title: Development of a Dutch intervention for obese young children.
abstract: 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.
authors.affiliation: Department of Paediatrics, Gelderse Vallei Hospital, PO Box 9025, Ede 6710 HN, The Netherlands.|Department of Paediatrics, Radboudumc, Nijmegen, The Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: van Hoek
authors.affiliation: Department of Social Sciences, Health and Society, Wageningen University, Wageningen, The Netherlands.
authors.forename: L I
authors.initials: LI
authors.lastname: Bouwman
authors.affiliation: Department of Social Sciences, Health and Society, Wageningen University, Wageningen, The Netherlands.
authors.forename: M A
authors.initials: MA
authors.lastname: Koelen
authors.affiliation: Department of Medical Psychology, Gelderse Vallei Hospital, Ede, The Netherlands.
authors.forename: M A J
authors.initials: MAJ
authors.lastname: Lutt
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
authors.forename: E J M
authors.initials: EJM
authors.lastname: Feskens
authors.affiliation: Department of Paediatrics, Gelderse Vallei Hospital, PO Box 9025, Ede 6710 HN, The Netherlands.
authors.forename: A J
authors.initials: AJ
authors.lastname: Janse
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004032:Diet; D015444:Exercise; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D009426:Netherlands; D016487:Parenting; D010290:Parents / Q000193:education*; D063766:Pediatric Obesity / Q000517:prevention & control*
keywords: childhood obesity; development process; intervention; pooling and patching