Evidence map›Paper›PMID 33740982›Full record

Trial reportBMC health services research2021

Lifestyle coaches as a central professional in the health care network? Dynamic changes over time using a network analysis.

Celeste E van Rinsum, Sanne M P L Gerards, Geert M Rutten, Ien A M van de Goor, Stef P J Kremers, Liesbeth Mercken

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Celeste E van RinsumDepartment of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands. celeste.vanrinsum@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0003-0491-5665
Sanne M P L GerardsDepartment of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
Geert M RuttenFaculty of Science and Engineering, University College Venlo, Maastricht University, P.O. Box 8, Venlo, 5900 AA, The Netherlands.
Ien A M van de GoorDepartment Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, Tilburg, 5000 LE, The Netherlands.
Stef P J KremersDepartment of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
Liesbeth MerckenDepartment of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.

Funding

CZ health insurance company 20140052
6 · The paper itself

Abstract

backgroundOverweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese children (and their parents) as well as adults in initiating and maintaining healthier lifestyle behaviours. It is currently unclear whether this novel professional in the Dutch health care system functions as a linchpin in networks that evolve around lifestyle-related health problems. The aim of the present study is to investigate the formation and development of networks of lifestyle coaches and their positions within these networks.

methodsIn this longitudinal study, key professionals and professionals within relevant organisations in the Coaching on Lifestyle (CooL) care networks were asked to fill in three online questionnaires. Respondents were asked to indicate whether they collaborated with each of the specified professionals in the context of CooL. The overall network structures and the central role of the lifestyle coaches were examined by using network analysis.

resultsThe results showed that the networks in three out of four regions were relatively centralised, but that none of the networks were dense, and that the professionals seemed to collaborate less with others over time. Half of the lifestyle coaches had a high number of collaborations and a central position within their networks, which also increased over time. In half of the regions, the lifestyle coaches had increased their role as consultants, while their role as gatekeeper and liaison decreased over time. In most regions, the sector of lifestyle coaches had a central position in their networks in just one measurement. Other central sectors were the local sports organisation, public health services, youth health care and the municipal government.

conclusionsOverall, we cannot conclude that more central and denser networks were formed during the study period. In addition, the lifestyle coaches were not often positioned as a central sector within these networks. Entrepreneurial, network and brokering competences are required for lifestyle coaches to build up denser networks.

trial registrationNTR6208 ; date registered: 13-01-2017; retrospectively registered; Netherlands Trial Register.

Indexed as

Healthy LifestyleLife StyleAdolescentAdultChildDelivery of Health CareHumansLongitudinal StudiesNetherlandsCombined lifestyle interventionDynamic changes over timeHealth care professionalsLifestyle coachingNetwork analysisObesityOverweight

Identifiers

PMID33740982
PMCPMC7980338

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.