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DOI: 10.1055/a-2617-6295
Implementierung des HAPpEN-Programms zur Adipositasprävention im ländlichen Raum: Behandelndenperspektive zur Alltagsnähe und Kompetenzförderung
Implementing the HAPpEN program for obesity prevention in rural areas: professional perspectives on practical relevance and competence developmentAuthors
Zusammenfassung
Ziel der Studie
Alltagsnahe, interprofessionelle Präventionsansätze sind für eine nachhaltige Adipositasversorgung, besonders in ländlichen Regionen mit hoher Prävalenz, essenziell. Diese Studie evaluiert aus Behandelndensicht Alltagsrelevanz und Kompetenzzuwachs durch das hausarztzentrierte Adipositaspräventionsprogramm HAPpEN im ländlichen Raum.
Methodik
Leitfadengestützte Interviews mit Hausärzt*innen (n=4) und Physiotherapeut*innen (n=7) erfassten Rückmeldung zur Programmstrukturierung, Alltagsnähe, HAPpEN-App als Kommunikationsmittel und zum erzielten Kompetenzgewinn.
Ergebnisse
Hausarzt/-ärztingespräche, physiotherapeutische Einheiten und das hybride Versorgungsmodell wurden positiv bewertet; das individualisierbare Stufensystem erwies sich als alltagspraktikabel. Kritisch waren geringe Sitzungsfrequenzen, heterogene Gruppen und eine unzureichende inhaltliche Tiefe für gesundheitserfahrene Patient*innen. Familiäre und berufliche Verpflichtung sowie fehlende Routinen erschwerten die Implementierung; zugleich stärkte die vertiefte Auseinandersetzung mit Adipositas die Expertise der Behandelnden.
Schlussfolgerung
HAPpEN zeigt das Potenzial alltagsnaher, digital gestützter Interventionen im ländlichen Raum, erfordert aber Unterstützung zur Überwindung struktureller Hürden.
Abstract
Purpose
Practical, interprofessional prevention approaches are essential for sustainable obesity care, particularly in rural regions with high prevalence rates. This study evaluates, from the providers’ perspective, the everyday relevance and competence gains achieved through the general practitioner–centered obesity prevention program HAPpEN in rural areas.
Methods
Semi-structured interviews with general practitioners (n=4) and physiotherapists (n=7) examined the programs’s structure, practicality, use of the HAPpEN-app as a communication tool, and competency development.
Results
General practitioner consultations, physiotherapy sessions, and the hybrid care model were positively evaluated; the customizable tiered system proved feasible for everyday use. Criticisms concerned low session frequency, heterogeneous group compositions, and insufficient depth for health-experienced patients. Family and work commitments, as well as lack of routines hindered implementation, while in-depth engagement with obesity enhanced the providers’ professional expertise.
Conclusion
HAPpEN demonstrates the potential of practical, digitally supported interventions in rural areas but requires targeted support to overcome structural barriers.
*beide Autorinnen haben gleichermaßen zum Manuskript beigetragen: Miriam Witthüser, Meltem Dinç
Publication History
Article published online:
02 December 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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