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Evaluation of a stepwise prevention program for cardiometabolic diseases in primary care.

Badenbroek, I.F. Evaluation of a stepwise prevention program for cardiometabolic diseases in primary care. Utrecht: Nivel, 2020.
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The objective of this thesis is to contribute to the scientific knowledge about the evaluation of programmatic CMD prevention in general practice. More specifically, this thesis aims to analyse the implementation and reach of selective CMD prevention program in primary care, by assessing the contribution of patient and practice related factors to the effectiveness of the program, following the RE-AIM model.

For this analysis we use the results of the INTEGRATE study. First, an overview of characteristics and motives of non-responders at the different stages of the prevention program will be made and this knowledge will be used for the development of strategies to enhance the response to both stages of the program. Secondly, we will determine the effectiveness of the selective CMD prevention program and assess the effects of practice organizational factors and lifestyle advice given in general practice.

The long-term outcomes and the cost effectiveness of the selective CMD prevention program will be addressed in the corresponding thesis of Stol. [Dissertation]