The added value of frequent physical activity group sessions in a combined lifestyle intervention: A cluster randomised trial in primary care

Berendsen, Brenda A J; Hendriks, Marc; Rutten, Geert M.; Kremers, Stef; Savelberg, Hans; Schaper, Nicolaas C.

doi:10.1016/j.pmedr.2020.101204

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…10–12 Participants receive coaching on physical activity and healthy nutrition to achieve weight reduction. 13 14 The intervention takes 2 years, because previous research has shown that a shorter intervention is often ineffective. 15 16 While in the first year, much emphasis is on guided activities, including exercise, education and sharing experiences, the second year focusses more on self-management and sustaining lifestyle changes.…”

Section: Introductionmentioning

confidence: 99%

“…The programme is tailored to the personal needs of the participants and includes group sessions to educate participants on certain topics, share experiences and provide support 10–12. Participants receive coaching on physical activity and healthy nutrition to achieve weight reduction 13 14. The intervention takes 2 years, because previous research has shown that a shorter intervention is often ineffective 15 16.…”

Section: Introductionmentioning

confidence: 99%

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GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

et al. 2022

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ObjectivesPrevention and lifestyle support are emerging topics in general practice. Healthcare insurance companies reimburse combined lifestyle interventions (CLIs) in the Netherlands since January 2019. CLIs support people with overweight (body mass index, BMI 25–30) or obesity (BMI >30) to reduce weight in peer groups. General practitioners (GPs) are key in the successful implementation of lifestyle interventions in primary care. This study explored GPs’ experiences and views on the implementation of CLIs to identify barriers and facilitators to the successful implementation in primary care.DesignQualitative study using semistructured interviews. Content analysis consisted of thematic coding and mapping a first stage of predefined and second stage of iterative evolving set of themes.SettingGPs were interviewed in a variety of primary care practices between February and April 2019.ParticipantsFifteen GPs were purposively recruited for semi-structured interviews through snowballing.ResultsExperiences with lifestyle support among GPs ranged from referring patients to other healthcare professionals to taking a proactive role in lifestyle support themselves. Whether or not GPs took an active role in lifestyle support was related to their belief in the effect of lifestyle interventions. Overall, GPs had little experience with CLI in every day practice. Perceived barriers were a lack of availability of CLIs in the region and the potential lack of added value of CLIs on top of existing lifestyle support. Perceived facilitators were coordination of care provision by GP cooperatives and monitoring of the CLI implementation and their results. Reimbursement of CLIs without any costs for participants enabled application.ConclusionThe importance of lifestyle interventions in primary care was acknowledged by all GPs, but they differed in their level of experience with providing lifestyle support and awareness of CLIs. Successful integration of CLIs with primary care requires a solid promotion, a well-coordinated implementation strategy and structural evaluation of long-term effectiveness.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

et al. 2022

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“…In addition to health-promoting interventions, BHCs working within primary care must also remain cognizant of professional and ethical guidelines, including professional scope of practice and licensure laws, when building and maintaining effective PCBH-based interdisciplinary clinical partnerships. For example, patients may seek guidance regarding specific nutritional/caloric recommendations, which may fall beyond the scope of a BHC–Physician partnership model, yet could be addressed by incorporating a Registered Dietician onto the care team (Berendsen et al, 2020 ). Further, the field of Lifestyle Medicine (LM) offers specialized training and expertise in the behavioral and nutritional aspects of chronic disease management and permits various health care specialties to become certified as LM Diplomats (ACLM, 2020 ).…”

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confidence: 99%

Development and Evaluation of a Health Behavior Change Clinic in Primary Care: An Interdisciplinary Partnership

Nyman

Vogel

Heller

et al. 2023

J Clin Psychol Med Settings

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Providing effective healthy behavior change interventions within primary care presents numerous challenges. Obesity, tobacco use, and sedentary lifestyle negatively impact the health quality of numerous medical patients, particularly in underserved patient populations with limited resources. Primary Care Behavioral Health (PCBH) models, which incorporate a Behavioral Health Consultant (BHC), can offer point-of-contact psychological consultation, treatment, and also provide opportunities for interdisciplinary psychologist—physician clinical partnerships to pair a BHC’s health behavior change expertise with the physician’s medical care. Such models can also enhance medical training programs by providing resident physicians with live, case-based learning opportunities when partnered with a BHC to address patient health behaviors. We will describe the development, implementation, and preliminary outcomes of a PCBH psychologist—physician interdisciplinary health behavior change clinic within a Family Medicine residency program. Patient outcomes revealed significant reductions ( p < .01) in weight, BMI, and tobacco use. Implications and future directions are discussed.

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Blended care intervention for cancer aftercare in general practice centres: a study protocol for a randomised controlled trial

Smits,

Bolman,

Mesters

et al. 2023

Preprint

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Background Combining effective eHealth programs with face-to-face consultations in general practice may help general practitioners (GPs) to care for cancer survivors. Method This study protocol describes a two-armed randomised controlled trial (RCT) to evaluate (cost-)effectiveness of a blended intervention integrating the Cancer Aftercare Guide (CAG) in general practice centres (GPCs). A process evaluation is also included in the study. Discussion Results may be relevant to cancer aftercare, general practice, and the field of eHealth implementation in general. Potential challenges lie in recruitment due to the strain on the healthcare system since the COVID-19 pandemic. Trial registration The study is ongoing, patients are currently being enrolled. Enrolment started 11 August, 2023. A total of 86 patients have enrolled as of 22 November 2023.

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The added value of frequent physical activity group sessions in a combined lifestyle intervention: A cluster randomised trial in primary care

Abstract: Highlights A combined lifestyle intervention improves lifestyle in overweight and obese subjects. Real-world setting study shows that changed lifestyle after a combined lifestyle intervention can be sustained. Adding group sessions with a physiotherapist had no added value.

Cited by 5 publications

References 33 publications

GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

Development and Evaluation of a Health Behavior Change Clinic in Primary Care: An Interdisciplinary Partnership

Blended care intervention for cancer aftercare in general practice centres: a study protocol for a randomised controlled trial

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