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This study aims to evaluate the preparation, implementation, and preliminary outcomes of a theory-based training and education program for DSPs to learn how to support these individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The program consisting of e-learning, three in-person sessions, and three assignments was implemented. The implementation process was evaluated with a mixed method design with the following components: preparation phase, implementation phase, and the outcomes. These components were measured with project notes, questionnaires, interviews, reflections, assignments, food diaries, Actigraph\/Actiwatch, and an inventory of daily activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding the preparation phase, enough potential participants met the inclusion criteria and the time to recruit the participants was 9 months. The program was implemented in four (residential) facilities and involved individuals with moderate to profound ID (<jats:italic>n<\/jats:italic>\u2009=\u200924) and DSPs (<jats:italic>n<\/jats:italic>\u2009=\u200932). The e-learning was completed by 81% of the DSPs, 72\u201388% attended the in-person sessions, and 34\u201347% completed the assignments. Overall, the fidelity of the program was good. DSPs would recommend the program, although they were either negative or positive about the time investment. Mutual agreement on expectations were important for the acceptability and suitability of the program. For the outcomes, the goals of the program were achieved, and the attitudes of DSPs towards a healthy lifestyle were improved after 3 months of the program (nutrition:<jats:italic>p<\/jats:italic>\u2009=\u2009&lt;\u20090.01; physical activity:<jats:italic>p<\/jats:italic>\u2009=\u20090.04). A statistically significant improvement was found for food intake of people with ID (<jats:italic>p<\/jats:italic>\u2009=\u20090.047); for physical activity, no statistically significant differences were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The theory-based program consisting of a training and education section for DSPs to support a healthy lifestyle for people with moderate to profound ID was feasible to implement and, despite some barriers regarding time capacity and mutual expectations, it delivered positive changes in both persons with moderate to profound ID and DSPs. Thus, the program is a promising intervention to support DSPs.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12913-021-07389-x","type":"journal-article","created":{"date-parts":[[2022,1,2]],"date-time":"2022-01-02T14:02:28Z","timestamp":1641132148000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Implementation of a program to support direct support professionals to promote a healthy lifestyle for people with moderate to profound intellectual disabilities"],"prefix":"10.1186","volume":"22","author":[{"given":"A.","family":"Overwijk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. I. M.","family":"Hilgenkamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. P.","family":"van der Schans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. 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Exemption of this Committee was received because in this type of research no action or code of conduct is imposed on persons (WMO: Medical Research involving Human Subjects Act). In addition, the research is conducted according to the ethical guidelines of the Medical Treatment Contracts Act (WGBO), the General Data Protection Regulation (GDPR\/ENG or AVG\/NL), and FEDERA\u2019s codes of conduct. Participation of all respondents was voluntary and of no consequences to their work evaluations or rewards. Participants had the option to withdraw from participation without any consequences. Resistance among people with ID has been taken into account in the context of the Medical Research involving Human Subjects Act. DSPs, people with ID, managers\/coordinator of the participating (residential) facilities, and the trainers of the program provided written informed consent for the study. Legal representatives provided written informed consent for the people with moderate to profound ID.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}