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Health behavior change and social network enhancement for low-income multi-problem households


- candidate number27376
- NTR NumberNTR6512
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR12-jun-2017
- Secondary IDs17-N-80 METC Z 101.230 Fonds NutsOhra
- Public TitleHealth behavior change and social network enhancement for low-income multi-problem households
- Scientific TitleBack2Balance - health behavior change and social network enhancement for low-income multi-problem households
- ACRONYMBack2Balance
- hypothesisThe aim of this study is to develop and evaluate a health behavior change and social network enhancement intervention for low-income households in Apeldoorn who receive care for multiple problems (such as financial debts, domestic violence, psychiatric disorders, and problems related to child care). The focus of the intervention is on stimulating physical activity, healthy nutrition, a larger and better social network, and reducing stress. We hypothesize that this intervention will improve self-rated health.
- Healt Condition(s) or Problem(s) studiedOverweight, Life style
- Inclusion criteria- A nett household income of max. 1400 for single-person households and max. 1900 for multi-person households.
- Having problems in multiple areas: social network, income / finances, societal participation, domestic relations, mental health, physical health, daily activities / school / work, addiction, housing, justice.
- A referral by their social worker, who is providing care for at least one of the above described areas.
- Being 12 years or older.
- Living in Apeldoorn or the neighboring villages that are among the working area of the social workers in Apeldoorn.
- Exclusion criteria- Not being able to read or speak Dutch.
- Having a mental disability.
- Being an incapacitated elderly.
- Not willing to sign the informed consent form (or for minors aged 12-15 years: parents who do not want to fill in the informed consent form).
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-sep-2017
- planned closingdate30-sep-2019
- Target number of participants272
- InterventionsThe intervention group gets the offer to participate in the Back2Balance program. This program consists of counselling from social workers about health behavior change and social network enhancement, a walking group, cooking classes, childrens' activities, family outings, and a discount on the existing local health behavior change activities.

The control group gets care as usual from their social worker.
- Primary outcomeSelf-rated health
- Secondary outcomeHealth behavior change (physical activity, sedentary behavior, vegetable consumption, fruit consumption, breakfast frequency, sugary drinks consumption, tobacco consumption, alcohol consumption), BMI (self-reported), cost-effectiveness, cost-utility.
- TimepointsBaseline, 6 months, and 12 months.
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIES Gera Nagelhout
- CONTACT for SCIENTIFIC QUERIESPhD. Hein Vries, de
- Sponsor/Initiator Maastricht University
- Funding
(Source(s) of Monetary or Material Support)
Nuts/Ohra
- Publications
- Brief summaryMembers of multi-problem households have to cope with multiple problems and stressors in their family lives, such as socio-economic problems (e.g. financial debts, unemployment), psycho-social problems (e.g. domestic violence, psychiatric disorders), and challenges related to child care (e.g. problems arising from neglect or maltreatment). These problems are often chronic, complex, and intertwined, they exist from generation to generation, and they cause high levels of psychological distress for those involved. In the Netherlands, social workers focus on helping families with their most pressing problems and often do not have time to stimulate health behavior change.
The aim of this study is to develop and evaluate a health behavior change and social network enhancement intervention for low-income households in Apeldoorn who receive care for multiple problems. The focus of the intervention is on stimulating physical activity, healthy nutrition, a larger and better social network, and reducing stress. We hypothesize that this intervention will improve self-rated health.
- Main changes (audit trail)
- RECORD12-jun-2017 - 11-jul-2017


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