School for Public Health and Primary Care (CAPHRI) and School for Nutrition, Toxicology and Metabolism (NUTRIM), Department of Health Promotion, Maastricht University, the Netherlands.
Int J Behav Nutr Phys Act. 2010 May 26;7:49. doi: 10.1186/1479-5868-7-49.
The number of patients with diabetes is increasing. BeweegKuur (Dutch for 'Exercise Therapy') is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes.
The goal of this paper is to present the development process and the contents of the intervention, using a model of systematic health promotion planning. The intervention consists of a 1-year programme for diabetic and prediabetic patients. Patients are referred by their general practitioner (GP) to a lifestyle advisor (LSA), usually the practice nurse or a physiotherapist. Based on specific inclusion criteria and in close collaboration with the patient, an individual exercise programme is designed and supervised by the LSA. This programme can be attended at existing local exercise facilities or (temporarily) under the supervision of a specialized exercise coach or physiotherapist. All participants are also referred to a dietician and receive diet-related group education. In the first pilot year (2008), the BeweegKuur programme was implemented in 7 regions in the Netherlands (19 GP practices and health centres), while 14 regions (41 GP practices and health centres) participated during the second year. The aim is to implement BeweegKuur in all regions of the Netherlands by 2012.
The BeweegKuur programme was systematically developed in an evidence- and practice-based process. Formative monitoring studies and (controlled) effectiveness studies are needed to examine the diffusion process and the effectiveness and cost-effectiveness of the intervention.
糖尿病患者的数量正在增加。BeweegKuur（荷兰语，意为“运动疗法”）是一种荷兰生活方式干预措施，旨在通过初级保健有效地、切实可行地促进身体活动和改善饮食行为，从而预防糖尿病。
本文旨在采用系统健康促进规划模型，介绍干预措施的开发过程和内容。该干预措施包括针对糖尿病和糖尿病前期患者的为期 1 年的计划。患者由他们的全科医生（GP）转介给生活方式顾问（LSA），通常是执业护士或物理治疗师。根据特定的纳入标准，并与患者密切合作，由 LSA 设计和监督个性化的运动计划。该计划可以在现有的当地运动设施中进行，或者在（暂时）在专门的运动教练或物理治疗师的监督下进行。所有参与者还将被转介给营养师，并接受与饮食相关的小组教育。在第一个试点年（2008 年），BeweegKuur 计划在荷兰的 7 个地区（19 个全科医生诊所和健康中心）实施，而在第二年有 14 个地区（41 个全科医生诊所和健康中心）参与。目标是到 2012 年在荷兰所有地区实施 BeweegKuur。
BeweegKuur 计划是在基于证据和实践的过程中系统地开发的。需要进行形成性监测研究和（对照）有效性研究，以检查干预措施的扩散过程以及有效性和成本效益。
