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University of Groningen

Development and evaluation of a community-based approach to promote health-related

behaviour among older adults in a socioeconomically disadvantaged community

Luten, Karla

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Luten, K. (2017). Development and evaluation of a community-based approach to promote health-related behaviour among older adults in a socioeconomically disadvantaged community. Rijksuniversiteit

Groningen.

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Development and evaluation of a community-based approach

to promote health-related behaviour among older adults

in a socioeconomically disadvantaged community

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Colofon

This study was conducted within the Research Institute SHARE of the Graduate School of Medical Sciences, University Medical Center Groningen, University of Groningen and under auspices of the research program Public Health Research (PHR). The study was funded by the Netherlands Organisation for Health Research and Development (ZonMw). The printing of this thesis was financially supported by the Graduate School of Medical Sciences, Research Institute SHARE, University Medical Center Groningen, and the University of Groningen.

Printed by: Gildeprint - Enschede Cover image: iStockphoto.com

Cover lay-out: Maaike Disco - Groningen ISBN: 978-90-367-9511-1 © 2017 Karlien Luten, the Netherlands

All rights reserved. No part of this thesis may be reproduced or transmitted, in any form or by any means, without permission of the author.

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Development and evaluation of

a community-based approach to promote

health-related behaviour among older adults

in a socioeconomically disadvantaged community

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op maandag 27 februari 2017 om 11:00 uur

door

Karla Alien Luten geboren op 9 februari 1982

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Promotores Prof. dr. A. Dijkstra Prof. dr. S.A. Reijneveld

Copromotor Dr. A.F. de Winter

Beoordelingscommissie Prof. dr. H.W. van den Borne Prof. dr. A.J. Schuit

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Paranimfen Aafke Hoekstra Erika Boers

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Contents

Chapter 1 General introduction 9

Chapter 2 Correlates of physical activity among older adults in a

socioeconomically disadvantaged rural area in the Netherlands

19

Chapter 3 Developing a community-based intervention on physical activity and healthy eating of older adults in a socioeconomically disadvantaged community: an Intervention Mapping approach

35

Chapter 4 Reach and effectiveness of a community-based intervention on physical activity and healthy eating of older adults in a

socioeconomically disadvantaged community

55

Chapter 5 Moderators of physical activity and healthy eating in a community-based intervention for older adults

71

Chapter 6 Combining interventions in home healthcare and community settings: effects on health-related behaviours of older adults

87

Chapter 7 General discussion 101

Summary 119

Samenvatting 125

Dankwoord 131

Curriculum Vitae 135

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