Evidence mapPaperPMID 39334384Full record

ArticleBMC health services research2024

Healthcare professionals' perspectives on the barriers and facilitators of integrated childhood obesity care.

Emma van den Eynde, Bibian van der Voorn, Leandra Koetsier, Hein Raat, Jaap C Seidell, Jutka Halberstadt, Erica L T van den Akker

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emma van den EyndeSophia Children's Hospital, Department of Pediatrics, Division of Pediatric Endocrinology and Obesity Center CGG, Erasmus MC University Medical Center, Rotterdam, The Netherlands. emma.vandeneynde@jogg.nl.ORCID http://orcid.org/0000-0002-3871-6376
Bibian van der VoornDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-1299-0067
Leandra KoetsierDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-3183-0651
Hein RaatDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-6000-7445
Jaap C SeidellDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9262-9062
Jutka HalberstadtDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7563-4356
Erica L T van den AkkerSophia Children's Hospital, Department of Pediatrics, Division of Pediatric Endocrinology and Obesity Center CGG, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-5352-9328

Funding

Hartstichting CVON2016-07 LIKEMinisterie van Volksgezondheid, Welzijn en Sport 328544, 329657, 977473, 332401ZonMw CVON2016-07 LIKE
6 · The paper itself

Abstract

backgroundBoth the causes and consequences of childhood obesity can be complex. To provide healthcare that is suitably tailored to the specific needs of children with obesity integrated care is required. The objective of this study was to explore the perceived barriers and facilitators of healthcare professionals (HCPs) in providing integrated care for children with obesity, to support them in tailoring the healthcare approach.

methodsIn this qualitative study, semi-structured in-depth interviews were conducted with 18 healthcare professionals with experience in childhood obesity care; pediatricians, youth healthcare nurses and a youth healthcare physician. A two-phased thematic content analysis was performed: an inductive analysis with open and selective coding and a deductive analysis with axial coding using the patient-centered care model by Stewart.

resultsOverall, the healthcare professionals defined the etiology of obesity as complex, and experienced the integrated care as complicated. The results fit into the four theme-structure of the patient-centered care model, with the integrated care system as an additional fifth theme. The main barriers were perceived within the sub-themes of illness and healthcare experiences, and sensitivity over talking about weight-related issues. The main facilitators were perceived within the sub-themes of conducting a biomedical, psychosocial and lifestyle assessment, tailoring the approach to families' situation and investing in a family-professional relationship. Weight stigma appeared to be an underlying barrier for healthcare professionals that impacted, both explicitly and implicitly, upon all themes.

conclusionsHealthcare professionals providing integrated care for children with obesity, experience this type of care as complicated and comprising many barriers and facilitators regarding the four themes of the patient-centered care model and the fifth theme of the integrated care system. This paper demonstrates the patient-centered care model could prove helpful structuring a tailored approach within integrated care. This approach supports healthcare professionals in adopting a broad perspective towards individual and environmental factors and investing in the relationship, with respect to the sensitivity and complexity of childhood obesity.

Indexed as

Attitude of Health PersonnelDelivery of Health Care, IntegratedInterviews as TopicPatient-Centered CarePediatric ObesityQualitative ResearchAdultChildFemaleHealth PersonnelHumansMaleMiddle AgedComplexityHealthcare providersIntegrated carePatient-centered CarePediatric obesityQualitative research

Identifiers

PMID39334384
PMCPMC11428901

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.