Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands.
Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands.
Int J Environ Res Public Health. 2022 Jan 4;19(1):521. doi: 10.3390/ijerph19010521.
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 ( = 23) and without ( = 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.
联合生活方式干预（CLI）专注于指导有体重相关健康风险的客户养成健康的生活方式。CLI 通常通过面对面的会议提供，电子健康技术的使用有限。为了将电子健康融入现有的 CLI，重要的是要确定健康专业人员在在线和离线治疗超重客户时如何使用行为改变技术。因此，我们对在线和离线生活方式干预的提供者进行了在线半结构化访谈。使用归纳主题方法分析数据。对有（= 23）和没有（= 15）电子健康经验的 38 名专业人员进行了访谈。专业人员表示，设定目标和行动计划、提供反馈和监测、促进社会支持以及塑造知识对于改善身体活动和饮食行为非常有价值。这些发现表明，使用监测设备结合视频咨询，根据客户的实际表现提供即时反馈可能是有益的。此外，纳入允许 CLI 客户相互交流的特定社会支持功能可能会很有用。最后，我们的结果表明，在线模块可用于增强有体重相关健康风险的客户对不健康行为健康后果的认识。
