Next Article in Journal
Increased Plasma Levels of Gut-Derived Phenolics Linked to Walking and Running Following Two Weeks of Flavonoid Supplementation
Next Article in Special Issue
Association between the Portion Sizes of Traditional Japanese Seasonings—Soy Sauce and Miso—and Blood Pressure: Cross-Sectional Study Using National Health and Nutrition Survey, 2012–2016 Data
Previous Article in Journal
Cow’s Milk Protein Allergy in Infancy: A Risk Factor for Functional Gastrointestinal Disorders in Children?
Previous Article in Special Issue
Right Sizing: Sensory-Based Product Design Is a Promising Strategy to Nudge Consumers toward Healthier Portions
Article Menu
Issue 11 (November) cover image

Export Article

Open AccessArticle
Nutrients 2018, 10(11), 1717; https://doi.org/10.3390/nu10111717

A Process Evaluation of a Multi-Component Intervention in Dutch Dietetic Treatment to Improve Portion Control Behavior and Decrease Body Mass Index in Overweight and Obese Patients

1
Department of Health Sciences, Faculty of Sciences, Vrije Universiteit Amsterdam, Amsterdam and Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
2
Department Care for Nutrition and Health, School of Nursing, Christian University of Applied Sciences, 6717 JS Ede, The Netherlands
3
Dutch Association of Dietitians, De Molen 93, 3995 AW Houten, The Netherlands
4
Dutch Knowledge Centre of Dietitians on Obesity (KDOO), 1065 AC Amsterdam, The Netherlands
*
Authors to whom correspondence should be addressed.
Received: 25 October 2018 / Revised: 1 November 2018 / Accepted: 6 November 2018 / Published: 9 November 2018
(This article belongs to the Special Issue Food Portion Size in Relation to Diet and Health)
Full-Text   |   PDF [445 KB, uploaded 9 November 2018]   |  
  |   Review Reports

Abstract

The SMARTsize intervention embeds an evidence-based portion control intervention in regular dietetic care. This intervention was evaluated to explore (1) which patients participated, (2) the implementation process, and (3) the outcomes of the intervention. The intervention was evaluated with an observational study design including measures at baseline, and three, six, and nine months after the start of the program. Data concerning the process (participation, dose delivered, dose received, satisfaction) and the outcomes (self-efficacy, intention, portion control strategies, and Body Mass Index (BMI) were collected with forms and questionnaires filled out by dietitians and patients. Descriptive analyses, comparison analyses, and cluster analyses were performed. Patients were mainly obese, moderately to highly educated women of Dutch ethnicity. Use of the intervention components varied from 50% to 100% and satisfaction with the SMARTsize intervention was sufficient to good (grades 7.2–8.0). Statistically significant (p < 0.001) improvements were observed for self-efficacy (+0.5), portion control strategies (+0.7), and BMI (−2.2 kg/m2), with no significant differences between patients with or without counselling. Three clusters of patients with different levels of success were identified. To conclude, implementing an evidence-based portion control intervention in real-life dietetic practice is feasible and likely to result in weight loss. View Full-Text
Keywords: multicomponent intervention; dietitians; process evaluation; portion control strategies; weight management; portion size multicomponent intervention; dietitians; process evaluation; portion control strategies; weight management; portion size
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Kroeze, W.; Rongen, F.; Eykelenboom, M.; Heideman, W.; Bolleurs, C.; Govers, E.; Steenhuis, I. A Process Evaluation of a Multi-Component Intervention in Dutch Dietetic Treatment to Improve Portion Control Behavior and Decrease Body Mass Index in Overweight and Obese Patients. Nutrients 2018, 10, 1717.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top