Development of a Dutch intervention for obese young children

The objective of this article is to provide insight in the five-step development process of the best evidence, best practice intervention for obese young children 'AanTafel!'. A set of requirements for intervention development was developed to guide the data inquiry: the use of theory, influencing factors, tailoring, multi-disciplinarity, duration/frequency and evaluation and monitoring. Step I retrieved evidence from clinical guidelines, followed by a systematic review with meta-analysis (Step II) and an extended literature review (Step III). Evidence was consistent with regard to parent-focus, targeting family level, including diet, physical activity and behaviour change techniques and tailoring to age. However, no evidence or inconsistent evidence emerged from the theory-basis, group-versus-individual sessions, face-to-face contact versus Internet-mediated contact, which disciplines to involve and how to involve them, as well as intervention duration and intensity. Hence, practice-based insights from parental interviews (Step IV) and involved therapists were added and subsequently integrated to the intervention 'AanTafel!' (Step V). 'AanTafel!' is a multi-component, multi-disciplinary, family-based, parent-focused, age-specific intervention, which is tailored to individual children and families with a duration of 1 year, and using a combination of individual and group sessions as well as a Web-based learning module. Changes in scientific working principles with regard to data collection, reporting and translation to guidelines are required. Practice and science may benefit from close collaboration in designing, implementing and evaluating interventions.

Developmental psychology · Intervention (counseling) · Psychiatry · Child Nutrition and Feeding Issues · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Pediatrics

• Health-related quality of life in obese children and adolescents

  Open Access•Margarita D Tsiros, Tim Olds et al.•International Journal of Obesity•2009

  Incluir item

• Associations Between Overweight and Obesity With Bullying Behaviors in School-Aged Children

  Ian Janssen, Wendy M Craig et al.•PEDIATRICS•2004

  Incluir item

• Childhood overweight

  Open Access•Keith K Davison, Leann L Birch•Obesity Reviews•2001

  Incluir item

• Evaluating the Relevance, Generalization, and Applicability of Research

  Open Access•Lawrence W Green, Russell E Glasgow•Evaluation & the Health Professions•2006

  Incluir item

• Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity

  Sarah E Barlow, and the Expert Committee•PEDIATRICS•2007

  Incluir item

• Childhood Obesity, Other Cardiovascular Risk Factors, and Premature Death

  Paul W Franks, Robert L Hanson et al.•New England Journal of Medicine•2010

  Incluir item

• Using the Internet to Promote Health Behavior Change

  Open Access•Thomas L Webb, Judith Joseph et al.•Journal of Medical Internet…•2010

  Incluir item

• Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013

  Open Access•Marie Ng, Tom Fleming et al.•The Lancet•2014

  Incluir item

• Maternal and paternal parenting practices and their influence on children's adiposity, screen-time, diet and physical activity

  Open Access•Adam B Lloyd, Adam Lloyd et al.•Appetite•2014

  Incluir item