The local implementation of a chronic disease management model for childhood overweight and obesity

Willy J Brink-Melis1, Elze R E Derksen, Marjan J Westerman

  • 1Research Centre for the Prevention of Overweight, VU University Amsterdam/Windesheim University of Applied Sciences, Zwolle, the Netherlands. w.brink@icare.nl

Obesity Facts
|October 31, 2012
PubMed

Insights

Focus groups reveal key challenges in managing childhood overweight, highlighting the need for better awareness and cooperation among healthcare professionals. This approach effectively informs local action plans for effective weight management strategies.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Healthcare Management

Background:

  • Childhood overweight and obesity present significant challenges in daily healthcare practice.
  • Effective management strategies require understanding local opportunities and barriers.

Purpose of the Study:

  • To identify opportunities and barriers in managing overweight and obese children within a local context.
  • To demonstrate the utility of focus groups in developing targeted childhood overweight management action plans.

Main Methods:

  • Conducted seven focus groups and four semi-structured interviews.
  • Involved 29 professionals across nine care disciplines and 7 parents of overweight/obese children (aged 4-19 years).

Main Results:

  • Identified critical issues in providing appropriate care and achieving long-term weight management.
  • Key barriers include lack of awareness, reluctance to refer, poor interprofessional cooperation, conflicting advice, and inadequate support strategies.

Conclusions:

  • Focus groups provide crucial insights into local challenges for developing effective childhood overweight management action plans.
  • This method enhances awareness and willingness to improve childhood overweight management initiatives.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Concepts of Health and Illness01:29

Concepts of Health and Illness

Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...