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Welke factoren bepalen de implementatie van een lokale integrale aanpak van overgewicht bij kinderen?

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Tijdschrift voor gezondheidswetenschappen Aims and scope

Samenvatting

In Nederland zijn al vele initiatieven ontwikkeld om overgewicht onder kinderen terug te dringen. De implementatie van dergelijke interventies gaat echter niet vanzelf; zeker niet in het geval van een integrale aanpak die om een bijdrage vraagt van meerdere sectoren en professionals. Om inzicht te krijgen in factoren die bepalend zijn voor het succes en falen van de implementatie van een integrale aanpak van overgewicht, is het implementatieproces van de aanpak gedurende anderhalf jaar onderzocht in vijf Nederlandse gemeenten. Factoren zijn onderzocht aan de hand van een aangepaste versie van het MeetInstrument voor Determinanten van Innovaties (MIDI). Van de 256 benaderde professionals heeft 45 % de vragenlijst ingevuld. Het hiërarchisch multivariate lineaire regressiemodel dat het best bij de data paste verklaarde 65 % van de variantie in de implementatiegraad. De beste verklaring boden de factoren eigen-effectiviteitsverwachting, gelegenheid om ervaring op te doen met de aanpak, een niet te ambitieus samengesteld pakket van invoeringsactiviteiten en betrokkenheid bij de implementatie in een van de onderzochte wijken (‘Wijk B’ genoemd). Op basis van de resultaten worden aanbevelingen gedaan voor toekomstige verbetering van de invoeringspraktijk en het onderzoek naar de implementatie van dergelijke integrale preventieprogramma’s.

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Financiering

Dit onderzoek is gefinancierd door ZonMW (projectnummer 200100001).

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Authors and Affiliations

  1. Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Nederland

    Rianne M. J. J. van der Kleij, Matty R. Crone & Ria Reis

  2. Amsterdam Institute for Social Science Research, University of Amsterdam, Amsterdam, Nederland

    Ria Reis

  3. The Children’s Institute, School of Child and Adolescent Health, University of Cape Town, Kaapstad, Zuid-Afrika

    Ria Reis

  4. TNO Innovation for Life, Expertise Center Child Health, Leiden, Nederland

    Theo G. W. M. Paulussen

Authors
  1. Rianne M. J. J. van der Kleij
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  2. Matty R. Crone
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  3. Ria Reis
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  4. Theo G. W. M. Paulussen
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Corresponding author

Correspondence to Rianne M. J. J. van der Kleij.

Bijlage

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Bijlage: factoren en items van de aangepaste MIDI
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van der Kleij, R.M.J.J., Crone, M.R., Reis, R. et al. Welke factoren bepalen de implementatie van een lokale integrale aanpak van overgewicht bij kinderen?. Tijdschr Gezondheidswet 95, 296–306 (2017). https://doi.org/10.1007/s12508-017-0095-9

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  • DOI: https://doi.org/10.1007/s12508-017-0095-9

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