{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:10Z","timestamp":1790586010281,"version":"4.1.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Forschung, Technologie und Raumfahrt","doi-asserted-by":"crossref","award":["01EA2102A"],"award-info":[{"award-number":["01EA2102A"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Familien spielen eine entscheidende Rolle bei der Pr\u00e4vention von kindlichem\n                        \u00dcbergewicht und Adipositas, da sie ein prim\u00e4res Setting sind, in dem gesunde\n                        Verhaltensweisen erlernt und gefestigt werden. Die Einbindung von Familien,\n                        insbesondere solcher, die von sozialer Benachteiligung betroffen sind, in\n                        Pr\u00e4ventionsprogramme gestaltet sich jedoch oft als herausfordernd.<\/jats:p>\n                  <jats:p>Evaluation des Umsetzungsprozesses einer familienbasierten Intervention, die\n                        auf Motivational Interviewing basiert und darauf abzielt, eine gesunde\n                        Gewichtsentwicklung bei Kindern in einem sozial benachteiligten Stadtteil zu\n                        f\u00f6rdern.<\/jats:p>\n                  <jats:p>Es wurden Familien mit mindestens einem Kind im Alter von 3 bis 10 Jahren\n                        eingeschlossen, von denen mindestens 50% eines oder mehrere der folgenden\n                        Kriterien sozialer Benachteiligung erf\u00fcllen sollten: (i)\n                        Migrationshintergrund, (ii) niedriger Bildungsstand, (iii) soziale\n                        Isolation, (iv) Alleinerziehend und (v) finanzielle Schwierigkeiten. Die\n                        Prozessevaluation umfasste die Analyse von Haushaltsfrageb\u00f6gen (n=23),\n                        Interventionstageb\u00fcchern (n=82 Besuche), Feedbackfrageb\u00f6gen (n=14) sowie\n                        qualitative Interviews mit dem Interventionspersonal (n=3). Zus\u00e4tzlich\n                        wurden Fokusgruppendiskussionen mit teilnehmenden Eltern (n=10) und\n                        relevanten Stakeholdern (n=9) durchgef\u00fchrt.<\/jats:p>\n                  <jats:p>Insgesamt nahmen 23 Familien mit 33 Kindern an der Intervention teil, von\n                        denen 20 Familien von mindestens einem Indikator f\u00fcr soziale Benachteiligung\n                        betroffen waren. 19 der 23 Familien schlossen die Ma\u00dfnahme vollst\u00e4ndig ab\n                        und berichteten in den Feedbackb\u00f6gen \u00fcber eine hohe Zufriedenheit. Der\n                        aufsuchende Ansatz wurde aus Sicht des Interventionspersonals und der\n                        Familien als wichtige Methode wahrgenommen, um Abbr\u00fcche w\u00e4hrend der\n                        Intervention zu minimieren. Stakeholder und Interventionspersonal\n                        identifizierten die Erreichbarkeit der Familien und die \u00dcberwindung von\n                        Sprachbarrieren als wesentliche Herausforderungen.<\/jats:p>\n                  <jats:p>Der aufsuchende Ansatz und die Flexibilit\u00e4t der Intervention wurden von den\n                        teilnehmenden Familien und Fachkr\u00e4ften als sehr positiv bewertet. Zuk\u00fcnftige\n                        Forschung sollte sich darauf konzentrieren, wie Motivational Interviewing\n                        trotz bestehender Sprachbarrieren methodengetreu angewendet werden kann.<\/jats:p>","DOI":"10.1055\/a-2918-7015","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T20:15:59Z","timestamp":1787688959000},"source":"Crossref","is-referenced-by-count":0,"title":["Familienbasierte Adipositaspr\u00e4vention \u2013 Prozessevaluation einer\n                    Motivational Interviewing-Intervention in einem benachteiligten\n                    Stadtteil"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5140-7511","authenticated-orcid":false,"given":"Tilman","family":"Brand","sequence":"additional","affiliation":[{"name":"Pr\u00e4vention und Evaluation, Leibniz-Institut f\u00fcr Pr\u00e4ventionsforschung\n                    und Epidemiologie \u2013 BIPS, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Lisanne","family":"Schepan","sequence":"additional","affiliation":[{"name":"Pr\u00e4vention und Evaluation, Leibniz-Institut f\u00fcr Pr\u00e4ventionsforschung\n                    und Epidemiologie \u2013 BIPS, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Ahrens","sequence":"additional","affiliation":[{"name":"Epidemiologische Methoden und Ursachenforschung, Leibniz-Institut f\u00fcr\n                    Pr\u00e4ventionsforschung und Epidemiologie \u2013 BIPS GmbH, Bremen,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Rataj","sequence":"additional","affiliation":[{"name":"Evaluation & Action Research, Landesvereinigung f\u00fcr Gesundheit und\n                    Akademie f\u00fcr Sozialmedizin Niedersachsen Bremen e. V., Hannover,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heide","family":"Busse","sequence":"additional","affiliation":[{"name":"Pr\u00e4vention und Evaluation, Leibniz-Institut f\u00fcr Pr\u00e4ventionsforschung\n                    und Epidemiologie \u2013 BIPS, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Altgeld","sequence":"additional","affiliation":[{"name":"Gesch\u00e4ftsf\u00fchrung, Landesvereinigung f\u00fcr Gesundheit und Akademie f\u00fcr\n                    Sozialmedizin Niedersachsen Bremen e. V., Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajo","family":"Zeeb","sequence":"additional","affiliation":[{"name":"Pr\u00e4vention und Evaluation, Leibniz-Institut f\u00fcr Pr\u00e4ventionsforschung\n                    und Epidemiologie \u2013 BIPS, Bremen, Germany"},{"name":"Health Sciences Bremen, Universit\u00e4t Bremen, Bremen,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess","family":"Haines","sequence":"additional","affiliation":[{"name":"Department of Family Relations and Applied Nutrition, University of\n                    Guelph, Guelph, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"342","DOI":"10.3109\/17477166.2011.605895","article-title":"Evidence that the prevalence of childhood overweight is plateauing: data from\n         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