University of Groningen
The barrier-belief approach Bouma, Adriane Jeanette
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Publication date: 2018
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Bouma, A. J. (2018). The barrier-belief approach: A new perspective of changing behavior in primary care. Rijksuniversiteit Groningen.
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ADRIE J. BOUMA
THE BARRIER-BELIEF
APPROACH
A NEW PERSPECTIVE OF CHANGING
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.nl
Layout: Douwe Oppewal, www.oppewal.nl
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© 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 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 woensdag 21 november 2018 om 14:30 uur
door
Adriane Jeanette Bouma
geboren op 3 februari 1978 te Stiens
Promotores
Prof. dr. R.L. Diercks Prof. dr. A. Dijkstra Prof. dr. C.P. van Wilgen
Beoordelingscommissie
Prof. dr. R. Sanderman Prof. dr. E.A.L.M. Verhagen Prof. dr. H. van der Horst
Paranimfen
Anne Benjaminse Steffie 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
