Background: Lifestyle intervention programmes target behavioural risk factors that contribute to cardiovascular diseases (CVDs). Unfortunately, sustainable implementation of these programmes can be challenging. Gaining insights into the barriers and facilitators for successful implementation is important for maximising public health impact of these interventions. The Healthy Heart (HH) programme is an example of a combined lifestyle intervention programme.
Aim: To analyse the reach, adoption, and implementation of the HH programme.
Design & Setting: A mixed-methods study conducted in a general practice setting in The Netherlands.
Method: Quantitative data were collected from the Healthy Heart study (HH study), a non-randomised cluster stepped-wedge trial to assess the effect of the HH programme on patients at high risk of developing CVDs at practice level. Qualitative data were obtained through focus groups.
Results: Out of 73 approached general practices, 55 implemented the HH programme. A total of 1082 patients agreed to participate in the HH study, of whom 64 patients were referred to the HH programme and 41 patients participated. Several barriers for participation were identified such as time investment, lack of risk perception, and being confident in changing lifestyle on their own. Important barriers for healthcare providers (HCPs) to refer a patient were time investment, lack of information to sufficiently inform patients, and preconceived notions regarding which patients the programme was suitable for.
Conclusion: This study has offered insights from a patient and HCP perspective regarding barriers and facilitators for implementation of the group-based lifestyle intervention programme. The identified barriers and facilitators, and the suggested improvements, can be used by others who wish to implement a similar programme.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176702 | PMC |
| http://dx.doi.org/10.3399/BJGPO.2023.0064 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A bio-cultural tale of the past, present and future of human nutrition.
J Anthropol Sci
December 2024
Independent Researcher, Rome, Italy.
Human nutrition represents a dynamic interplay between biological evolution and cultural development, profoundly shaping dietary practices and health outcomes. This paper traces the dietary evolution of the genus Homo, from practices like foraging, scavenging, hunting, and gathering to the Neolithic transition towards agropastoral subsistence. These changes influenced human biology, evident in genetic adaptations such as lactase persistence and amylase gene copy variation, and reshaped societal structures and population dynamics.
View Article and Find Full Text PDFA mixed-methods study of patient and healthcare professional perceptions of care pathways for knee osteoarthritis.
BMC Prim Care
December 2024
Artros d.o.o, Tehnološki park 19, Ljubljana, 1000, Slovenia.
Background: This study aimed to address research gap concerning the perception of the care pathway for knee osteoarthritis (KOA) patients, focusing on both the patient and health professional perspectives in countries with inefficient health systems, such as Slovenia, by examining patient satisfaction with conservative treatment, assessing the perceptions of both patients and health professionals regarding the latter's involvement, and justifying the chosen KOA treatment approaches.
Methods: A mixed-methods approach was employed, combining quantitative surveys and qualitative interviews with KOA patients (n = 82) and healthcare professionals (n = 68).
Results: The care pathway for conservative KOA treatment in Slovenia begins with general practitioners (GPs), who conduct initial examinations, prescribe analgesics, and refer patients to radiologists and orthopaedic surgeons.
Short-chain fatty acids as a novel intervention for high-fat diet-induced metabolic syndrome.
Mol Cell Biochem
December 2024
Department of Biophysics, Panjab University, Chandigarh, 160014, India.
Metabolic syndrome (MetS) is driven by a complex interplay of genetic, lifestyle, and dietary factors, leading to weight gain, insulin resistance, dyslipidemia, and chronic inflammation. Gut microbiota dysbiosis has been recently recognized as a key contributor to MetS, leading to advancements in gut microbiome-based interventions to improve health outcomes. Considering the unique challenges associated with the use of pre/probiotics, short-chain fatty acids (SCFA), also known as postbiotics, have emerged as promising therapeutic agents due to their role in modulating host metabolism and physiology.
View Article and Find Full Text PDFPeri-implant femoral fractures in elderly: Morbidity, mortality, treatment options and good practices.
Chin J Traumatol
December 2024
Traumatology Unit, IRCCS Orthopedic Institute Galeazzi, Milan, 20157, Italy.
Purpose: Femur fractures are among the most common fractures treated surgically, representing a significant challenge for the orthopedic surgeon. Peri-implant femoral fractures (PIFFs) represent a rare complication of the surgical treatment. It is necessary to pay attention during osteosynthesis, evaluating not only the fracture site but the entire femoral skeletal structure, the characteristics of the fracture, the health comorbidities, and the risk of malunion and pseudarthrosis.
View Article and Find Full Text PDFExpert-based physical activity guidelines for metabolic and bariatric surgery patients: a systematic review of randomized controlled trials.
Surg Obes Relat Dis
November 2024
Department of Nutritional Sciences, College of Science and Engineering, Texas Christian University, Fort Worth, Texas. Electronic address:
Patients undergoing metabolic and bariatric surgery (MBS) can improve outcomes through a physically active lifestyle. Despite ongoing research, clinical recommendations for physical activity (PA) are not fully developed. For this review, 39 articles representing 24 randomized clinical trials satisfied inclusion criteria.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!