Evidence-based lifestyle coaching programs have been developed to support people with disabilities in adopting healthy behaviors, and to ultimately contribute to enhancing their overall well-being. However, when implementing such programs in new settings, adaptations may be needed to ensure a successful implementation process. This study aimed to explore professionals' perceptions on an adapted evidence-informed lifestyle coaching program (Healthy Habits Coaching) for people with physical disabilities to inform the implementation of the program in Dutch rehabilitation and/or community settings.
View Article and Find Full Text PDFArch Gerontol Geriatr
November 2025
Introduction: Intrinsic capacity (IC), as defined by the World Health Organization (WHO), represents an individual's physical and mental capacities across five domains: locomotion, cognition, vitality, psychology, and sensory. As a key determinant of functional ability (FA), IC supports meaningful activities, and its decline predicts FA deterioration. Monitoring IC over time may help detect early decline and guide interventions.
View Article and Find Full Text PDFJ Epidemiol Community Health
July 2025
Background: Sub-Saharan Africa faces a double burden of disease due to the continued high prevalence of infectious diseases such as HIV and tuberculosis, and a concurrent increase in non-communicable diseases. The co-occurrence and clustering of multiple diseases can cause a syndemic, synergistically interacting epidemics, driven by context.
Methods: This cross-sectional study investigated potential syndemics in Eswatini, by determining geospatial disease concentration and estimating interaction between four diseases and the impact of context on these interactions.
Background: To further develop effective smoking cessation interventions within mental healthcare for people with severe mental illness (SMI), it is essential to gain insights into patients' experiences with smoking (cessation), and professionals' experiences with guiding patients in overcoming tobacco addiction.
Methods: We conducted 26 semi-structured interviews with 16 patients and 10 mental healthcare professionals (MHPs), as part of a one-year smoking cessation intervention. A purposive sampling strategy was applied to select the interviewees.
Objective: When losing weight, many individuals make healthy changes in their exercise and dietary behavior. However, maintaining these changes is often found to be challenging. To prevent individuals from lapsing, insight into predictors of lapse in exercise and dietary behavior is needed.
View Article and Find Full Text PDFBackground: Recently, a cluster-randomised controlled trial was conducted within Dutch ambulatory mental healthcare to assess the effectiveness of a one-year smoking cessation intervention consisting of group sessions, peer support and pharmacological treatment (KISMET). This article presents its process evaluation, exploring the perceptions of patients and mental healthcare professionals (MHPs) regarding the implementation of KISMET.
Methods: We conducted a mixed methods study, including 26 semi-structured interviews (10 MHPs and 16 patients) following the RE-AIM framework.
Eur J Health Econ
February 2025
Knowing the determinants of rising health and long-term care costs is crucial to support cost containment policies and to predict future expenditures. According to the "red herring" debate, not ageing per se, but proximity to death is the most important determinant of future expenditures. This study aims to update and expand the existing Dutch literature after two major reforms in health and long-term care.
View Article and Find Full Text PDFLong-term care trajectories typically vary in care types, transitions and durations. Understanding these patterns can help optimize care provision. This study aimed at (1) identifying formal long-term care trajectories of severely disabled older individuals, and (2) assessing the relationships between individual characteristics and these trajectories.
View Article and Find Full Text PDFPurpose: To inform the implementation of a new Dutch lifestyle coaching service (Healthy Habits Coaching) targeting clients with chronic conditions and/or physical disabilities, this study aimed to explore experiences and perceptions of clients and professionals on receiving, delivering and implementing lifestyle coaching.
Materials And Methods: This pragmatic qualitative study was conducted in partnership with a Dutch community organisation. Semi-structured interviews were conducted with clients ( = 9) with chronic conditions and/or physical disabilities who received lifestyle coaching, and professionals ( = 10) who delivered and/or implemented lifestyle coaching.
Objectives: Knowledge about the long-term course and prognosis of persistent somatic symptoms (PSS) is important to improve clinical decision-making and guidance for patients with PSS. Therefore, we aimed to: (1) identify distinct 5-year trajectories of symptom severity, physical and mental functioning in adult patients with PSS and (2) explore patient characteristics associated with these trajectories.
Design: We used longitudinal data (seven measurements over a 5-year period) of the PROSPECTS study: a prospective cohort of adult patients with PSS.
Purpose: This study aimed to identify trajectories of physical activity behavior from discharge up to 6-8 years after rehabilitation among adults with physical disabilities and/or chronic diseases, and to determine modifiable determinants associated with trajectory membership.
Material And Methods: 390 Adults with physical disabilities and/or chronic diseases participated in the Rehabilitation, Sports and Active lifestyle (ReSpAct) 2.0 study with measurements at 3-6 weeks before discharge (T0), and 14 (T1), 33 (T2), and 52 weeks (T3), and 6-8 years (T4) after discharge from rehabilitation.
J Am Med Dir Assoc
December 2024
Context: To improve physical activity (PA) participation in people with spinal cord injury (SCI), an international panel co-created theory- and evidence-based best practices for SCI PA counseling. This study aimed to identify and compare Canadian and Dutch counselors' knowledge, skills, and confidence in using these best practices.
Methods: An online survey was conducted in Canada and the Netherlands.
Objectives: To investigate the daily life experiences of sleep, mood, and pain in relation to appetite in community-dwelling older adults aged 75 years and older, stratified by sex.
Design: Existing data from a daily experience study embedded in the Longitudinal Aging Study Amsterdam (LASA) among the oldest-old (≥75 years).
Setting: LASA is an ongoing cohort study of a nationally representative sample of older adults aged ≥55 years from three culturally distinct regions in the Netherlands.
We conducted an explorative prospective cohort study with 6 months follow-up to 1) identify different pain and disability trajectories following an episode of acute neck pain, and 2) assess whether neuroimmune/endocrine, psychological, behavioral, nociceptive processing, clinical outcome, demographic and management-related factors differ between these trajectories. Fifty people with acute neck pain (ie, within 2 weeks of onset) were included. At baseline, and at 2, 4, 6, 12, and 26 weeks follow-up, various neuroimmune/endocrine (eg, inflammatory cytokines and endocrine factors), psychological (eg, stress symptoms), behavioral (eg, sleep disturbances), nociceptive processing (eg, condition pain modulation), clinical outcome (eg, trauma), demographic factors (eg, age), and management-related factors (eg, treatment received) were assessed.
View Article and Find Full Text PDFBMJ Open
February 2024
Objective: To assess the uptake of services provided by community health workers who were trained as community health entrepreneurs (CHEs) for febrile illness and diarrhoea.
Design: A cross-sectional survey among households combined with mapping of all providers of basic medicine and primary health services in the study area.
Participants: 1265 randomly selected households in 15 rural villages with active CHEs.
Background: Back pain is the number one condition contributing to years lived with disability worldwide, and one of the most common reasons for seeking primary care. Research on this condition in the ageing population is sparse. Further, the heterogeneity of patients with back pain complicates the management in clinical care.
View Article and Find Full Text PDFObjectives: This study aims to assess the heterogeneity of psychosocial working conditions of young workers by identifying subgroups of work characteristic configurations within young workers and to assess these subgroups' associations with emotional exhaustion.
Design: Latent class analysis. Groups were formed based on 12 work characteristics (8 job demands and 4 job resources), educational level and sex.
BMC Sports Sci Med Rehabil
September 2023
Background: People with physical disabilities and/or chronic diseases tend to have an inactive lifestyle. Monitoring physical activity levels is important to provide insight on how much and what types of activities people with physical disabilities and/or chronic diseases engage in. This information can be used as input for interventions to promote a physically active lifestyle.
View Article and Find Full Text PDFBackground: As populations age, multimorbidity (the presence of two or more chronic morbidities) is increasingly more common. These evolving demographics demand further research into the identification of morbidity patterns in different settings as well as the longitudinal effects of these patterns.
Methods: Prospectively collected data on 12,755 older persons aged 65+ years were derived from The Older Persons and Informal Caregivers Survey Minimum DataSet (TOPICS-MDS, www.
Importance: People with a severe mental illness (SMI) have a life expectancy reduced by 10 to 20 years compared with the general population, primarily attributable to cardiometabolic disorders. Lifestyle interventions for people with SMI can improve health and reduce cardiometabolic risk.
Objective: To evaluate the effectiveness of a group-based lifestyle intervention among people with SMI in outpatient treatment settings compared with treatment as usual (TAU).
Background: Smoking among people with severe mental illness (SMI) is highly prevalent and strongly associated with poor physical health. Currently, evidence-based smoking cessation interventions are scarce and need to be integrated into current mental health care treatment guidelines and clinical practice. Therefore, the present study aims to evaluate the implementation and effectiveness of a smoking cessation intervention in comparison with usual care in people with SMI treated by Flexible Assertive Community Treatment (FACT) teams in the Netherlands.
View Article and Find Full Text PDFPurpose/objective: This study aimed to (a) explore the associations between psychosocial factors and physical activity behavior in people with physical disabilities and/or chronic diseases, both between and within persons over time; and (b) examine whether these associations differ for people initiating and people maintaining physical activity behavior.
Research Method/design: Data of 1,256 adults with physical disabilities and/or chronic diseases enrolled in the prospective cohort study Rehabilitation, Sports, and Active lifestyle (ReSpAct) were analyzed. Self-reported physical activity and four main psychosocial factors (i.
Background: When losing weight, most individuals find it difficult to maintain a healthy diet. Social environmental conditions are of pivotal importance in determining dietary behavior. To prevent individuals from lapsing, insight in social environmental predictors of lapse in dietary behavior is needed.
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