ArticlePloS one2024
Implementation barriers and facilitators for referral from the hospital to community-based lifestyle interventions from the perspective of lifestyle professionals: A qualitative study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Application status of the CFIR-ERIC matching tool in healthcare context: a scoping review.Implementation science : IS · 2026Article
- Healthcare Professionals' Perceptions of Lifestyle Medicine in Specialized Care: A Survey-Based Study in a Dutch Hospital.American journal of lifestyle medicine · 2025Article
- Matching implementation strategies to barriers and facilitators for a lifestyle front office in the hospital: a qualitative study.BMC health services research · 2025Article
- Optimizing Lifestyle Before and After Surgery: A Qualitative Stakeholder Analysis Among Healthcare Professionals.American journal of lifestyle medicine · 2025Article
- Reconfiguring Pain Interpretation Within a Social Model of Health Using a Simplified Version of Wilber's All Quadrant All Levels Framework: An Integral Vision.Behavioral sciences (Basel, Switzerland) · 2025Article
- Implementing Lifestyle Counselling Into Secondary Type 2 Diabetes Care: Perspectives From Diabetes Nurses.Nursing open · 2025Article
- Stepwise development of an implementation protocol to support the prescription of Exercise = Medicine by clinicians using the Implementation Mapping approach.Frontiers in health services · 2025Article
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Authors and funding
17 authors.
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Abstract
purposeA lifestyle front office (LFO) in the hospital is a not yet existing, novel concept that can refer patients under treatment in the hospital to community-based lifestyle interventions (CBLI). The aim of this study was to identify implementation barriers and facilitators regarding the implementation of an LFO in the hospital from the perspective of CBLI-professionals and to develop evidence-based implementation strategies to reduce these identified barriers.
methodsWe conducted semi-structured interviews until data saturation, with 23 lifestyle professionals working in the community. A semi-structured topic guide was used, inquiring about (1) community-based lifestyle interventions; (2) their views about referral from the LFO; and (3) their preferences, needs and recommendations for collaboration with the LFO in the hospital. The online interviews lasted on average 46 minutes, were audio-recorded and transcribed verbatim. A thematic content analysis was conducted. Found barriers and facilitators regarding the LFO where mapped using the consolidated framework for implementation research (CFIR) whereafter evidence based strategies were developed using the CFIR-Expert Recommendations for Implementing Change Strategy Matching Tool V.1.0 (CFIR-ERIC).
resultsBarriers and facilitators were divided into two main themes: 1) barriers and facilitators related to the referral from LFO to CBLI (i.e. financial, cultural, geographical, quality) and 2) barriers and facilitators related to the collaboration between LFO and CBLI (i.e. referral, communication platform and partnership). Thirty-seven implementation strategies concerning 15 barriers were developed and clustered into six overarching strategies: identify referral options, determine qualifications lifestyle professionals, develop support tools, build networks, facilitate learning collaboratives, and optimize workflow.
conclusionsIn this study, barriers and facilitators for the development of the LFO were found and matching implementation strategies were developed. Practical improvements, like identifying specific referral options or develop support tools, can be implemented immediately. The implementation of other strategies, like connecting care pathways in basic services, primary, secondary and tertiary care, will take more time and effort to come to full potential. Future research should evaluate all implemented strategies.
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