Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients

C. C. M. Molema*, G. C. W. Wendel-Vos, S. ter Schegget, A. J. Schuit, L. A. M. van de Goor

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background 

This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to create a healthy lifestyle and to maintain this healthy lifestyle. During a CLI a patient receives advice and counselling to improve health-related behavior such as physical activity and diet. Special attention was given to the influence of adding a health promoting financial incentive (HPFI) for the participants to the CLI. 

Methods 

Twenty-four semi-structured interviews within six care groups were performed between July and October 2017. The interviews were transcribed verbatim and coded by two researchers independently. 

Results 

Respondents mentioned several preferred characteristics of the CLI such as easy accessibility of the intervention site and the presence of health care professionals during exercise sessions. Moreover, factors that could influence implementation (such as attitude of the health care professionals) and preconditions for a successful implementation of a CLI (such as structural funding and good infrastructure) were identified. Overall, positive HPFIs (e.g. a reward) were preferred over negative HPFIs (e.g. a fine). According to the respondents, HPFIs could positively influence the degree of participation, and break down barriers for participating in and finishing the CLI. 

Conclusions 

Multiple barriers and facilitators for successful implementation of a CLI were identified. For successful implementing CLIs, a positive attitude of all stakeholders is essential and specific preconditions should be fulfilled. With regard to adding a HPFI, more research is needed to identify the attitude of specific target groups towards an HPFI.

Original languageEnglish
Article number137
Number of pages11
JournalBMC Family Practice
Volume20
Issue number1
DOIs
Publication statusPublished - 2019

Keywords

  • Lifestyle intervention
  • Physical activity
  • Implementation
  • Primary care
  • Chronic illness
  • Qualitative research
  • CARE
  • PARTICIPATION
  • BEHAVIORS
  • PROGRAM

Cite this

@article{242b8eec1e86433cb2ff21aa43afb0b3,
title = "Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients",
abstract = "Background This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to create a healthy lifestyle and to maintain this healthy lifestyle. During a CLI a patient receives advice and counselling to improve health-related behavior such as physical activity and diet. Special attention was given to the influence of adding a health promoting financial incentive (HPFI) for the participants to the CLI. Methods Twenty-four semi-structured interviews within six care groups were performed between July and October 2017. The interviews were transcribed verbatim and coded by two researchers independently. Results Respondents mentioned several preferred characteristics of the CLI such as easy accessibility of the intervention site and the presence of health care professionals during exercise sessions. Moreover, factors that could influence implementation (such as attitude of the health care professionals) and preconditions for a successful implementation of a CLI (such as structural funding and good infrastructure) were identified. Overall, positive HPFIs (e.g. a reward) were preferred over negative HPFIs (e.g. a fine). According to the respondents, HPFIs could positively influence the degree of participation, and break down barriers for participating in and finishing the CLI. Conclusions Multiple barriers and facilitators for successful implementation of a CLI were identified. For successful implementing CLIs, a positive attitude of all stakeholders is essential and specific preconditions should be fulfilled. With regard to adding a HPFI, more research is needed to identify the attitude of specific target groups towards an HPFI.",
keywords = "Lifestyle intervention, Physical activity, Implementation, Primary care, Chronic illness, Qualitative research, CARE, PARTICIPATION, BEHAVIORS, PROGRAM",
author = "Molema, {C. C. M.} and Wendel-Vos, {G. C. W.} and {ter Schegget}, S. and Schuit, {A. J.} and {van de Goor}, {L. A. M.}",
note = "This research was supported by ZonMw. ZonMw is the Dutch national organization for health research and healthcare innovation.",
year = "2019",
doi = "10.1186/s12875-019-1025-5",
language = "English",
volume = "20",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central",
number = "1",

}

Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients. / Molema, C. C. M.; Wendel-Vos, G. C. W.; ter Schegget, S.; Schuit, A. J.; van de Goor, L. A. M.

In: BMC Family Practice, Vol. 20, No. 1, 137, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients

AU - Molema, C. C. M.

AU - Wendel-Vos, G. C. W.

AU - ter Schegget, S.

AU - Schuit, A. J.

AU - van de Goor, L. A. M.

N1 - This research was supported by ZonMw. ZonMw is the Dutch national organization for health research and healthcare innovation.

PY - 2019

Y1 - 2019

N2 - Background This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to create a healthy lifestyle and to maintain this healthy lifestyle. During a CLI a patient receives advice and counselling to improve health-related behavior such as physical activity and diet. Special attention was given to the influence of adding a health promoting financial incentive (HPFI) for the participants to the CLI. Methods Twenty-four semi-structured interviews within six care groups were performed between July and October 2017. The interviews were transcribed verbatim and coded by two researchers independently. Results Respondents mentioned several preferred characteristics of the CLI such as easy accessibility of the intervention site and the presence of health care professionals during exercise sessions. Moreover, factors that could influence implementation (such as attitude of the health care professionals) and preconditions for a successful implementation of a CLI (such as structural funding and good infrastructure) were identified. Overall, positive HPFIs (e.g. a reward) were preferred over negative HPFIs (e.g. a fine). According to the respondents, HPFIs could positively influence the degree of participation, and break down barriers for participating in and finishing the CLI. Conclusions Multiple barriers and facilitators for successful implementation of a CLI were identified. For successful implementing CLIs, a positive attitude of all stakeholders is essential and specific preconditions should be fulfilled. With regard to adding a HPFI, more research is needed to identify the attitude of specific target groups towards an HPFI.

AB - Background This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to create a healthy lifestyle and to maintain this healthy lifestyle. During a CLI a patient receives advice and counselling to improve health-related behavior such as physical activity and diet. Special attention was given to the influence of adding a health promoting financial incentive (HPFI) for the participants to the CLI. Methods Twenty-four semi-structured interviews within six care groups were performed between July and October 2017. The interviews were transcribed verbatim and coded by two researchers independently. Results Respondents mentioned several preferred characteristics of the CLI such as easy accessibility of the intervention site and the presence of health care professionals during exercise sessions. Moreover, factors that could influence implementation (such as attitude of the health care professionals) and preconditions for a successful implementation of a CLI (such as structural funding and good infrastructure) were identified. Overall, positive HPFIs (e.g. a reward) were preferred over negative HPFIs (e.g. a fine). According to the respondents, HPFIs could positively influence the degree of participation, and break down barriers for participating in and finishing the CLI. Conclusions Multiple barriers and facilitators for successful implementation of a CLI were identified. For successful implementing CLIs, a positive attitude of all stakeholders is essential and specific preconditions should be fulfilled. With regard to adding a HPFI, more research is needed to identify the attitude of specific target groups towards an HPFI.

KW - Lifestyle intervention

KW - Physical activity

KW - Implementation

KW - Primary care

KW - Chronic illness

KW - Qualitative research

KW - CARE

KW - PARTICIPATION

KW - BEHAVIORS

KW - PROGRAM

U2 - 10.1186/s12875-019-1025-5

DO - 10.1186/s12875-019-1025-5

M3 - Article

C2 - 31627716

VL - 20

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

IS - 1

M1 - 137

ER -