Repository for several PhD. theses

Author: Judith Helmink

Title: Ready Set Go? A study of the development and implementation process of the BeweegKuur

Details: This thesis describes the development and implementation of the BeweegKuur. The BeweegKuur is a 1-year lifestyle intervention tailored to the individual needs of patients, focusing on changes in physical activity and dietary behaviour, to support the prevention and treatment of type 2 diabetes mellitus. Participants are referred by a general practitioner to a lifestyle advisor (usually the practice nurse or a physiotherapist), who assists the participant over a one-year period in achieving a healthier lifestyle. Participants can choose to exercise at their own initiative or can be referred by the lifestyle advisor to a physiotherapy practice, to enter an exercise programme there. At the same time, all participants are referred to a dietician for individual as well as group sessions. The BeweegKuur has provided considerable impetus to the processes involved in the implementation of combined lifestyle interventions in primary care. Various processes (for example the formation of multidisciplinary teams and contacts with local exercise facilitators) were started during the pilot phase of the BeweegKuur programme. It is likely that these processes would also have materialized without BeweegKuur, but that BeweegKuur accelerated this process. The implementation of BeweegKuur demanded a lot of time and energy on the part of the health care professionals, partly due to the long pilot period. However, the health care professionals involved remained motivated to continue the programme. Furthermore, participants of the intervention were also motivated to increase their physical activity levels, and they appreciated the content of the intervention. The data from the studies among participants indicated that, on average, participants did increase their total physical activity time. However, our results also showed that lifestyle counselling should not only aim at an increase in total physical activity time, but also at a decrease in total sitting time. Low-threshold activities such as walking and cycling should be promoted by the LSAs in combined lifestyle interventions. Furthermore, a map showing local exercise facilities in the neighbourhood should be available to the LSAs. Health care professionals and other parties have to agree who is responsible for the development and updating of this map, to ensure continued physical activity levels among participants.

Defense: Friday, 7 December, 2012 10:00