University of Groningen

The barrier-belief approachBouma, Adriane Jeanette

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Citation for published version (APA):Bouma, A. J. (2018). The barrier-belief approach: A new perspective of changing behavior in primary care.[Groningen]: Rijksuniversiteit Groningen.

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ADRIE J. BOUMA

THE BARRIER-BELIEF

APPROACHA NEW PERSPECTIVE OF CHANGING BEHAVIOR IN PRIMARY CARE

Th e research presented in this thesis has been conducted at the School of Sport Studies, Hanze University of Applied Sciences, Groningen, Department of Sports Medicine and Orthopedic Surgery, University Medical Center Groningen, Faculty of Behavioral and Society Sciences, University of Groningen, Center for Human Movement Sciences, University of Groningen, and Transcare, Transdisciplinary Pain Management Centre, Groningen.

Th is thesis was fi nancially supported. Th e main sponsors were::

Other sponsors were:

ISBN: 978-94-034-0864-4 (printed version)ISBN: 978-94-034-0863-7 (electronic version)

(electronic version)

Cover Design: Julia de Jong, juliaja.nlLayout: Douwe Oppewal, www.oppewal.nlPrinted by: Ipskamp printing

© Copyright 2018: A.J.Bouma, Groningen, the Netherlands. All rights reserved. No part of this publication may be reproduced in any form or by any means, electronic or mechanical, including photocopy, recording or any information storage or retrieval system, without prior written permission of the copyright owner.

The barrier-belief approach

A new perspective of changing behavior in primary care

Proefschrift

ter verkrijging van de graad van doctor aan deRijksuniversiteit Groningen

op gezag van derector magnificus prof. dr. E. Sterken

en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op

woensdag 21 november 2018 om 14:30 uur

door

Adriane Jeanette Bouma

geboren op 3 februari 1978te Stiens

PromotoresProf. dr. R.L. DiercksProf. dr. A. DijkstraProf. dr. C.P. van Wilgen

BeoordelingscommissieProf. dr. R. Sanderman Prof. dr. E.A.L.M. VerhagenProf. dr. H. van der Horst

ParanimfenAnne BenjaminseSteffie Herbrink

CONTENTS

Chapter 1 General introduction 9

Chapter 2 Barriers related to physical activity in healthy adults 19 participating in lifestyle counseling; A grounded theory after qualitative analyses

Chapter 3 Barrier beliefs about physical activity in active and 33 inactive adults from a social cognitive perspective; An explorative study

Chapter 4 The barrier-belief approach in the counseling 51 of physical activity

Chapter 5 Barrier-belief lifestyle counseling to increase 69 long-lasting physical activity and a healthy diet; A randomized controlled trial in primary care

Chapter 6 The impact of barrier beliefs on physical activity 93 and quality of life; A process analysis

Chapter 7 A cross sectional analysis of motivation and 117 decision-making in referrals to lifestyle interventions by primary care general practitioners; A call for guidance

Chapter 8 General discussion 135

Appendices Summary 150 Samenvatting 154 Dankwoord 155 Curriculum vitae 162 Research institute for health research SHARE 164

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