Abstract
BackgroundThe number of patients with diabetes is increasing. BeweegKuur (Dutch for 'Exercise Therapy') is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes.MethodsThe goal of this paper is to present the development process and the contents of the intervention, using a model of systematic health promotion planning. The intervention consists of a 1-year programme for diabetic and prediabetic patients. Patients are referred by their general practitioner (GP) to a lifestyle advisor (LSA), usually the practice nurse or a physiotherapist. Based on specific inclusion criteria and in close collaboration with the patient, an individual exercise programme is designed and supervised by the LSA. This programme can be attended at existing local exercise facilities or (temporarily) under the supervision of a specialized exercise coach or physiotherapist. All participants are also referred to a dietician and receive diet-related group education. In the first pilot year (2008), the BeweegKuur programme was implemented in 7 regions in the Netherlands (19 GP practices and health centres), while 14 regions (41 GP practices and health centres) participated during the second year. The aim is to implement BeweegKuur in all regions of the Netherlands by 2012.DiscussionThe BeweegKuur programme was systematically developed in an evidence- and practice-based process. Formative monitoring studies and (controlled) effectiveness studies are needed to examine the diffusion process and the effectiveness and cost-effectiveness of the intervention.
Highlights
The number of patients with diabetes is increasing
The BeweegKuur is a lifestyle intervention tailored to the individual needs of patients, focusing on a change in physical activity behaviour and dietary behaviour, to support the prevention and treatment of type 2 diabetes mellitus
The current paper describes the rationale for the development of the BeweegKuur programme, as well as its development and contents
Summary
BeweegKuur (Dutch for 'Exercise Therapy') is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes. The BeweegKuur is a lifestyle intervention tailored to the individual needs of patients, focusing on a change in physical activity behaviour and dietary behaviour, to support the prevention and treatment of type 2 diabetes mellitus. The first step of this planning model comprises a needs assessment This step involves gathering both quantitative (e.g., literature review) and qualitative (e.g., in-depth interviews) information regarding the needs for intervention development. The needs assessment starts by reviewing health and quality of life. It reviews personal (i.e. patient-related) and environmental
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