From: The implementation of the coaching on lifestyle (CooL) intervention: lessons learnt
Domain | Facilitating factors | Impeding factors |
---|---|---|
Lifestyle coaches | - High level of work engagement - Empathising with others - Good contacts and getting along with the participants - High involvement - Great enthusiasm - Openness - Supporting instead of directing participants - Patience - Confidence in participants - Knowledge and skills regarding systematic behaviour change | - Lack of entrepreneurship - Lack of networking skills - Not using the professional network for referring |
Inner setting | - Having project groups - Locations in the neighbourhood - Support from the health care centre - Cooperation between the LSCs | - No appropriate financial compensation for lifestyle coaches - Too many unpaid administrative tasks for lifestyle coaches |
Outer setting | ||
 Participants | - Low drop-out rates - Intrinsic motivation to change before the start - High self-efficacy to change | - History of multiple failures in trying to lose weight - Having other more important problems decreases motivation - Financial problems - Sense of not fitting in with the group - Unsupportive parents regarding changing their child’s lifestyle |
 Referrers | - Personal motivation of referrers - Referrers’ knowledge of and experience with lifestyle coaching and the coaches | - Perceived lack of time or priority to be involved in the programme - Some referrers knew too little about the programme |
 Context | - Expected future coverage of CLIs by health insurance - Collaborating with other partners and different disciplines - Increased familiarity with the lifestyle coaches and their role | - Health care professional’s unawareness about their role in lifestyle change |
Implementation process | ||
 Planning | - Involvement of stakeholders in project groups | - Too little time for implementation to create support among the referrers |
 Engaging | - Creating support - Kick-off meetings - Protocols for lifestyle coaches and referrers | - Not having the logistics organised at the start of the implementation |
 Executing | - Effective communication and collaboration between lifestyle coaches and referrers - Attending more meetings to inform the referrers - Articles in local newspapers | - Time investment for lifestyle coaches, stakeholders and participants - Too few personal contacts with referrers - Lack of clear communication materials |
 Reflecting and evaluating | - Most participants were satisfied - Ensuring well-organised preconditions - Having suitable manuals for new lifestyle coaches | - Too heterogeneous groups and large differences between participants - Too much time between contact moments, and between registration and start of the group - Too few individual coaching sessions (for children) - No ambassador in every region |
 CooL intervention | - Frequent contacts over a period of six months - Optimised combination of individual and group sessions - Not only focusing on nutrition, but multiple themes including stress and sleep - Learning from peers - Whole family takes part in the children’s programme - Home visits for children - Participant-centred approach - Positive approach aimed at increasing autonomous motivation - Knowledge transfer and practical implications for daily life - Approach tailored to the participants’ needs - Flexibility in design and content - Easily accessible for participants - No charge for participants | - Inadequate time slots for group sessions - Strict inclusion criteria - Participant materials with too much text - Materials not suitable for non-Dutch speaking persons |