95 Monitoring the Dutch Solid Start program: developing an indicator set for municipalities Table 2. Overview of the prioritized topics (n = 30)* Preconception Pregnancy After birth (up to two years) Topics in all three phases* Poverty Poverty Poverty Early detection by healthcare provider Early detection by healthcare provider Early detection by healthcare provider Health: psychological/ psychiatric problems Health: psychological/ psychiatric problems Health: psychological/psychiatric problems parents Health: stress Health: stress Health: stress Topics in two phases* Domestic violence (including screening) Domestic violence (including screening) Substance use: smoking Substance use: smoking Social network Social network Cumulation of risk factors Cumulation of risk factors Topics in one phase Preconception care Care: multidisciplinary collaboration Health outcomes child: premature birth Interventions (process indicators) Unintended and/or unwanted pregnancy Relation parent – child Low literacy Health: intellectual disability parent Client characteristics: socioeconomic status Child abuse and neglect *The topics that occur in multiple phases are presented on the same row. Experts mentioned multiple requirements for the final indicator set (see Appendix 3 for a description of all requirements and corresponding quotes). The indicator set should include indicators regarding both processes and outcomes, and both parents and children. Experts moreover wanted to include indicators that have the potential to be influenced (to identify early effects of policy) as well as indicators that show prevalence rates (to be used in making policy). The total indicator set should be balanced in terms of risk- and protective factors and in general it should provide a full picture of all relevant aspects. The indicator set should provide a starting point of the conversation within a cross-sector collaboration. Lastly, it was considered important that data are available for the indicators. No additional topics were added to the final indicator set based on these requirements, since the prioritized topics largely seemed to match these requirements. Intermediate round For the 30 prioritized topics, 107 unique indicators were found by the research team in the different sources. The number of potential indicators per topic varied from 1 to 7. Round 3 - questionnaire Based on the experts’ selection and prioritization, the preferred indicator was clear for 20 topics (Appendix 2). 11 of these indicators lacked data and were added to the development agenda. As the ‘second best’ option, 5 lower prioritized indicators for the corresponding topics were added to the draft indicator set. The draft indicator set consisted of 16 indicators, the draft development agenda of 23 indicators. Discussion – expert meeting In general, experts appreciated the draft indicator set. They mentioned a number of extra non-prioritized indicators, which were added to an additional ‘choice set’ in case data 4
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