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Barrier-belief lifestyle counseling in primary care: A randomized controlled trial of efficacy
Authors:Adrie J. Bouma  Paul van Wilgen  Koen A.P.M. Lemmink  Roy Stewart  Arie Dijkstra  Ron L. Diercks
Affiliation:1. Hanze University of Applied Sciences Groningen, Institute of Sports Studies, Zernikeplein 17, 9766 AS Groningen, The Netherlands;2. Transcare, Transdisciplinary Pain Management Centre, Barkmolenstraat 196, 9723 DM Groningen, The Netherlands;3. Center for Human Movement Sciences, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands;4. Faculty of Medical Sciences, University Medical Center Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands;5. Faculty of Behavioral and Society Sciences, Grote Kruisstraat 2/1, 9712 TS, University of Groningen, Groningen, The Netherlands;6. Department of Sports Medicine and Orthopedic Surgery, University Medical Center Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
Abstract:

Objective

Intervening on barrier beliefs (BBs) may inhibit the role of barriers as mediating factors in lifestyle behavior. The aim of this study was to analyze the effects of a barrier-belief counseling intervention (BBCI) on physical activity (PA) and healthy food intake.

Methods

An RCT was conducted in a primary care setting among adults (aged 18–70), with two interventions: a BBCI (n?=?123) and a standardized lifestyle group intervention (SLI) (n?=?122). A non-treated hanging control group (n?=?36) received no intervention. Outcomes on PA (accelerometer and SQUASH) and fruit and vegetable intake (self-report) were measured with follow-ups at 6, 12 and 18 months, and analyzed using multiple regression.

Results

The BBCI was more effective on PA compared with the SLI (p?p?p?

Conclusions

BBCI in primary care improves PA compared with SLI.

Practice implications

The customized BB approach seems promising for implementation in healthcare practice to stimulate PA.
Keywords:General practice  Behavior  Lifestyle  Counseling  Barriers
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