Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme
Open accessAbstract
Background: The 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. Methods: The 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. Discussion: The 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.
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The fidelity of delivery of physical activity interventions is suboptimal.
“as is the fidelity of delivery of PA interventions [2,10,11].”
From Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research (2014) · cites this paper as [10]
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Dineen, T. E., Bean, C. N., Bohlouli, A., Percival, S. L., Vis‐Dunbar, M., & Jung, M. E. (2025) · Implementation Science Communications · doi:10.1186/s43058-025-00757-2 · Cited by 6 · see citing works
O’Grady, M., Connolly, D., Kennedy, M., Mockler, D., Broderick, J. M., & Barrett, E. (2024) · International Journal of Integrated Care · doi:10.5334/ijic.7731 · Cited by 5 · see citing works
Older adults, physical activity and internet: Exploring their behaviours, beliefs and opinions
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The Care Sport Connector in the Netherlands
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Ready set go? : a study of the development and implementation process of the BeweegKuur
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Loytved, C., Hasenberg, G., Brendel, K., Bothe-Moser, C., Eggenschwiler, R. E., Eigenmann, D., Graf, P., Hammer, K., Hauser, R., Oberndörfer, P. K., et al. (2017) · International Journal of Health Professions · doi:10.1515/ijhp-2017-0021 · Cited by 1 · see citing works
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Dietary Interventions in ROS-Mediated Metabolic Disorders
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- Authors
- Helmink, J. H., Meis, J. J., de Weerdt, I., Visser, F. N., de Vries, N. K., & Kremers, S. P.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Kremers, Stef PJ
- ORCID
- Kremers, Stef PJ
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2010-05-26
- Volume
- 7
- Issue
- 1
- Pages
- 49-49
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC3224934
- OpenAlex
- W2064411402
- Cited by
- 64
- References
- 58
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 12 · 2013: 8 · 2012: 10
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Publications (Maastricht University) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- lifestyle intervention, physical activity promotion, healthy eating, diabetes prevention, prediabetes, primary care, general practice, exercise therapy, supervised exercise, nutrition education, intervention development, health promotion planning
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