Barriers and facilitators to the nationwide dissemination of the Dutch school-based obesity prevention programme DOiT
Open accessAbstract
BACKGROUND: This article describes the barriers and facilitating factors to the adoption, implementation and continuation of the Dutch Obesity Intervention in Teenagers (DOiT) programme in the Netherlands. METHODS: We evaluated the adoption, implementation and continuation of the programme at 20 voluntary prevocational schools, which adopted the programme. Interviews were conducted with DOiT coordinators and/or teachers (n = 44) at the end of the first and second school year of the 2-year implementation period. Interviews were recorded and transcribed verbatim. Data were coded by two researchers independently. Identified barriers and facilitating factors were categorized into four groups: (i) organizational factors, (ii) individual factors, (iii) characteristics of the programme and (iv) characteristics of the implementation strategy. RESULTS: Teachers and DOiT coordinators identified various implementation barriers (e.g. lack of planning, other urgent unforeseen priorities, no plan to cope with teacher turnover and high teacher workload) as well as facilitating factors (e.g. involvement of DOiT coordinator and support from the DOiT office, sufficient communication and collaboration between teachers, strong teacher motivation and flexibility of the programme). CONCLUSION: Overall, DOiT implementers were satisfied with the compatibility, layout, content and potential for tailoring the programme. Barriers for successful implementation were mainly at the school and teacher level. Findings of this study can be used for further improvement of the DOiT programme and for the development and improvement of other health promotion programmes in the school setting.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Some school-based research carried out in older children has identified general themes e.g. commitment and leadership within schools as enabling strategies and a lack of time and external resources as barriers.
“Some school-based research carried out in older children has identified general themes e.g. commitment and leadership within schools as enabling strategies and a lack of time and external resources as barriers [16–19],”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Previous research in this area is limited to a recent cross-sectional study of primary schools in Malaysia and to studies conducted with staff in schools with different target age groups, 9-13 year-olds (middle schools) in the US and to teenagers in the Netherlands.
“Previous research in this area is limited to a recent cross-sectional study of primary schools in Malaysia [19] and to studies conducted with staff in schools with different target age groups, 9–13 year-olds (middle schools) in the US [16, 17] and to teenagers in the Netherlands [18].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
This facilitating factor has been noted in a previous study and suggested to be important for on-going sustainability.
“This facilitating factor has been noted in a previous study [18] and suggested to be important for on-going sustainability [17].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Sufficient communication and collaboration between teachers has been noted previously as a facilitatory factor.
“Sufficient communication and collaboration between teachers has been noted previously as being a faciliatory factor [18].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Similar to our study, the organisational ability of coordinators in making the programmes feasible was also seen as an important factor for implementation success.
“Similar to our study the organisational ability of coordinators in making the programmes feasible was also seen as an important factor for implementation success [18].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Flexibility in terms of programme delivery was also noted as an enabler in the Dutch study.
“Flexibility in terms of programme delivery was also noted as an enabler in the Dutch study [18].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
This commitment by the schools, and buy in from staff members and students has also been noted previously as a key facilitator.
“This commitment by the schools, and buy in from staff members and students has also been noted previously as a key facilitator [16–19].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Previous qualitative research has sought only the opinions of school personnel.
“However previous qualitative research has sought only the opinions of school personnel [16–18].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Other barriers identified in these studies; high staff turnover, lack of equipment and insufficient or lack of access to training were not applicable to our setting.
“Other barriers identified in these studies; high staff turnover [16, 18], lack of equipment [19] and insufficient or lack of access to training [19, 37] were not applicable to our setting.”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [18]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Durlak, J. A., & DuPre, E. P. (2008) · American Journal of Community Psychology · doi:10.1007/s10464-008-9165-0 · Cited by 5,304 · see citing works
Interventions for preventing obesity in children
Brown, T. J., Moore, T. H., Hooper, L., Gao, Y., Zayegh, A. M., Ijaz, S., Elwenspoek, M. M. C., Foxen, S. C., Magee, L., O’Malley, C. L., et al. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001871.pub4 · Cited by 2,996 · see citing works
Domitrovich, C. E., Bradshaw, C. P., Poduska, J. M., Hoagwood, K., Buckley, J. A., Olin, S., Romanelli, L. H., Leaf, P. J., Greenberg, M. T., & Ialongo, N. S. (2008) · Advances in School Mental Health Promotion · doi:10.1080/1754730x.2008.9715730 · Cited by 749 · see citing works
Determinants of innovation within health care organizations: Literature review and Delphi study
Fleuren, M. (2004) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzh030 · Cited by 732 · see citing works
Doak, C. M., Visscher, T. L. S., Renders, C. M., & Seidell, J. C. (2006) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00234.x · Cited by 691 · see citing works
Do parents know they matter? Engaging all parents in learning
Harris, A., & Goodall, J. (2008) · Educational Research · doi:10.1080/00131880802309424 · Cited by 516 · see citing works
Langley, A. K., Nadeem, E., Kataoka, S. H., Stein, B. D., & Jaycox, L. H. (2010) · School Mental Health · doi:10.1007/s12310-010-9038-1 · Cited by 477 · see citing works
Forman, S. G., Olin, S. S., Hoagwood, K. E., Crowe, M., & Saka, N. (2009) · School Mental Health · doi:10.1007/s12310-008-9002-5 · Cited by 471 · see citing works
Intervention mapping : designing theory- and evidence-based health promotion programs
Kok, G. J., & Parcel, G. S. (2000) · Cited by 396 · see citing works
Katz, D. L., O’Connell, M., Njike, V. Y., Yeh, M.-C., & Nawaz, H. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.158 · Cited by 372 · see citing works
Childhood Obesity: A Global Public Health Crisis
Karnik, S., & Kanekar, A. S. (2015) · Apple Academic Press eBooks · doi:10.1201/b18227-7 · Cited by 333 · see citing works
Singh, A. S., Chin A Paw, M. J. M., Brug, J., & van Mechelen, W. (2009) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2009.2 · Cited by 188 · see citing works
Identifying Barriers and Facilitators in Implementing Schoolwide Positive Behavior Support
Kincaid, D. K., Childs, K. E., Blasé, K. A., & Wallace, F. (2007) · Journal of Positive Behavior Interventions · doi:10.1177/10983007070090030501 · Cited by 175 · see citing works
From policy to practice: implementation of physical activity and food policies in schools
Mâsse, L. C., Naiman, D., & Naylor, P. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-71 · Cited by 136 · see citing works
Singh, A. S., Paw, M. J. C. A., Kremers, S., Visscher, T. L. S., Brug, J., & van Mechelen, W. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-304 · Cited by 107 · see citing works
Self-citationShort-term Effects of School-Based Weight Gain Prevention Among Adolescents
Singh, A. S., Paw, M. J. M. C. A., Brug, J., & van Mechelen, W. (2007) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.161.6.565 · Cited by 105 · see citing works
Self-citationObesity Prevention in Children and Adolescents
Swinburn, B. A. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2008.07.015 · Cited by 88 · see citing works
de Meij, J. S. B., van der Wal, M. F., van Mechelen, W., & Chinapaw, M. J. M. (2012) · Health Promotion Practice · doi:10.1177/1524839912465750 · Cited by 83 · see citing works
Self-citationO’Connor, T. M., Cerin, E., Hughes, S. O., Robles, J., Thompson, D. I., Mendoza, J. A., Baranowski, T., & Lee, R. E. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-11-3 · Cited by 69 · see citing works
Lippevelde, W. V., Verloigne, M., Bourdeaudhuij, I. D., Bjelland, M., Lien, N., Fernández-Alvira, J. M., Moreno, L. A., Kovacs, E., Brug, J., & Maes, L. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-881 · Cited by 51 · see citing works
Self-citationvan Nassau, F., Singh, A. S., Cerin, E., Salmon, J., van Mechelen, W., Brug, J., & Chinapaw, M. J. M. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-014-0158-0 · Cited by 47 · see citing works
Self-citationWalch, T. J., Bopp, M., Fallon, E. A., et al. (2012) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2012.06.005 · Cited by 40 · see citing works
Leesboek over kwalitatief onderzoek
Boeije, H. (2006) · KWALON · doi:10.5117/2006.011.001.015 · Cited by 31 · see citing works
van Nassau, F., Singh, A. S., van Mechelen, W., Paulussen, T. G., Brug, J., & Chinapaw, M. J. M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1201 · Cited by 30 · see citing works
Self-citationvan Nassau, F., Singh, A. S., van Mechelen, W., Brug, J., & Chinapaw, M. J. M. (2014) · Journal of School Health · doi:10.1111/josh.12180 · Cited by 7 · see citing works
Self-citationThe dissemination of healthy diet programme; Krachtvoer for Dutch prevocational schools
Bessems, K. M. H. H. (2011) · doi:10.26481/dis.20111124kb · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Blaine, R. E., Franckle, R. L., Ganter, C., Falbe, J., Giles, C., Criss, S., Kwass, J.-A., Land, T., Gortmaker, S. L., Chuang, E., et al. (2017) · Preventing Chronic Disease · doi:10.5888/pcd14.160381 · Cited by 90 · see citing works
Abu-Omar (2018) · doi:10.1186/s12889-018-6368-7 · Cited by 67 · see citing works
An RCT to facilitate implementation of school practices known to increase physical activity
Sutherland, R. L., Nathan, N. K., Lubans, D. R., Cohen, K., Davies, L. J., Desmet, C., Cohen, J., McCarthy, N. J., Butler, P., Wiggers, J., et al. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2017.08.009 · Cited by 58 · see citing works
- Authors
- van Nassau, F., Singh, A. S., Broekhuizen, D., van Mechelen, W., Brug, J., & Chinapaw, M. J. M.
- Affiliations
- Amsterdam Public Health (NL)
- Venue
- The European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-02-11
- Volume
- 26
- Issue
- 4
- Pages
- 611-616
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- OpenAlex
- W2257740909
- Cited by
- 33
- References
- 26
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 1
- FWCI
- 6.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity prevention, school health promotion, implementation barriers, enabling factors, teacher workload, teacher turnover, teacher motivation, adolescents
- MeSH terms
- Adolescent, Child, Female, Health Promotion, Health Services Accessibility, Humans, Interviews as Topic, Male, Netherlands, School Health Services, Program Evaluation, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
