Family Practice Advance Access originally published online on October 31, 2008
Family Practice 2008 25(Supplement 1):i112-i115; doi:10.1093/fampra/cmn083
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This article appears in the following Family Practice issue: Creating Supportive Environments for Nutrition Guidance: Towards a Synergy Between Primary Care and Public Health. Proceedings of the Fifth Heelsum International Workshop 10-12 December 2007. [View the issue table of contents]
The development of a minimal intervention strategy to address overweight and obesity in adult primary care patients in The Netherlands
a Communication Strategies
b Communication and Innovation Studies, sub department Communication Sciences, Department of Social Sciences, Wageningen University and Research Centre, Wageningen
c The Netherlands Heart Foundation, The Hague
d The Dutch College of General Practitioners, Utrecht
e Department of General Practice, Radboud University Medical Centre, Nijmegen, The Netherlands
Correspondence to GAJ Fransen, Communication Strategies, Sub-department Communication Sciences, Department of Social Sciences, Wageningen University and Research Centre, PO Box 8130, 6700 EW Wageningen, The Netherlands; Email: gerdinefransen{at}hotmail.com
Received 24 June 2008; Revised 2 October 2008; Accepted 6 October 2008.
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Abstract |
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Background. Currently, overweight and obesity do not receive the attention they deserve from the Dutch GPs, mostly because of a lack of an effective intervention strategy to tackle this difficult health problem.
Objective. To develop a minimal intervention strategy (MIS) addressing overweight and obesity among adult primary care patients, resulting in a prototype.
Methods. Following the intervention mapping protocol, the MIS is based on literature study, existing interventions, psychosocial theories, stakeholder interviews and a questionnaire study among stakeholders. This led to the development of a prototype of the MIS materials: a screening flow chart and a treatment flow chart, a manual and patient education materials. A pre-test among 42 general practitioners and practice nurses was conducted to investigate the usefulness of the MIS materials at first sight.
Results. The stakeholder interviews and the questionnaire study resulted in insight on what the MIS should look like. For instance, the stakeholders indicated that the treatment needs to focus on helping patients to eat more healthy and exercise more, using techniques like motivational interviewing. The pre-test showed that most participants were enthusiastic about the materials, although they made some suggestions on improvements.
Conclusion. The MIS materials seem to be useful and promising. A future pilot test is needed to investigate its usefulness in daily practice and to further improve the materials in preparation for a process and effect evaluation.
Keywords. Family practice, minimal intervention strategy, obesity, overweight.
Fransen GAJ, Hiddink GJ, Koelen MA, van Dis SJ, Drenthen AJM, van Binsbergen JJ and van Woerkum CMJ. The development of a minimal intervention strategy to address overweight and obesity in adult primary care patients in The Netherlands. Family Practice 2008; 25: i112–i115.
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