The development of a tool to monitor integrated care for childhood overweight and obesity in the Netherlands

Leandra Koetsier, Monique Jacobs, J. Halberstadt, Marian Sijben, Nick Zonneveld, Mirella Minkman

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Purpose
The development of a national model has led municipalities in the Netherlands to implement integrated care for childhood overweight and obesity. To monitor how this approach is being implemented locally, an appropriate tool is required. This study presents a “Tool to monitor the local implementation of Integrated Care for Childhood Overweight and obesity” (TICCO).

Design/methodology/approach
A three-step study was conducted in order to adapt and refine a generic integrated care questionnaire into a tool that suits the specific characteristics and context of integrated care for childhood overweight and obesity. The three consecutive steps comprised the following: a focus group session that assessed the relevance and comprehensiveness of the original integrated care instrument; a pilot questionnaire for end users that evaluated the feasibility of the preliminary tool and a pilot questionnaire that determined the feasibility and potential limitations of this adapted tool.

Findings
The adaptation process resulted in a 47-element digital tool for professionals actively involved in providing integrated care for childhood overweight and obesity. The results highlighted differences pertaining to how individual respondents judged each of the elements. These variations were found across both municipalities and different domains of integrated care.

Originality/value
This article presents an adapted tool that seeks to both support local discussion in the interpretation of individual TICCO scores and identify potential areas for improvement in local integrated care for childhood overweight and obesity.

Original languageEnglish
Pages (from-to)99-110
Number of pages12
JournalJournal of Integrated Care
Volume29
Issue number2
Early online date20 Aug 2020
DOIs
Publication statusPublished - 2020

Funding

This study was also made possible by the contribution of the project leaders from the participating municipalities, who were kind enough to participate in this research. Besides this study was made possible by the contributions of drs. Judith Stroo, she played an important role in the adaptation process of the developed tool.Funding: This project was carried out as part of the project Care for Obesity, which was funded by the Dutch Ministry of Health, Welfare and Sport (grant number 324043, 328544, 329657). The funder did not have any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. This study was a collaboration with Care for Obesity (Vrije Universiteit Amsterdam) and Vilans, National Center of Excellence in Long-term Care (Utrecht).Authors contributions: All authors made substantial contributions to the conception and design of the study, as well as playing an important role in interpreting the results. All authors were involved in providing critical feedback and revising the manuscript for important intellectual content. All authors read and approved the final manuscript.Competing Interests: The authors have declared that no competing interests exist. This study was also made possible by the contribution of the project leaders from the participating municipalities, who were kind enough to participate in this research. Besides this study was made possible by the contributions of drs. Judith Stroo, she played an important role in the adaptation process of the developed tool.Funding : This project was carried out as part of the project Care for Obesity, which was funded by the Dutch Ministry of Health, Welfare and Sport (grant number 324043, 328544, 329657). The funder did not have any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. This study was a collaboration with Care for Obesity (Vrije Universiteit Amsterdam) and Vilans, National Center of Excellence in Long-term Care (Utrecht).Authors contributions : All authors made substantial contributions to the conception and design of the study, as well as playing an important role in interpreting the results. All authors were involved in providing critical feedback and revising the manuscript for important intellectual content. All authors read and approved the final manuscript.Competing Interests : The authors have declared that no competing interests exist.

FundersFunder number
National Center of Excellence in Long-term Care
Ministerie van Volksgezondheid, Welzijn en Sport324043, 329657, 328544

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