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

Author

Listed:
  • Celeste Van Rinsum

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Sanne Gerards

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Geert Rutten

    (Faculty of Humanities and Sciences, University College Venlo, Maastricht University, P.O. Box 8, 5900 AA Venlo, The Netherlands)

  • Nicole Philippens

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Ester Janssen

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Bjorn Winkens

    (Department of Methodology and Statistics, CAPHRI Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Ien Van de Goor

    (Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands)

  • Stef Kremers

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

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.

Suggested Citation

  • Celeste Van Rinsum & Sanne Gerards & Geert Rutten & Nicole Philippens & Ester Janssen & Bjorn Winkens & Ien Van de Goor & Stef Kremers, 2018. "The Coaching on Lifestyle (CooL) Intervention for Overweight and Obesity: A Longitudinal Study into Participants’ Lifestyle Changes," IJERPH, MDPI, vol. 15(4), pages 1-27, April.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:680-:d:139591
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    References listed on IDEAS

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    1. Cullinan, John & Cawley, John, 2017. "Parental misclassification of child overweight/obese status: The role of parental education and parental weight status," Economics & Human Biology, Elsevier, vol. 24(C), pages 92-103.
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    Cited by:

    1. Nicole Philippens & Ester Janssen & Sacha Verjans-Janssen & Stef Kremers & Rik Crutzen, 2021. "HealthyLIFE, a Combined Lifestyle Intervention for Overweight and Obese Adults: A Descriptive Case Series Study," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    2. Emma A. Nieuwenhuijse & Rimke C. Vos & Wilbert B. van den Hout & Jeroen N. Struijs & Sanne M. Verkleij & Karin Busch & Mattijs E. Numans & Tobias N. Bonten, 2023. "The Effect and Cost-Effectiveness of Offering a Combined Lifestyle Intervention for the Prevention of Cardiovascular Disease in Primary Care: Results of the Healthy Heart Stepped-Wedge Trial," IJERPH, MDPI, vol. 20(6), pages 1-17, March.
    3. Sander M. Brink & Heleen M. Wortelboer & Ard F. ten Hoff & Cornelis H. Emmelot & Tommy L. S. Visscher & Herman A. van Wietmarschen, 2024. "Two-Year Results of a Five-Year Personalized Integrative Obesity Coaching Program (IBO) Based upon a Systems Health Perspective and an Evolutionary Longitudinal Study Approach," IJERPH, MDPI, vol. 21(6), pages 1-16, June.
    4. Sander M. Brink & Heleen M. Wortelboer & Cornelis H. Emmelot & Tommy L. S. Visscher & Herman A. van Wietmarschen, 2022. "Developing a Personalized Integrative Obesity-Coaching Program: A Systems Health Perspective," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    5. Enrique Albert Pérez & Marina Poveda González & Rosa María Martínez-Espinosa & Mariola D Molina Vila & Manuel Reig García-Galbis, 2019. "Practical Guidance for Interventions in Adults with Metabolic Syndrome: Diet and Exercise vs. Changes in Body Composition," IJERPH, MDPI, vol. 16(18), pages 1-31, September.

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