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Article History

Received: 9 September 2025

Accepted: 16 January 2026

First Online: 6 February 2026

Declarations

:

: Ethical approval was given by the Medical Ethics Review Committee of VU University Medical Center (approval number: 2022.0486). The Medical Ethics Review Committee of VU University Medical Center confirmed that the Medical Research Involving Human Subjects Act did not apply to this study (September 29, 2022). No further ethical approval was required.The Medical Ethics Review Committee of VU University Medical Center is registered with the US Office for Human Research Protections (OHRP) as IRB00002991. The FWA number assigned to VU University Medical Center is FWA00017598.All methods were carried out in accordance with relevant guidelines and regulations, including the Declaration of Helsinki and the General Data Protection Regulation (GDPR). The study also adhered to the Netherlands Code of Conduct for Research Integrity.

: Written informed consent was obtained from all lifestyle coaches, two participants and of all other participants in our intervention their verbal informed consent was audiotaped due to their limited ability to read and write. Verbal informed consent from the involved professionals who participated in the focus group interview was audiotaped as well. The audio recordings are securely stored and available on our server. This informed consent procedure was approved by the Medical Ethics Review Committee of VU University Medical Center (approval number: 2022.0486).

: Not applicable.

: The authors declare no competing interests.