Centre of Expertise Health Innovation

Staying active after physiotherapy (BiBoZ Practical Study)

Everyone knows that exercise is healthy and important. Yet it is difficult to get and stay active. For example, care professionals see that despite their efforts, more than half the clients relapse into unhealthy exercise behaviour within a year. That is why Leiden University of Applied Sciences, The Hague University of Applied Sciences and Rotterdam University of Applied Sciences have developed the BiBoZ method. The research is led by THUAS’ Healthy Lifestyle in a Supporting Environment research group.

The BiBoZ method (BiBoZ stands for 'Staying Active Support Care Professionals') helps care professionals provide custom guidance to their clients towards sustainable healthy exercise behaviour. The method was developed in the period from 2019-2021 with the help of design-oriented research and practice. BiBoZ consists of six exercise profiles and a decision model. Exercise profiles are stories of fictitious people that the client uses to prepare for a consultation. The exercise profile is then discussed with the professional during the consultation and a custom intervention is selected using the decision model.

Positive first results

The first studies show that the BiBoZ method stimulates an active role of the client, also because the method starts with the client themselves. It helps to clarify individual needs and ensures that the physiotherapist's support is better suited to the client.

A client says: ‘It has given me an insight into why I don't exercise. And that I could look at myself instead of someone else always telling me what I can do... I really liked the fact that it came from me.’ (Feasibility Study 11-2020)


Over the next two years, the BiBoZ method will be optimised together with professionals and clients during the BiBoZ Practical Study. In the earlier research, the focus was on developing the BiBoZ method with the care professional and client as starting points. Less attention was paid to the organisational level and the healthcare system in which the method should be implemented. Therefore, in this project we are developing an implementation strategy for the BiBoZ method in daily physical therapy practice. Next, a hybrid implementation-effect study will be conducted in six physiotherapy practices. There, the implementation strategy, the implementation and the effects of the BiBoZ method will be evaluated. At the end of this project, the BiBoZ method will be scaled up nationwide.


BiBoZ-PS is implemented by three universities of applied sciences with the help of a RAAK-MKB subsidy. In addition, six physiotherapy practices, a care innovation company, a client organisation and a professional association are participating. They are advised by a broadly compiled sounding board group.

Universities of applied sciences:

Physiotherapy practices:

Care innovation company:

Client organisation:

Professional association:


This project runs until September 2024.

Additional information

> All information on the BiBoZ Practical Study can be found on the Leiden University of Applied Sciences website.


Dr. Sanne de Vries
06 – 46 87 68 52

Alice Schut

Joan Dallinga