BeweegKuur (Exercise Therapy) is a Dutch lifestyle programme in which participants are referred by a general practitioner (GP) to a lifestyle advisor. To support participants, regional and local alliances are established. The present study explored the successes and challenges associated with collaboration processes in local BeweegKuur alliances.
Design:
A qualitative explorative study.
Setting:
The Netherlands Institute for Sports and Physical Activity (NISB) initiated the Building BeweegKuur Alliances project to support local alliances. The BeweegKuur intervention is implemented by over 30 regional and about 150 local alliances throughout the Netherlands.
Method:
12 in-depth interviews were held with coordinators of the alliances, and four focus groups were held with regional and local alliance partners.
Results:
Collaboration within the alliances is perceived as successful in integrating prevention and care. Challenges include the participation of sectors such as the local municipality and the sports sector, and the transition of BeweegKuur participants to local sports facilities.
Conclusion:
This study identifies three general conditions for successful coordinated action: (a) flexible protocols and management that allow for contextual adaptations; (b) making successes and challenges visible using facilitating methods and tools; and (c) time and funding to overcome differences of culture between different sectors, and to build trust.
McTigueKMHarrisRHemphillB. Screening and interventions for obesity in adults: Summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med2003; 139: 933–949.
2.
HelminkJHMWeerdtIMJJ deVisserFN. Development and implementation of a lifestyle intervention to promote phsycial activity and healthy diet in the Dutch general practice setting: The BeweegKuur programme. Int J Behav Nutr Phys Act2010; 7: 49.
3.
HelminkJHMKremersSPJBoekelLC van. 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 Pract2012; 29: i68–i74.
4.
KoelenMAVaandragerLWagemakersA. The healthy alliances (HALL) framework: Prerequisites for success. Fam Pract2012; 29: i132–i38.
5.
KoelenMAVaandragerLWagemakersA. What is needed for coordinated action for health?Fam Pract2008; 25: i25–i31.
6.
GoldmanKDSchmalzKJ. Being well-connected: Starting and maintaining successful partnerships. Health Promot Pract2008; 9: 5–8.
7.
WagemakersA. Community health promotion: Facilitating and evaluating coordinated action to create supportive environments. PhD thesis, Wageningen University, The Netherlands, 2010.
8.
WagemakersAKoelenMvan NieropP. Actiebegeleidend onderzoek ter bevordering van intersectorale samenwerking en bewonersparticipatie. [Participatory action research to promote intersectoral collaboration and community participation.] TSG: tijdschrift voor gezondheidswetenschappen2007; 85: 23–31.
9.
WoolfSHDekkerMMByrneFR. Citizen-centered health promotion: Building collaborations to facilitate healthy living. Am J Prev Med2011; 40: S38–S47.
10.
BowlingAEbrahimS. Handbook of health research methods: Investigation, measurement and analysis. Maidenhead: Open University Press, 2005, p.26.
11.
KitzingerJ. Introducing focus groups. Brit Med J1995; 311: 299–302.
12.
CooperriderDLWhitneyDK. Appreciative inquiry: A positive revolution in change. San Francisco, California: Berrett-Koehler, 2005.
13.
WagemakersAVaandragerLKoelenMA. Community health promotion: A framework to facilitate and evaluate supportive social environments for health. Eval Program Plann2010; 33: 428–435.
14.
NaaldenbergJVaandragerLKoelenM. Aging populations’ everyday life perspectives on healthy aging: New insights for policy and strategies at the local level. J Appl Gerontol2012; 31: 711–733.
15.
WagemakersAKoelenMALezwijnJ. Coordinated action checklist: A tool for partnerships to facilitate and evaluate community health promotion. Glob Health Promot2010; 17: 17–28.
16.
MichaelS. The promise of appreciative inquiry as an interview tool for field research. Dev Pract2005; 15: 222–230.
CoffeyAAtkinsonP. Making sense of qualitative data: Complementary strategies. Thousand Oaks, California: Sage, 1996.
19.
CohenDJand CrabtreeBF. Evaluative criteria for qualitative research in health care: Controversies and recommendations. Ann Fam Med2008; 6: 331–339.
20.
CavillNKahlmeierS andRacioppiF. Physical activity and health in Europe: Evidence for action. Copenhagen: World Health Organization, 2006.
21.
YanceyAWinfieldDLarsenJ. ‘Live, learn and play’: Building strategic alliances between professional sports and public health. Prev Med2009; 49: 322–325.
22.
LevermoreR.Sport: A new engine of development?Prog Dev Stud2008; 8: 183–190.
23.
CaseyMMPayneWRBrownSJ. Engaging community sport and recreation organisations in population health interventions: Factors affecting the formation, implementation, and institutionalisation of partnerships efforts. Ann Leisure Res2009; 12: 129–147.
DworkinSPintoRHunterJ. Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS Prevention: Critical reflections on the roll out of DEBI (Diffusion of Effective Behavioral Interventions). Am J Community Psychol2008; 42: 51–59.
26.
KokMOVaandragerLBalR. Practitioner opinions on health promotion interventions that work: Opening the ‘black box’ of a linear evidence-based approach. Soc Sci Med2012; 74: 715–723.
27.
ZakocsRC andEdwardsEM. What explains community coalition effectiveness? A review of the literature. Am J Prev Med2006; 30: 351–361.
28.
MinkmanMSchoutenLHuijsmanR. Integrated care for patients with a stroke in the Netherlands: Results and experiences from a national Breakthrough Collaborative Improvement project. Int J Integr Care2005; 5: e14.
29.
MinkmanMLigthartSAHuijsmanR.Integrated dementia care in The Netherlands: A multiple case study of case management programmes. Health Soc Care Community2009; 17: 485–494.
30.
OuwensMWollersheimHHermensR. Integrated care programmes for chronically ill patients: A review of systematic reviews. International Journal for Quality in Health Care, 2005; 17: 141–146.
31.
DowneyLMIresonCLSlavovaS. Defining elements of success: A critical pathway of coalition development. Health Promot Pract2008; 9: 130–139.
32.
AlexanderJAWeinerBJMetzgerME. Sustainability of collaborative capacity in community health partnerships. Med Care Res Rev2003; 60: S130–S160.
33.
PalinkasLAEllKHansenMCabassaL. Sustainability of collaborative care interventions in primary care settings. J Soc Work2011; 11: 99–117.
34.
ParrishMMO’MalleyKAdamsRI. Implementation of the Care Transitions Intervention: Sustainability and lessons learned. Prof Case Manag2009; 14: 282–293.
35.
Po’eEK GSLynne CaplesTEscarfullerJ. Paediatric obesity community programs: Barriers and facilitators towards sustainability. J Community Health, 2010; 35: 348–354.
36.
LewisJMBaezaJIAlexanderD.Partnerships in primary care in Australia: Network structure, dynamics and sustainability. Soc Sci Med2008; 67: 280–291.
37.
JonesJ andBarryMM.Developing a scale to measure trust in health promotion partnerships. Health Promot Int2011; 18: 36–44.
