Childhood obesity prevention in general practice: supporting implementation through co-ideation

Author:

Gooey Michelle1ORCID,Morris Heather1ORCID,Baulderstone Michaela2,Flego Kristina3,Holdenson Kimura Phoebe4ORCID,Kathage Rebecca5ORCID,Rix Kylie6,Saddik Ashraf7ORCID,Su Wei-May8910ORCID,Bragge Peter11ORCID,Bergmeier Heidi1ORCID,O’Connor Amanda1ORCID,Sturgiss Elizabeth12ORCID,Skouteris Helen113ORCID

Affiliation:

1. Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia

2. Oakden Medical Centre , Hillcrest , Australia

3. Warrandyte Road Clinic , Ringwood , Australia

4. General Practice Clinical School, Sydney Medical School, University of Sydney , Sydney , Australia

5. East Canberra General Practice , Majura Park , Australia

6. Paediatrics Department, Grampians Health , Ballarat , Australia

7. St Kyrollos Family Clinic , Coburg , Australia

8. Health Education and Training Institute (HETI HE), NSW Health , St Leonards , Australia

9. Translational Health Research Institute (THRI), Western Sydney University , Campbelltown, NSW , Australia

10. School of Medicine, The University of Notre Dame , Australia

11. BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University , Clayton , Australia

12. School of Primary and Allied Health Care, Monash University , Frankston , Australia

13. Warwick Business School, University of Warwick , Coventry , United Kingdom

Abstract

Abstract Background Childhood obesity is associated with physical and psychological complications thus the prevention of excess weight gain in childhood is an important health goal. Relevant to the prevention of childhood obesity, Australian general practice-specific, preventive care guidelines recommend General Practitioners (GPs) conduct growth monitoring and promote a number of healthy behaviours. However, challenges to providing preventive care in general practice may impact implementation. In October and November, 2022, a series of three workshops focusing on the prevention of childhood obesity were held with a group of Australian GPs and academics. The objective of the workshops was to determine practical ways that GPs can be supported to address barriers to the incorporation of obesity-related prevention activities into their clinical practice, for children with a healthy weight. Methods This paper describes workshop proceedings, specifically the outcomes of co-ideation activities that included idea generation, expansion of the ideas to possible interventions, and the preliminary assessment of these concepts. The ecological levels of the individual, interpersonal, and organisation were considered. Results Possible opportunities to support childhood obesity prevention were identified at multiple ecological levels within the clinic. The preliminary list of proposed interventions to facilitate action included GP education and training, clinical audit facilitation, readily accessible clinical guidelines with linked resources, a repository of resources, and provision of adequate growth monitoring tools in general practice. Conclusions Co-ideation with GPs resulted in a number of proposed interventions, informed by day-to-day practicalities, to support both guideline implementation and childhood obesity prevention in general practice.

Funder

National Health and Medical Research Council

NHMRC Investigator Grant

Publisher

Oxford University Press (OUP)

Subject

Family Practice

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