Konsentierte Gesundheitsindikatoren für die Evaluation von integrierten kommunalen Strategien für Kinder und Jugendliche

Robert, Myriam (2025): Konsentierte Gesundheitsindikatoren für die Evaluation von integrierten kommunalen Strategien für Kinder und Jugendliche. Dissertation, LMU München: Medizinische Fakultät

Abstract

The evaluation of complex interventions such as community-based interventions in health promotion and prevention for children and adolescents is increasingly important for quality development. For this purpose, indicators are needed to depict changes over time. However, there is no consensus on which health indicators could be pulled up and in which context. The goal of this work was to determine in a multi-step procedure through literature review, criteria-based selection and expert’s consensus building which health indicators are relevant to evaluate community-based interventions in health promotion and prevention for children and adolescents, using community-based prevention chains as an example. In the scope of a systematic literature review, n=738 indicators were identified. After preselection through internal quality assessment, the remaining n=94 indicators were appraised and selected in an online eDelphi study. The 47 participants of the eDelphi study were national experts involved in community health promotion, in child health or in health reporting. According to the criteria that we determined a priori; consensus was defined by ≥ 75 %. After two rounds, 9 subdomains were deemed relevant by consensus. These subdomains were: socioeconomic factors, health education, nutrition and physical activity, oral health, overall health status, specific health conditions, drug related behavior, exposure to drugs and violence and family factors. Among those, 36 indicators were deemed relevant. To summarize, this study can be considered as an orientation for the conception of evaluations in the field of community-based prevention and health promotion for children and adolescents.

• Dokumententyp: Dissertationen (Dissertation, LMU München)
• Keywords: Prävention
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften ; 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• Fakultäten: Medizinische Fakultät
• Sprache der Hochschulschrift: Deutsch
• Datum der mündlichen Prüfung: 20. März 2025
• 1. Bericht­erstatter:in: Jung-Sievers, Caroline