{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:54:52Z","timestamp":1785412492240,"version":"3.56.0"},"reference-count":34,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"HAN University of applied sciences"},{"id":[{"id":"https:\/\/ror.org\/0500gea42","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Community-based combined lifestyle interventions (CLIs) are used to help children with overweight or obesity achieve a healthier lifestyle. CLIs utilize the combined knowledge and expertise of professionals from a variety of disciplines. Here, we describe the composition of teams of professionals and their approach to collaboration in four community-based CLIs designed for children with overweight or obesity (focusing on children 4\u201312 years of age) living in the Netherlands. Methods: A descriptive cross-case comparison was conducted in which four community-based CLIs implemented in ten communities were conceptualized as \u201ccases\u201d. Quantitative data regarding the frequency of contact within the teams, topics addressed in meetings of the CLI teams, the perceived importance of other relevant disciplines in the team, and perceived satisfaction with the collaboration between professionals within the team were collected via questionnaires answered by the professionals (n = 82 respondents). Descriptive analyses including frequencies, percentages, and cross-case comparisons of team characteristics and collaboration were also conducted. Results: The CLI teams differed in composition, size, and background disciplines. The frequency of contact was higher in small teams (&lt;6 professionals) compared to large teams. Larger teams appeared to report a lower perceived satisfaction regarding collaboration. Moreover, the role of coordinator or central healthcare provider was perceived as more important in the large teams than in the small teams. Conclusions: Variation was observed in professional expertise and collaboration within CLI teams. Moreover, professionals in a team should collaborate based on the local possibilities. In large teams (&gt;6 professionals) in particular, a coordinator or trained central healthcare provider can help facilitate collaboration.<\/jats:p>","DOI":"10.3390\/children13060754","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:08:07Z","timestamp":1780510087000},"page":"754","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Community-Based Combined Lifestyle Interventions for Children with Overweight or Obesity: Exploring the Professional Teams Composition and Approach to Collaboration"],"prefix":"10.3390","volume":"13","author":[{"given":"Jenneke J. E. H.","family":"Saat","sequence":"first","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands"},{"name":"Research Group Nutrition, Dietetics and Lifestyle, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0917-3413","authenticated-orcid":false,"given":"Elke","family":"Naumann","sequence":"additional","affiliation":[{"name":"Research Group Nutrition, Dietetics and Lifestyle, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merle","family":"Borremans","sequence":"additional","affiliation":[{"name":"Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, 6525 GD Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem J. J.","family":"Assendelft","sequence":"additional","affiliation":[{"name":"Department of Primary and Community Care, ELG 117, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4002-3413","authenticated-orcid":false,"given":"Koos","family":"van der Velden","sequence":"additional","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands"},{"name":"Department of Primary and Community Care, ELG 117, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerdine A. J.","family":"Fransen","sequence":"additional","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands"},{"name":"Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, 6525 GD Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2022, November 07). Tenfold Increase in Childhood and Adolescent Obesity in Four Decades: New Study by Imperial College London and WHO. Available online: https:\/\/www.who.int\/news\/item\/11-10-2017-tenfold-increase-in-childhood-and-adolescent-obesity-in-four-decades-new-study-by-imperial-college-london-and-who."},{"key":"ref_2","unstructured":"Nederlands Jeugdinstituut (2022, December 09). Cijfers over Jeugd en Opvoeding. Cijfers over Overgewicht. 21 Oktober 2021. [Numbers Youth and Parenting. Numbers Overweight]. Available online: https:\/\/www.nji.nl\/cijfers\/overgewicht#:~:text=In%202021%20had%2015%2C5,het%20om%2013%2C2%20procent."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1007\/s11684-018-0640-1","article-title":"Epidemic Obesity in Children and Adolescents: Risk Factors and Prevention","volume":"12","author":"Lee","year":"2018","journal-title":"Front. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.mayocp.2016.09.017","article-title":"Review of Childhood Obesity: From Epidemiology, Etiology, and Comorbidities to Clinical Assessment and Treatment","volume":"92","author":"Kumar","year":"2017","journal-title":"Mayo Clin. Proc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1038\/ijo.2010.222","article-title":"Long-Term Impact of Overweight and Obesity in Childhood and Adolescence on Morbidity and Premature Mortality in Adulthood: Systematic Review","volume":"35","author":"Reilly","year":"2011","journal-title":"Int. J. Obes."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Meixner, L., Cohrdes, C., Schienkiewitz, A., and Mensink, G.B. (2020). Health-related quality of life in children and adolescents with overweight and obesity: Results from the German KIGGS survey. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09834-8"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1093\/jn\/nxy025","article-title":"Unhealthy Dietary Patterns Established in Infancy Track to Mid-Childhood: The EU Childhood Obesity Project","volume":"148","author":"Luque","year":"2018","journal-title":"J. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1097\/MPG.0000000000002708","article-title":"Prevention of Childhood Obesity: A Position Paper of the Global Federation of International Societies of Paediatric Gastroenterology, Hepatology and Nutrition (FISPGHAN)","volume":"70","author":"Koletzko","year":"2020","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_9","unstructured":"National Institute for Public Health and the Environment (2022, November 07). Lifestyle Interventions. Available online: https:\/\/www.rivm.nl\/en\/lifestyle-interventions."},{"key":"ref_10","unstructured":"Federatie Medisch Specialisten [Federation of Medical Specialists] (2022, December 09). Overgewicht en Obesitas bij Volwassenen en Kinderen [Overweight and Obesity in Adults and Children]. Available online: https:\/\/richtlijnendatabase.nl\/richtlijn\/overgewicht_en_obesitas_bij_volwassenen_en_kinderen\/startpagina_richtlijn_overgewicht_en_obesitas_bij_volwassenen_en_kinderen.html."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1017\/S1368980016001282","article-title":"Process Evaluation of a Randomised Controlled Trial of a Diabetes Prevention Intervention in Dutch Primary Health Care: The SLIMMER Study","volume":"19","author":"Duijzer","year":"2016","journal-title":"Public Health Nutr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2723","DOI":"10.11124\/JBISRIR-2016-003016","article-title":"Experiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: A systematic review","volume":"15","author":"Sangaleti","year":"2017","journal-title":"JBI Database Syst. Rev. Implement. Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"227","DOI":"10.2147\/JMDH.S140042","article-title":"Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment","volume":"10","author":"Busari","year":"2017","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.4081\/jphr.2018.1369","article-title":"With whom are you dealing? Using social network analysis as a tool to strengthen service delivery structures for low socioeconomic status populations","volume":"7","author":"Prevo","year":"2018","journal-title":"J. Public Health Res."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"van Rinsum, C.E., Gerards, S.M., Rutten, G.M., van de Goor, I.A., Kremers, S.P., and Mercken, L. (2021). Lifestyle coaches as a central professional in the health care network? Dynamic changes over time using a network analysis. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-06252-3"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.amepre.2014.11.002","article-title":"U.S. Health Professionals\u2019 Views on Obesity Care, Training, and Self-Efficacy","volume":"48","author":"Bleich","year":"2015","journal-title":"Am. J. Prev. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/cob.12133","article-title":"Challenges in interdisciplinary weight management in primary care: Lessons learned from the 5As Team study","volume":"6","author":"Asselin","year":"2016","journal-title":"Clin. Obes."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"van Rinsum, C., Gerards, S., Rutten, G., Johannesma, M., van de Goor, I., and Kremers, S. (2019). The Implementation of the Coaching on Lifestyle (CooL) Intervention: Lessons Learnt. BMC Health Serv. Res., 19.","DOI":"10.1186\/s12913-019-4457-7"},{"key":"ref_19","unstructured":"Werbrouck, J., Annemans, L., and Verhaeghe, N. (2023, August 25). De Meerwaarde van de Di\u00ebtist in een Multidisciplinaire Aanpak van Overgewicht bij Volwassenen: Een Kwalitatieve Studie. Available online: https:\/\/lib.ugent.be\/catalog\/rug01:002836814."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Berendsen, B.A., Kremers, S.P., Savelberg, H.H., Schaper, N.C., and Hendriks, M.R. (2015). The Implementation and Sustainability of a Combined Lifestyle Intervention in Primary Care: Mixed Method Process Evaluation. BMC Fam. Pract., 16.","DOI":"10.1186\/s12875-015-0254-5"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., and Sheikh, A. (2011). The Case Study Approach. BMC Med. Res. Methodol., 11.","DOI":"10.1186\/1471-2288-11-100"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/1748-5908-8-92","article-title":"A Mixed Methods Multiple Case Study of Implementation as Usual in Children\u2019s Social Service Organizations: Study Protocol","volume":"8","author":"Powell","year":"2013","journal-title":"Implement. Sci."},{"key":"ref_23","unstructured":"(2022, November 07). Kind naar Gezonder Gewicht. Wat Doet een Centrale Zorgverlener? [Child to Healthy Weight. What does a Central healthcare Provider?]. Available online: https:\/\/kindnaargezondergewicht.nl\/centrale-zorgverleners."},{"key":"ref_24","unstructured":"(2023, August 25). Kind naar Gezonder Gewicht. Handleiding Opleiding CZV. [Child to Healthy Weight. Manual of the Study to Central Healthcare Provider]. Available online: https:\/\/kindnaargezondergewicht.nl\/media\/pages\/centrale-zorgverleners\/1f030b66f5-1668094594\/webversie-handleiding-opleiding-czv.pdf."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"i68","DOI":"10.1093\/fampra\/cmr056","article-title":"The BeweegKuur Programme: A Qualitative Study of Promoting and Impeding Factors for Successful Implementation of a Primary Health Care Lifestyle Intervention for Overweight and Obese People","volume":"29","author":"Helmink","year":"2012","journal-title":"Fam. Pract."},{"key":"ref_26","unstructured":"Hamberg-van Reenen, H.H., Mikolajczak, J., Post, N.A.M., and Barte, J.C.M. (2023, August 25). Inventarisatie Leefstijlinterventies en Ondersteuningsaanbod Zorgprofessionals in de Diabeteszorg: Twee Projecten in het Kader van het Nationaal Actieprogramma Diabetes [Inventory of Lifestyle Interventions and Medical Support for Healthcare. Professionals in Diabetes Care: Two Projects of the National Diabetes Action Programme]. Available online: https:\/\/www.rivm.nl\/bibliotheek\/rapporten\/270654001.pdf."},{"key":"ref_27","unstructured":"Preller, L., and Schaars, D. (2023, August 25). Generieke Werkzame Elementen van Gecombineerde Leefstijlinterventies en Duurzame Uitvoerbaarheid [Generic Effective Elements of Combined Lifestyle Interventions and Sustainable Feasibility]. Available online: https:\/\/www.kennisbanksportenbewegen.nl\/?file=7534&m=1486104963&action=file.download."},{"key":"ref_28","unstructured":"Rinsum, C., van Gerards, S.M.P.L., Rutten, G.M., Goor, I., and van de Kremers, S.P.J. (2023, August 25). Coaching op Leefstijl (COOL). Ein-Drapportage van een Implementatie en Monitoringstudie. (Final Report of an Implementation and Monitoring Study). Available online: https:\/\/www.mulierinstituut.nl\/publicaties\/23700\/coaching-op-leefstijl-cool\/."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1111\/1747-0080.12510","article-title":"Dietitians\u2018 Perspectives on Patient Barriers and Enablers to Weight Management: An Application of the Social-Ecological Model","volume":"76","author":"Aboueid","year":"2019","journal-title":"Nutr. Diet."},{"key":"ref_30","unstructured":"Beijer, M., Koetsier, L., Visscher, K., van Vooren, N., and Spijkerman, A. (2023, August 25). Procesevaluatie Centrale Zorgverlener\u2019 Door Kind naar Gezond Gewicht. Rijksinstituut Volksgezondheid en Milieu, Ministerie Volksgezondheid, Welzijn en Sport. Februari 2023. Available online: https:\/\/www.rivm.nl\/documenten\/procesevaluatie-centrale-zorgverlener-kind-naar-gezonder-gewicht."},{"key":"ref_31","first-page":"1","article-title":"Interventions to change the behaviour of health professionals and the organisation of care to promote the weight reduction in children and adults with overweight or obesity","volume":"11","author":"Flodgren","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"484823","DOI":"10.1155\/2015\/484823","article-title":"One Year Results of the BeweegKuur Lifestyle Intervention Implemented in Dutch Primary Healthcare Settings","volume":"2015","author":"Schutte","year":"2015","journal-title":"BioMed Res. Int."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s12452-019-00199-y","article-title":"De rol van de jeugdverpleegkundige en de jeugdarts in de ketenaanpak voor kinderen met overgewicht in \u2019s Hertogenbosch","volume":"51","author":"Jacobs","year":"2019","journal-title":"JGZ Tijdschr. Voor Jeugdgezondheidsz."},{"key":"ref_34","unstructured":"Beijer, M., Koetsier, L., Visscher, K., Vooren, N., and Spijkerman, A. (2023). Kind naar Gezonder Gewicht. Procesevaluatie Centrale Zorgverlener. (Child to Healthy Weight. Procesevaluation Central Healthcare Provider), RIVM. Available online: https:\/\/www.rivm.nl\/sites\/default\/files\/2023-03\/Rapportage-Procesevaluatie-centrale-zorgverlener-Kind-gezonder-gewicht.pdf."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/6\/754\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:34:56Z","timestamp":1780511696000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/6\/754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":34,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["children13060754"],"URL":"https:\/\/doi.org\/10.3390\/children13060754","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}