Primary care professionals are in an ideal position to motivate their patients to be physically active, and the PA sector has a range of PA activities. It is desirable to connect the primary care and the PA sector because of the potential for reaching physically inactive adults. The overall aim is that target groups that need to be more physically active are reached and health outcomes will improve. The general idea is that CSCs facilitate collaboration between professionals in the primary care and PA sector that activities to promote PA are implemented and reach target groups that need to be more physically active. A blueprint for the implementation of CSC funding or function was not prescribed, allowing municipalities to implement CSCs in line with local needs and contexts. sport clubs, fitness centres, PA lessons at community centres, and walking groups) in order to guide primary care patients towards local PA facilities. GP, physiotherapist, dietician) and the PA sector (all PA services in the neighbourhood, i.e. Some of these coaches, called Care Sport Connectors (CSCs), are employed specifically to connect the primary care sector (all care that is directly accessible to the patient, i.e. These coaches are 40% funded by the state and 60% funded by the municipality or other local organisations. In order to stimulate PA, in 2012 the Dutch Ministry of Health, Welfare, and Sport introduced neighbourhood sport coaches ( Buurtsportcoach), ascribing to them a broker role. About 40% of Dutch adults do not meet the Dutch recommendation about being moderately active for 30 min at least 5 days per week. Therefore, regular PA is deemed to contribute to the primary and secondary prevention of several chronic diseases, like diabetes mellitus, cancer, cardiovascular diseases, and osteoporosis. Regular physical activity (PA) is associated with enhanced health and reduced risk of all-cause mortality, and has many health benefits.
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Trial registrationĭutch Trial Register NTR4986. Whether CSCs really improve the target groups’ PA level and health needs to be further studied. The results of this study suggest that adopting an integral approach (Type B and C) for the structural embedding of the CSC is more promising for reaching the desired outcomes. Type B and Type C CSCs established the connection by organising, supporting, and implementing different kinds of activities targeting different kinds of audiences, and collaborated mostly with primary care professionals around the referral of professionals’ patients. Type A CSCs established the connection mostly around their own activities, supported PA organisations with their activities, and collaborated with primary care and welfare professionals around their own activities.
However, differences were identified in the way CSCs were structurally embedded and in the way they established the connection.
ResultsĪll CSCs established a connection between the primary care and the PA sector in which the average number of organisations with which CSCs collaborated increased significantly between 2014 (8.3) and 2016 (19.8) ( p = 0.002). A related samples Wilcoxon signed rank test was performed to study how the CSCs’ network developed between 20. Data from the network survey were analysed using the RE-AIM framework and disaggregated into how CSCs were structurally embedded (Type A: only PA sector Type B: different sectors Type C: partnership). In these interviews, a network survey was used to identify organisations in the CSCs’ network, whether they collaborated with these organisations, and the role of the organisations in the connection. In three rounds of interviews, 13 CSCs were followed for 2 years in their work. The aim of this study was to explore which structural embedding is the most promising for CSCs’ work. In 2012, Care Sport Connectors (CSC), to whom a broker has been ascribed, were introduced in the Netherlands to stimulate PA and guide primary care patients towards local sport facilities. Regular physical activity (PA) is deemed to contribute to the primary and secondary prevention of several chronic diseases, like diabetes mellitus, cancer, cardiovascular diseases, and osteoporosis.
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