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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Study protocol

The coaching on lifestyle (CooL) intervention for obesity, a study protocol for an action-oriented mixed-methods study

Authors: Celeste E. van Rinsum, Sanne M. P. L. Gerards, Geert M. Rutten, Ien A. M. van de Goor, Stef P. J. Kremers

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Combined lifestyle interventions (CLIs) have proved to be effective in changing and maintaining behavioural lifestyle changes and reducing overweight and obesity, in clinical and real-world settings. In this CLI, lifestyle coaches are expected to promote lifestyle changes of participants regarding physical activity and diet. In the Coaching on Lifestyle (CooL) intervention, which takes a period of 8 to 10 months, lifestyle coaches counsel adults and children aged 4 years and older (and their parents) who are obese or are overweight with an increased risk of developing cardiovascular diseases or type II diabetes. In group and individual sessions, themes such as physical activity, dietary behaviours, sleep and stress are addressed. The aim of the present study is to monitor the implementation process of the CooL intervention and to examine how the lifestyle coaches contribute to a healthier lifestyle of the participants.

Methods

This action-oriented study involves monitoring the implementation process of the CooL intervention and examining the lifestyle changes achieved by participants over time, in a one-group pre-post design using mixed methods. Methods include semi-structured interviews, observations, document analysis, biomedical parameters and questionnaires.

Discussion

The added value of the CooL study lies in its action-oriented approach and the use of mixed methods, including both qualitative and quantitative research methods. The long-term coaching used in the CooL intervention is expected to have beneficial effects on sustained lifestyle changes.

Trial registration

NTR6208; date registered: 13–01-2017.
Appendix
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Literature
1.
2.
Perry KI, MacDonald SJ. The obese patient: a problem of larger consequence. Bone Joint J. 2016; 98-b(1 Suppl A):3–5.
3.
Dobbs R, Sawers C, Thompson F, Manyika J, Woetzel J, Child P, et al. Overcoming obesity: an initial economic analysis. London: McKinsey Global Institute; 2014.
4.
Kremers SP, Visscher TL, Seidell JC, van Mechelen W, Brug J. Cognitive determinants of energy balance-related behaviours: measurement issues. Sports Med. 2005;35(11):923–33.CrossRefPubMed
5.
6.
Van der Meer FM, Ligtenberg G, Staal PA. Preventie bij overgewicht en obesitas: de gecombineerde leefstijlinterventie [prevention for overweight and obesity: the combined lifestyle intervention]. College voor zorgverzekeringen: Diemen; 2009.
7.
Janicke DM, Steele RG, Gayes LA, Lim CS, Clifford LM, Schneider EM, et al. Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity. J Pediatr Psychol. 2014;39(8):809–25.CrossRefPubMed
8.
McGovern L, Johnson JN, Paulo R, Hettinger A, Singhal V, Kamath C, et al. Clinical review: treatment of pediatric obesity: a systematic review and meta-analysis of randomized trials. J Clin Endocrinol Metab. 2008;93(12):4600–5.CrossRefPubMed
9.
Gillies C, Abrams K, Lambert P, Cooper N, Sutton A, Hsu R, et al. Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis. BMJ. 2007;334(7588):9.CrossRef
10.
Hassan Y, Head V, Jacob D, Bachmann MO, Diu S, Ford J. Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. Clin Obes. 2016;6(6):395–403.CrossRefPubMed
11.
Roumen C, Corpeleijn E, Feskens EJ, Mensink M, Saris WH, Blaak EE. Impact of 3-year lifestyle intervention on postprandial glucose metabolism: the SLIM study. Diabet Med. 2008;25(5):597–605.CrossRefPubMed
12.
Harting J, van Assema P, Ruland E, van Limpt P, Gorgels T, van Ree J, et al. Implementation of an innovative health service: a “real-world” diffusion study. Am J Prev Med. 2005;29(2):113–9.CrossRefPubMed
13.
Berendsen BA. Measurement & Promotion of physical activity. Evaluation of activity monitors and a multidisciplinary lifestyle intervention in primary care. PhD dissertation: Maastricht University; 2016.
14.
Duijzer G. Type 2 diabetes prevention from research to practice: the SLIMMER lifestyle intervention. PhD dissertation: Wageningen University; 2016.
15.
Bukman AJ. Targeting persons with low socioeconomic status of different ethnic origins with lifestyle interventions: opportunities and effectiveness. PhD dissertation: Wageningen University; 2016.
16.
Gerards SM, Dagnelie PC, Gubbels JS, van Buuren S, Hamers FJ, Jansen MW, et al. The effectiveness of lifestyle triple P in the Netherlands: a randomized controlled trial. PLoS One. 2015;10(4):e0122240.CrossRefPubMedPubMedCentral
17.
Rijks JM, Plat J, Mensink RP, Dorenbos E, Buurman WA, Vreugdenhil AC. Children with morbid obesity benefit equally as children with overweight and obesity from an ongoing care program. J Clin Endocrinol Metab. 2015;100(9):3572–80.CrossRefPubMed
18.
Helmink JH, Kremers SP, Van Boekel LC, Van Brussel-Visser FN, Preller L, de Vries NK. The BeweegKuur programme: a qualitative study of promoting and impeding factors for successful implementation of a primary health care lifestyle intervention for overweight and obese people. Fam Pract. 2012;29(Suppl 1):i68–74.CrossRefPubMed
19.
Berendsen BA, Kremers SP, Savelberg HH, Schaper NC, Hendriks MR. The implementation and sustainability of a combined lifestyle intervention in primary care: mixed method process evaluation. BMC Fam Pract. 2015;16(1):37.CrossRefPubMedPubMedCentral
20.
Ball GD, Mackenzie-Rife KA, Newton MS, Alloway CA, Slack JM, Plotnikoff RC, et al. One-on-one lifestyle coaching for managing adolescent obesity: findings from a pilot, randomized controlled trial in a real-world, clinical setting. Paediatr Child Health. 2011;16(6):345–50.CrossRefPubMedPubMedCentral
21.
The Diabetes Prevention Program Research Group. The diabetes prevention program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25(12):2165–71.CrossRef
22.
Rutten GM, Meis J, Hendriks M, Hamers F, Veenhof C, Kremers S. The contribution of lifestyle coaching of overweight patients in primary care to more autonomous motivation for physical activity and healthy dietary behaviour: results of a longitudinal study. Int J Behav Nutr Phys Act. 2014;11(1):86.CrossRefPubMedPubMedCentral
23.
Moore G, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. London: MRC population health science research. Network. 2014;
24.
Partnerschap Overgewicht Nederland. Zorgstandaard Obesitas [Standard of Care for Obesity]. Amsterdam: Partnerschap Overgewicht Nederland; 2010.
25.
Nederlandse Diabetes Federatie. NDF Zorgstandaard. Addendum Geïndiceerde preventie van diabetes type 2 [NDF Standard of Care. Addendum Indicated prevention of diabetes type 2]. Rotterdam: iDrukker; 2012.
26.
Platform Vitale Vaten. Zorgstandaard Cardiovasculair Risicomanagement [Standard of Care for Cardiovascular Risk Management]. Den Haag; 2013.
27.
Willeboordse M, Jansen MW, van den Heijkant SN, Simons A, Winkens B, de Groot RH, et al. The healthy primary School of the Future: study protocol of a quasi-experimental study. BMC Public Health. 2016;16:639.CrossRefPubMedPubMedCentral
28.
Gerards SMPL. Childhood obesity prevention. Rationale, implementation and effectiveness of the lifestyle triple P intervention. PhD dissertation. Maastricht: Maastricht University; 2014.
29.
Helmink JHM. Ready set go? A study of the development and implementation process of the BeweegKuur. PhD dissertation. Maastricht: Maastricht University; 2012.
30.
Benet-Martinez V, John OP. Los Cinco Grandes across cultures and ethnic groups: multitrait multimethod analyses of the big five in Spanish and English. J Pers Soc Psychol. 1998;75(3):729–50.CrossRefPubMed
31.
Denissen JJ, Geenen R, van Aken MA, Gosling SD, Potter J. Development and validation of a Dutch translation of the big five inventory (BFI). J Pers Assess. 2008;90(2):152–7.CrossRefPubMed
32.
Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68–78.CrossRefPubMed
33.
Wilson PM, Rogers WT, Rodgers WM, Wild TC. The psychological need satisfaction in exercise scale. J Sport Exerc Psychol. 2006;28(3):231–51.CrossRef
34.
Wilson PM, Sabiston CM, Mack DE, Blanchard CM. On the nature and function of scoring protocols used in exercise motivation research: an empirical study of the behavioral regulation in exercise questionnaire. Psychol Sport Exerc. 2012;13(5):614–22.CrossRef
35.
Pelletier L, Dion S, Slovinec-D'Angelo M, Reid R. Why do you regulate what you eat? Relationships between forms of regulation, eating behaviors, sustained dietary behavior change, and psychological adjustment. Motiv Emot. 2004;28(3):245–77.CrossRef
36.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.CrossRefPubMed
37.
Marshall AL, Miller YD, Burton NW, Brown WJ. Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc. 2010;42(6):1094–102.PubMed
38.
Van Assema P, Brug J, Ronda G, Steenhuis I. The relative validity of a short Dutch questionnaire as a means to categorize adults and adolescents to total and saturated fat intake. J Hum Nutr Diet. 2001;14(5):377–90.CrossRefPubMed
39.
EuroQol Group. EuroQol -a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199–208.CrossRef
40.
World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. 2000.
41.
Simonds J. The role of reward sensitivity and response execution in childhood extraversion. PhD dissertation: University of Oregon; 2006.
42.
Sleddens EF, O'Connor TM, Watson KB, Hughes SO, Power TG, Thijs C, et al. Development of the comprehensive general parenting questionnaire for caregivers of 5-13 year olds. Int J Behav Nutr Phys Act. 2014;11:15.CrossRefPubMedPubMedCentral
43.
West F, Morawska A, Joughin K. The lifestyle behaviour checklist: evaluation of the factor structure. Child Care Health Dev. 2010;36(4):508–15.CrossRefPubMed
44.
Gerards SM, Hummel K, Dagnelie PC, de Vries NK, Kremers SP. Parental self-efficacy in childhood overweight: validation of the lifestyle behavior checklist in the Netherlands. Int J Behav Nutr Phys Act. 2013;10:7.CrossRefPubMedPubMedCentral
45.
Birch L, Fisher J, Grimm Thomas K, Markey C, Sawyer R, Johnson S. Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001;36:201–10.CrossRefPubMed
46.
Gubbels JS, Kremers SP, Stafleu A, de Vries SI, Goldbohm RA, Dagnelie PC, et al. Association between parenting practices and children's dietary intake, activity behavior and development of body mass index: the KOALA birth cohort study. Int J Behav Nutr Phys Act. 2011;8:18.CrossRefPubMedPubMedCentral
47.
Musher-Eizenman D, Holub S. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007;32(8):960–72.CrossRefPubMed
48.
Gattshall ML, Shoup JA, Marshall JA, Crane LA, Estabrooks PA. Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. Int J Behav Nutr Phys Act. 2008;5:3–3.CrossRefPubMedPubMedCentral
49.
Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R. Parental feeding style and the inter-generational transmission of obesity risk. Obes Res. 2002;10(6):453–62.CrossRefPubMed
50.
Ogden J, Reynolds R, Smith A. Expanding the concept of parental control: a role for overt and covert control in children's snacking behaviour? Appetite. 2006;47(1):100–6.CrossRefPubMed
51.
52.
53.
54.
Kolotkin RL, Zeller M, Modi AC, Samsa GP, Quinlan NP, Yanovski JA, et al. Assessing weight-related quality of life in adolescents. Obesity (Silver Spring). 2006;14(3):448–57.CrossRef
55.
Wouters EJM, Geenen R, Kolotkin RL, Vingerhoets AJJM. Met lichaamsgewicht samenhangende kwaliteit van leven bij adolescenten [with body weight related quality of life at adolescents]. Tijdschr Kindergeneeskd. 2010;78(3):119–25.CrossRef
56.
Schonbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, Hirasing RA, et al. Increase in prevalence of overweight in Dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. PLoS One. 2011;6(11):e27608.CrossRefPubMedPubMedCentral
57.
Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3.CrossRefPubMedPubMedCentral
58.
Truby H, Paxton SJ. The Children's body image scale: reliability and use with international standards for body mass index. Br J Clin Psychol. 2008;47(Pt 1):119–24.CrossRefPubMed
59.
Moore JB, Yin Z, Hanes J, Duda J, Gutin B, Barbeau P. Measuring enjoyment of physical activity in children: validation of the physical activity enjoyment scale. J Appl Sport Psychol. 2009;21(S1):S116–29.CrossRef
60.
Jurg ME, Kremers SP, Candel MJ, Van der Wal MF, De Meij JSA. Controlled trial of a school-based environmental intervention to improve physical activity in Dutch children: JUMP-in, kids in motion. Health Promot Int. 2006;21(4):320–30.CrossRefPubMed
61.
Verplanken B, Orbell S. Reflections on past behavior: a self-report index of habit strength. J Appl Soc Psychol. 2003;33(6):1313–30.CrossRef
62.
Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire: a cross-national study. Educ Psychol Meas. 2006;66(4):701–16.CrossRef
63.
64.
Metadata
Title
The coaching on lifestyle (CooL) intervention for obesity, a study protocol for an action-oriented mixed-methods study
Authors
Celeste E. van Rinsum
Sanne M. P. L. Gerards
Geert M. Rutten
Ien A. M. van de Goor
Stef P. J. Kremers
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-5010-4

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