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22-11-2017 | Wetenschappelijk artikel

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

Auteurs: Rianne M. J. J. van der Kleij, Matty R. Crone, Ria Reis, Theo G. W. M. Paulussen

Gepubliceerd in: TSG - Tijdschrift voor gezondheidswetenschappen | Uitgave 7-8/2017

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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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Metagegevens
Titel
Welke factoren bepalen de implementatie van een lokale integrale aanpak van overgewicht bij kinderen?
Auteurs
Rianne M. J. J. van der Kleij
Matty R. Crone
Ria Reis
Theo G. W. M. Paulussen
Publicatiedatum
22-11-2017
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
TSG - Tijdschrift voor gezondheidswetenschappen / Uitgave 7-8/2017
Print ISSN: 1388-7491
Elektronisch ISSN: 1876-8776
DOI
https://doi.org/10.1007/s12508-017-0095-9

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