Abstract
PurposeThe 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/approachA 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.FindingsThe 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/valueThis 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.
Highlights
The number of adults and children with overweight and obesity is increasing worldwide (Abarca-Gomez et al, 2017; The GBD 2015 Obesity Collaborators, 2017; Ng et al, 2014)
This study presents a “Tool to monitor the local implementation of Integrated Care for Childhood Overweight and obesity” (TICCO)
Nine elements were added, elements of the domain “Roles and tasks” were redistributed among the other domains, 12 elements of the preliminary tool were assigned to another developmental phase, while the terminology was adapted to be consistent with that used in the “National model for integrated care for childhood overweight and obesity’ (Sijben et al, 2018)
Summary
The number of adults and children with overweight and obesity is increasing worldwide (Abarca-Gomez et al, 2017; The GBD 2015 Obesity Collaborators, 2017; Ng et al, 2014). In the Netherlands, in 2019, 35.4% of Dutch adults 18 years and older had overweight, while an additional 14.7% had obesity. With regard to Dutch children aged between 4 and 18 years, 11.0% had overweight and 2.1% had obesity (CBS and RIVM, 2019a, b). Overweight, and especially obesity, can detrimentally impact upon people’s physical health and psychosocial functioning. Adequate support and care is required for children with overweight, and especially obesity, to help them make sustainable changes in their lifestyle that will improve their health, societal participation and quality of life, both in the short and long term (Sijben et al, 2018)
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