title: Process Evaluation of the Nationwide Implementation of a Lifestyle Intervention in the Construction Industry.
abstract: OBJECTIVE
  The aim of this study was to monitor the national scale up of the effective lifestyle intervention Health Under Construction in the Dutch construction industry.
  
  
  METHODS
  Data were collected on seven process indicators, ie, reach, dose delivered, dose received, fidelity, competence, satisfaction, and barriers.
  
  
  RESULTS
  The intervention reached 2.4% of the target group. Thirty-eight percent of the participants received five to seven consultations and 41% discussed all six intervention components. None of the counselors attained motivational interviewing proficiency. Participants perceived their counselor as competent and were satisfied with the intervention. Counselors were moderately satisfied with the intervention and experienced various barriers.
  
  
  CONCLUSIONS
  Even though important conditions for scale up were met, the implementation was characterized by a low reach, a high drop-out rate, and a low quality of the counseling technique.
authors.affiliation: Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands (Ms Tonnon, Dr Proper, Dr van der Ploeg, Dr Anema, Dr van der Beek), Body@Work, TNO-VUmc, Amsterdam, Netherlands (Dr Proper, Dr van der Beek), and National Institute for Public Health and the Environment, Centre for Nutrition, Prevention and Health Services, Bilthoven, The Netherlands (Dr Proper).
authors.forename: Susanne C
authors.initials: SC
authors.lastname: Tonnon
authors.forename: Karin I
authors.initials: KI
authors.lastname: Proper
authors.forename: Hidde P
authors.initials: HP
authors.lastname: van der Ploeg
authors.forename: Johannes R
authors.initials: JR
authors.lastname: Anema
authors.forename: Allard J
authors.initials: AJ
authors.lastname: van der Beek
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D060389:Construction Industry; D003258:Consumer Behavior; D003376:Counseling / Q000706:statistics & numerical data; D004032:Diet; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009426:Netherlands; D016272:Occupational Health; D017064:Process Assessment, Health Care; D016730:Program Development