Accueil MSH-Alpes

Publication

Facilitating care for obese children in ZUS, by means of a coordinated pluridisciplinary approach. Intermediary report.Français

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Authors :

C. Chauveaud, P. Warin, V. Baudet (collab.)
Grenoble, Odenore, July 2009

Collection :

Study n° 30

Language :

français

Addressee(s) : Government - Haut Commissariet aux Solidarités Actives - "Social experimentations Programme 2008".

 Interim report en français

Summary

Methods : Qestionnaire surveys; interviews (1 initial contact and 2 interviews with a six-month interval) on cohorts of children in their last year of nursery school and in their third year of primary school, for this intermediate report (primary schools in Grenoble), for three successive academic years.

Scale : Commune

Resulting focus : This experimental programme aims to fight obesity among children in three ZUS in the city of Grenoble, by facilitating early pluridisciplinary medical care. The programme is divided into two parts: early screening, and coordinated, multidisciplinary care. The municipal health service for schools collaborates with four of the health centres of the AGECSA (Association de Gestion des Centres de Santé: the managing body of the health centres), to provide early screening, orientation (school health) and care (AGECSA) in a coordinated way for obese children (1st and 2nd degree) in these areas:
-    Awareness, training, mobilization of professionals;
-    Screening and systematic orientation, with the families' agreement to participate in the experiment;
-    Care (family doctors, dieticians, special physical activity teachers, psychologists) at the health centres.
Setting up corrective actions after evaluation of the protocol. Evaluation is carried out on two levels:
-    On a sociological level by ODENORE: identification of impediments to inclusion in the project. Among other things, this evaluation allows for corrective actions to improve the efficacy of the project, as well as for recommendations for its generalization.
-     On a medical level by the public health service of the Grenoble CHU (university hospital): measuring the efficacy of the system in biometric terms; characterizing the population monitored.
The intermediate report presents the results of a first phase of surveys on 41 families: the families' surprise when the school health service signals the weight problem; positive attitude towards screening; interest in information and explanations received from medical professionals; but difficulty in implementing the care recommendations and sometimes their efficacy is doubted.