People with moderate to profound intellectual disabilities (ID) have a higher risk of health problems and, therefore, healthy living is of great importance for them. To achieve this, this group requires support from the people around them such as relatives and direct support professionals (DSPs). However, DSPs do not feel sufficiently equipped to provide this support. The objective of Annelies Overwijk’s research was to determine how to facilitate a healthy lifestyle for people with moderate to profound ID by improving the lifestyle support provided by DSPs. To this end, DSPs’ support needs were first explored after which a training and education program was developed, implemented, and evaluated. In this thesis, DSPs indicated that they need knowledge and skills to provide lifestyle support. One of the skills they can help use to stimulate people with ID is the use of behavioral change techniques. This thesis shows that, although a number of these techniques are used in daily practice, they are not yet consciously utilized to improve lifestyle support. Since the attitude of DSPs to support healthy nutrition is important, a practical questionnaire was also developed to measure this. Based on DSPs’ support needs for encouraging a healthy lifestyle, a training and education program was developed together with them and experts. This program consists of an e-learning and three in-person sessions that can be adapted to the support needs of the DSPs and the team and proved to be promising in an implementation study. The products are free and available on: www.dekrachtengebundeld.nl.
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For the needs analysis, an assessment of the national (and local) status quo in the area of Healthy Ageing, specifically towards Active and Healthy Lifestyles. This status quo will serve as important starting point for the exploration of a potential shared goal of the local community of practice. This needs analysis report includes generic sections towards definitions and methodologies, and an introduction towards the topics assessed. Secondly, national/ local chapters will outline the situation in the communities of Groningen (the Netherlands), Odense (Denmark), Malaga (Spain), Kaunas (Lithuania) and Cascais (Portugal). Within each local COP chapter the partners taking part of the COP are described and the shared goals illustrated. These shared goals are: COP Groningen: “stimulating a Healthy environment (physical & social) with focus on physical activity”. COP Odense: “further develop and educate professionals who work on stimulating physical activity in community dwelling older adult”’. COP Malaga: “developing, implementing and evaluating outdoor fitness” COP Kaunas: “to provide opportunities for primary school children and Kaunas district community members older than 50 more opportunities for exercising and physical activity” COP Cascais: “develop, organize for and together with the stakeholders and end users (youngsters from 12-24 years old) activities focused on healthy lifestyle (e.g., healthy cooking workshops, parent-child physical activities etc.) embedded in approach GERAÇÃO S+ “.
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The combination of self-tracking and persuasive eCoaching in healthy lifestyle interventions is a promising approach. The objective of this study is to map the key components of existing healthy lifestyle interventions combining self-tracking and persuasive eCoaching using the scoping review methodology in accordance with the York methodological framework by Arksey and O’Malley. Seven studies were included in this preliminary scoping review. Components related to persuasive eCoaching applied only in effective interventions were reduction of complex behavior into small steps, providing positive motivational feedback by praise and providing reliable information to show expertise. Concerning self-tracking, it did not seem to matter if more action was required by the participant to obtain personal data. The first results of this study indicate the necessity to identify the needs and problems of the specific target group of the interventions, due to differences found between various groups of users. In addition to objective data on lifestyle and health behavior, other factors need to be taken into account, such as the context of use, daily experiences, and feelings of the users.
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Het strategisch project Citizen Science for a Healthy Lifestyle is gestart op 1 november 2019. Het project had als doel: kennis, ervaring, scholing en internationalisering op het thema Citizen Science for Healthy Lifestyle bevorderen. Deze strategische fonds heeft op concrete wijze vorm en inhoud gegeven aan de visie en doelen van het CoE HA. Deze aanvraag heeft mede geleid tot het benoemen van Citizen Science als belangrijke enabler/versneller binnen de visie van het CoE HA. In jaar 1 lag het accent op scholing (expert conference/workshop etc.) en de opzet van een 3-tal pilots. In jaar 2 werd de opgedane kennis en ervaring verwerkt in ontwikkelde onderwijs modules Citizen Science. De Hanzehogeschool stelt zich tot doel waarde en impact te cre ren in Noord-Nederland, met de inzet van onderwijs, onderzoek en innovatie. De strategie van het Centre of Expertise Healthy Ageing (CoE HA) belicht drie thema’s: 1) gelijkheid en participatie in gezondheidszorg, 2) gezonde leefstijl en omgeving, en 3) kwetsbaarheid en passende zorg. Zowel als onderzoek/innovatiestrategie en als middel om burgers en gemeenschappen te betrekken, speelt Citizen Science for health een belangrijke rol in het mogelijk maken en versnellen van processen binnen de drie thema’s. Citizen Science kan gedefinieerd worden als een vorm van onderzoekssamenwerking en co-creatie die burgers betrekt bij onderzoek en innovatie om concrete vraagstukken aan te pakken, en die dus vereist dat niet-professionele bijdragers onderdeel van de samenwerking zijn.Belangrijkste resultaten:• Citizen Science is mede door deze strategische fonds aanvraag en van de drie enablers geworden in de nieuwe CoE HA strategische koers 2021-2026;• Opstart pilots van Living Lab Beweegvriendelijk Vinkhuizen, Living Lab Oldambt Tijd voor Toekomst en Meer Gezonde Jaren Appingedam. Mede door blijvende investering en honorering van Living Labs Sport en Bewegen van ZonMw; Het gaat hier om een netwerksubsidie (8 maanden), lokale verankering (12 maanden) en experiment subsidie (5 maanden);• Integratie Citizen Science in Erasmus+ capacity building project Sustainable Wellbeing (SUSWELL);• Ontwikkeling SPRONG-aanvraag op het thema Citizen Science (deadline 31 mei 2022);• Diverse scholingsactiviteiten en workshops (master HAP, bachelor, docent-onderzoekers van de Healthy Ageing schools, studiedagen) hebben in 2020, 2021 en 2022 plaatsgevonden;• Studie tweedaagse over Citizen Science gehouden voor studenten en docent-onderzoekers CoE HA en KC Noorderruimte;• Samenwerking met Stanford University en Our Voice: Citizen Science for Health Equity network gerealiseerd;• Positioning statement Citizen Science geschreven in NL en EN;• Lid geworden van European Citizen Science Association (ECSA);• Scholingsmateriaal ontwikkeld voor studenten en docent-onderzoekers van de vijf schools vallend onder Healthy Ageing;• Ontwikkeling NWO-subsidie aanvraag maatschappelijk verdien vermogen over citizen-student Science voor studenten welzijn tijdens en na de Corona pandemie (deadline voorjaar 2022);• Postdoc aanstelling Citizen Science vanuit het CoE HA.• Met de Citizen Science scholingsactiviteiten zijn in totaal 270 bachelor studenten, 145 master studenten, 279 docent-onderzoekers, 109 professionals en 180 burgers bereikt verspreid over de verschillende pilots.Aanbevelingen:• Mede op basis van de impact van praktijkgericht onderzoek op praktijk, onderwijs en onderzoek (PRIME-model pagina 29), doorgaan met onderwijs en praktijk ontwikkelingen. De bijdrage aan het wetenschappelijke/onderzoeksdomein op Citizen Science verdient dekomende jaren extra aandacht;• Mede op basis van bevindingen visitatie terugkoppeling CoE HA (6-7 april 2022), verder doorontwikkelen tot herkend en erkend expertisecentrum op Citizen Science in de context van (publieke) gezondheidsdomein;• De komende jaren verder investeren in mensen en middelen in Citizen Science zodat het een van de leidende aanpakken wordt binnen onderwijs-onderzoek binnen het CoE HA zodat de Hanze zich ontwikkelt tot een expertisecentrum (o.a. m.b.v. SPRONG);• Komende jaren verder kennis en expertise ontwikkelen op Citizen Science door eigenonderzoek (promovendi/postdocs) en scholing;• Citizen Science integreren in relevante onderzoeksprojectaanvragen;• Citizen Science verder integreren in de drie inhoudelijke thema’s van het CoE HA;• Citizen Science onderwijsmodules en scholingen implementeren in het onderwijs van studenten (bachelors, masters) en bij- en nascholing van docent-onderzoekers.
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Abstract: Combined lifestyle interventions (CLI) are focused on guiding clients with weight-related health risks into a healthy lifestyle. CLIs are most often delivered through face-to-face sessions with limited use of eHealth technologies. To integrate eHealth into existing CLIs, it is important to identify how behavior change techniques are being used by health professionals in the online and offline treatment of overweight clients. Therefore, we conducted online semi-structured interviews with providers of online and offline lifestyle interventions. Data were analyzed using an inductive thematic approach. Thirty-eight professionals with (n = 23) and without (n = 15) eHealth experience were interviewed. Professionals indicate that goal setting and action planning, providing feedback and monitoring, facilitating social support, and shaping knowledge are of high value to improve physical activity and eating behaviors. These findings suggest that it may be beneficial to use monitoring devices combined with video consultations to provide just-in-time feedback based on the client’s actual performance. In addition, it can be useful to incorporate specific social support functions allowing CLI clients to interact with each other. Lastly, our results indicate that online modules can be used to enhance knowledge about health consequences of unhealthy behavior in clients with weight-related health risks.
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OBJECTIVE: To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases.DESIGN: Prospective cohort study.SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366).MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%).MAIN OUTCOME: Life expectancy free of diabetes, cardiovascular diseases, and cancer.RESULTS: The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50.CONCLUSION: Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.
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Unhealthy lifestyle behaviours are common among vocational students and increase their risk of non-communicable diseases later in life. Unfortunately, only a limited number of school-based healthy lifestyle interventions have been developed for vocational students. Moreover, there is no evidence that these interventions are effective. They have often been developed by professionals without involving students and therefore may not align with the target group’s perceptions and needs. We used a participatory design approach to develop an intervention to promote healthy physical activity and dietary behaviours, in co-creation with vocational students. ‘Contextmapping’ was used to assess student conscious and subconscious motivation for a healthy lifestyle (n = 27, ages 17-26 years). All sessions and interviews were recorded and transcribed. The transcripts were analysed using framework analysis. Contextual characteristics that influenced student lives were their peers, family and short-term motives like earning money, being cool and looking good. In addition, they often had a passive attitude towards daily life, were unaware of their health illiteracy and being healthy was a goal for the distant future. These findings led to four design concepts that converged in a peer-led healthy lifestyle intervention that includes a social media campaign and activities to demonstrate and practice specific health behaviours among vocational students.
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Purpose of the COP4HL project is to develop and implement an impact-driven multi-sector approach that develops innovative products and services to promote Healthy Lifestyle in different EU settings.
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