Abstract
In 2007, the Dutch Minister of Health decided that
a combined lifestyle intervention BeweegKuur (BK)
with focus on increase of physical activity (PA)
should be available for adults at risk of chronic
diseases. The BK should be covered by basic health
insurance and carried out in primary care. General
practitioner, physical therapist, and dietician are
involved. The main professional is the lifestyle
coach (LSC), who guides the participant during one
year, stimulates multidisciplinary collaboration,
and leads a local network around the BK including
also representatives from sport and local
authorities.
NISB was asked to optimize and concurrently
implement the BK nationwide. The number of
locations rose from 8 in 2008 to 160 in 2011. Many
process and other evaluations surrounded the BK
and led to multiple changes in contents and
implementation.
In 2014, we see results at multiple levels.
Participants significantly improve parameters of
health, mobility, PA, and are significantly more
intrinsically motivated to be physically active,
based on motivational interviewing.
Flexibility in use of the protocol is needed for
meeting local working practices and needs of
participants. The LSC is highly valued by other
professionals and participants.
Improved collaboration between health
professionals was a major result. Health care
workers perceived better accessibility of sport
facilities for people with chronic diseases when
local networks also included sport professionals. In
2011, the new Minister decided that the BK should
not be covered by health insurance. Policy focus is
now on health and PA in the neighborhood,
supported by networks for which BK networks are
set as an example. A new type of professional is
born, part of his tasks also based on the LSC. A
political landslide, giving municipalities much larger
responsibilities for health and health-related
facilities for citizens, stimulates the basis for
prevention through increased PA. While the BK is
not covered by basic health insurance, health
insurance companies are investing more in
financing prevention activities. Pilots are set up to
evaluate effects of structural embedding and
financing of the LSC in primary care. Contracts are
signed between local authorities and health
insurances to cover costs of the BK for people in
lower SES categories.
In the presentation we will discuss milestones and
major results of the BK and the timeline of
prevention through PA related to primary care in
the Netherlands
Original language | English |
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Title of host publication | Book of abstracts of the 10th Annual Meeting and 5th Conference of HEPA Europe : Physical activity promotion in health care settings |
Pages | 32-32 |
Publication status | Published - 2014 |
Event | 10th Annual Meeting and 5th Conference of HEPA Europe, University of Zurich, Switzerland - Duration: 27 Aug 2014 → 29 Aug 2014 |
Conference
Conference | 10th Annual Meeting and 5th Conference of HEPA Europe, University of Zurich, Switzerland |
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Period | 27/08/14 → 29/08/14 |