The implementation and sustainability of a combined lifestyle intervention in primary care: mixed method process evaluation

Conclusions: Protocol adherence in a CLI was problematic in both HCPs and participants. Mainly the amount of dietary guidance was lower than planned, and decreased with increasing guidance by PT. Thus, feasibility of changing physical activity and dietary habits simultaneously by one intervention in one year was not as high as expected. Also the sustainability of CLI was poor. When a CLI program is started, re-invention should be allowed and maximum effort should be taken to guarantee long term continuation, by planning both implementation and sustainability carefully.Trial registrationCurrent Controlled Trials ISRCTN46574304. Registered 23 December 2010.
Source: BMC Family Practice - Category: Primary Care Authors: Source Type: research