ArticleBMC health services research2025
Matching implementation strategies to barriers and facilitators for a lifestyle front office in the hospital: a qualitative study.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Lifestyle front offices in dutch hospitals: a cross-sectional survey on similarities, differences and future needs.BMC health services research · 2026Article
- The impact of emotional value in digital teaching resources on learning motivation-an empirical analysis based on a questionnaire survey.Frontiers in psychology · 2026Article
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Authors and funding
10 authors.
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Abstract
backgroundIn Dutch hospitals, advice on healthy lifestyle during consultation with healthcare professionals is hindered by limited time, insufficient skills and limited knowledge on referral options. In order to organize a new care pathway in which care related to healthy lifestyle is provided through a dedicated lifestyle front office (LFO) in the hospital, implementation barriers and facilitators were identified and matched to tailored implementation strategies.
methodsSemi-structured interviews were held between March and August 2021 with healthcare professionals (i.e. specialists, physician assistants, dieticians, physiotherapist, (specialized) nurses) from different clinical departments (n = 33), and with patients (n = 27) diagnosed with a non-communicable disease (NCD) that were treated in out-patient clinics of the hospital and had a body mass index of 25 ≥ kg/m
resultsBarriers and facilitators were clustered according to different organizational stages of the identified care pathway. Referral to LFO includes six topics: healthcare professionals' beliefs about lifestyle; patient motivation for lifestyle change; referral skills and knowledge of healthcare professionals; digital resource support for referral; feedback after referral; and responsibility for referral. Appointment at LFO was affected by six topics: financial burden of the additional visit; time, skills and knowledge of lifestyle broker; physical location of LFO; efficiency in care planning; fragmentation; and prevention as task of the general practitioner. Regarding referral to community-based lifestyle initiatives four barriers were identified: financial burden of community-based lifestyle initiative; geographical availability; quality assurance of community-based lifestyle initiatives; and collaboration. Implementation strategies included building an infrastructure, creating a learning collaborative, preparing a referral tool, identifying local champions, informing stakeholders, conducting training, building a coalition, collecting testimonials and accessing new funding.
conclusionsInsights from the current qualitative study were based on a large and diverse stakeholder group and provided important insights for the implementation of an LFO in the hospital. Future research should provide information on effectiveness of actual implementation of the implementation strategies in an LFO in the hospital.
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