确定全科医生对支持性工具内容主题的共识。
对被确定为专家的全科医生进行了两轮 Delphi 研究。基于与有和没有超重的儿童的 GP、执业护士和家长进行的焦点小组访谈以及文献，构建了支持性工具的概念。该工具分为五个主题：识别、发起和持续进行与体重相关的对话、转介和评估工具手册。GP 们根据重要性对工具主题的陈述进行了评估。所有陈述均采用 5 点 Likert 量表进行评分，共识设定为≥70%的受访者同意陈述。
GP 们一致认为，支持性工具必须包含儿童专用的 BMI 计算器；与家长和孩子启动和继续进行与体重相关的对话的示例；一张包含可用干预措施的地图；以及一本关于儿童期超重和肥胖相关健康风险的信息和资源手册。
通过共识驱动的过程确定了支持全科医生识别、讨论和转介超重和肥胖儿童的工具的内容主题。需要通过可行性和实施研究进一步验证和评估。
