Invited talk: What are the implementation barriers and enablers for childhood obesity management services?

This article aims to present the conceptual framework for the Intervention Health Educational Module and C.H.A.N.G.E design on Childhood Obesity Management for School Health Nurses towards obese school children. Social Cognitive theory, Urie Bronfenbrenner, and Kolb's model of Learning Styles and Experiential Learning will be used in this study to modify and make changes on the knowledge, attitude, behavior, and environment among obese school children. This study aims to provide a new model on the development of the professional role of nurses in the School Health Program (SHP) and health education promotion towards obese school children to improve their quality of life.Keywords: obesity; school children; school nurses; conceptual frameworkeISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v4i10.1593

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Cooperation behaviour of primary care paediatricians: facilitators and barriers to multidisciplinary obesity management

European Journal of Public Health ◽

10.1093/eurpub/ckz244 ◽

2020 ◽

Vol 30 (3) ◽

pp. 407-414

Author(s):

Franca Brüggen ◽

Paul Gellert ◽

Nadja-Raphaela Baer ◽

Birgit Jödicke ◽

Jana Brauchmann ◽

...

Keyword(s):

Primary Care ◽

Childhood Obesity ◽

Health Care Professionals ◽

Missing Values ◽

Inpatient Rehabilitation ◽

Female Gender ◽

Structural Factors ◽

Obesity Management ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background Multidisciplinary management of obesity by primary care paediatricians, providing a promising approach to tackle childhood obesity includes cooperation with other health care professionals. However, facilitators for and barriers to multidisciplinary cooperation in ambulatory care are not yet well understood and are investigated in the present study. Methods A nationwide, cross-sectional survey of 83% of German primary care paediatricians was conducted, using a questionnaire based on qualitative expert interviews. Frequency of paediatricians’ cooperation with external partners (i.e. nutrition counsellors; sports groups; interdisciplinary obesity centres; inpatient rehabilitation centres; and endocrinologists) was assessed. Individual and structural factors were associated with cooperation patterns. Missing values were addressed using multiple imputation. Results Out of the 6081 primary care paediatricians approached, 2024 (33.3%) responded. Almost half of the respondents (40.8%) stated that they disengaged in the field of obesity prevention due to perceived inefficacy. Lack of financial reimbursement for consultation was agreed on by most of the respondents (90.4%). Identified barriers to cooperation included: higher proportion of patients with migration background, lack of time and available services. A more comprehensive conception of the professional role regarding overweight prevention, higher age, female gender, higher proportion of overweight/obese patients and practice location in urban or socially strained areas surfaced as facilitators for cooperation. Conclusion Low-perceived self-efficacy in obesity management and insufficient financial reimbursement for consultation are commonly stated among German paediatricians. For cooperation behaviour, however, other individual and structural factors seem to be relevant, which provide indications on how multidisciplinary childhood obesity management can be improved.

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