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...
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doaj-45ae6a59883941e980bc37bf1677b39a2020-11-25T03:41:21ZengBMCBMC Family Practice1471-22962019-10-0120111110.1186/s12875-019-1025-5Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patientsC. C. M. Molema0G. C. W. Wendel-Vos1S. ter Schegget2A. J. Schuit3L. A. M. van de Goor4Department of Tranzo, Scientific Center for Care and Welfare, Tilburg UniversityCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the EnvironmentDepartment of Health Science, VU UniversityTilburg School of Social and Behavioral Sciences, Tilburg UniversityDepartment of Tranzo, Scientific Center for Care and Welfare, Tilburg UniversityAbstract 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.http://link.springer.com/article/10.1186/s12875-019-1025-5Lifestyle interventionPhysical activityImplementationPrimary careChronic illnessQualitative research |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
C. C. M. Molema G. C. W. Wendel-Vos S. ter Schegget A. J. Schuit L. A. M. van de Goor |
spellingShingle |
C. C. M. Molema G. C. W. Wendel-Vos S. ter Schegget A. J. Schuit L. A. M. van de Goor Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients BMC Family Practice Lifestyle intervention Physical activity Implementation Primary care Chronic illness Qualitative research |
author_facet |
C. C. M. Molema G. C. W. Wendel-Vos S. ter Schegget A. J. Schuit L. A. M. van de Goor |
author_sort |
C. C. M. Molema |
title |
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
title_short |
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
title_full |
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
title_fullStr |
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
title_full_unstemmed |
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
title_sort |
perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients |
publisher |
BMC |
series |
BMC Family Practice |
issn |
1471-2296 |
publishDate |
2019-10-01 |
description |
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. |
topic |
Lifestyle intervention Physical activity Implementation Primary care Chronic illness Qualitative research |
url |
http://link.springer.com/article/10.1186/s12875-019-1025-5 |
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