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Int. J. Environ. Res. Public Health 2018, 15(4), 680; https://doi.org/10.3390/ijerph15040680

The Coaching on Lifestyle (CooL) Intervention for Overweight and Obesity: A Longitudinal Study into Participants’ Lifestyle Changes

1
Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
2
Faculty of Humanities and Sciences, University College Venlo, Maastricht University, P.O. Box 8, 5900 AA Venlo, The Netherlands
3
Department of Methodology and Statistics, CAPHRI Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
4
Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands
*
Author to whom correspondence should be addressed.
Received: 6 February 2018 / Revised: 30 March 2018 / Accepted: 2 April 2018 / Published: 4 April 2018
(This article belongs to the Special Issue Community Health Intervention to Reduce Chronic Disease)
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Abstract

Combined lifestyle interventions (CLIs) can be effective in reducing weight and improving lifestyle-related behaviours but it is unclear how CLIs can best be implemented in practice in order to achieve sustained lifestyle changes. The Coaching on Lifestyle programme (CooL) is a CLI in the Netherlands, in which professional lifestyle coaches counsel adults and children (and/or their parents) who are obese or at high risk of obesity to achieve a sustained healthier lifestyle. The CooL intervention consists of group and individual sessions addressing the topics of physical activity, dietary behaviours, sleep and stress. Our longitudinal one-group pre-post study aimed to identify lifestyle changes among participants (adults, children and their parents) at 8 and 18 months after initiation. We assessed constructs ranging from motivation and behaviour-specific cognitions to behaviours and health outcomes. Positive and sustained changes among adults were found regarding perceived autonomy, motivation, perceived barriers, lifestyle behaviours, quality of life and weight. Among children and their parents, few improvements were found regarding behaviours and quality of life. CooL has been successful in coaching adult participants towards sustained behavioural change during the intervention period. Mixed results and smaller effect sizes were found for children and their parents. View Full-Text
Keywords: lifestyle; coaching; overweight; obesity; physical activity; nutrition/diet; behaviour change; combined lifestyle intervention lifestyle; coaching; overweight; obesity; physical activity; nutrition/diet; behaviour change; combined lifestyle intervention
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Van Rinsum, C.; Gerards, S.; Rutten, G.; Philippens, N.; Janssen, E.; Winkens, B.; Van de Goor, I.; Kremers, S. The Coaching on Lifestyle (CooL) Intervention for Overweight and Obesity: A Longitudinal Study into Participants’ Lifestyle Changes. Int. J. Environ. Res. Public Health 2018, 15, 680.

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