Study of Effectiveness of Different Lifestyle Interventions for Health and Wellbeing

Conditions

Metabolic Syndrome Risk Factors, Overweight, Psychological Stress

Keywords

Cognitive Behavior Therapy, Acceptance Commitment Therapy, Psychological Stress, Metabolic Syndrome, Overweight, Life Style

Brief summary

The purpose of this study is to examine the effectiveness and applicability of different interventions designed for enhancing overall wellbeing. Lifestyle changes, as well as psychological and physiological health variables are assessed. The interventions are based on the principles of cognitive behavioural therapy, and delivered either face-to-face, via mobile phone application, or Internet.

Detailed description

The study focuses on targeting overweight, stress, and impaired overall wellbeing with new cost-effective intervention methods. The intervention methods are based on the principles of cognitive behavioural therapy (CBT) and further acceptance-commitment therapy (ACT). The interventions are delivered either face-to-face, via mobile application, or via Internet. The purpose of each intervention is to improve the subjects lifestyles and activate them towards beneficial changes in their everyday life. The psychological and physiological effects of interventions are measured with various invasive and non-invasive methods. The study gives new insight into effectiveness and acceptability of up-to-date psychological intervention methods, and new knowledge of different ways to deliver interventions for improving wellbeing of an individual.

Järvelä-Reijonen E, Järvinen S, Karhunen L, Föhr T, Myllymäki T, Sairanen E, Lindroos S, Peuhkuri K, Hallikainen M, Pihlajamäki J, Puttonen S, Korpela R, Ermes M, Lappalainen R, Kujala UM, Kolehmainen M, Laitinen J.

2021-06-283 citations

10.1186/s12995-021-00310-6

The Effects of Acceptance and Commitment Therapy (ACT) Intervention on Inflammation and Stress Biomarkers: a Randomized Controlled Trial.

Järvelä-Reijonen E, Puttonen S, Karhunen L, Sairanen E, Laitinen J, Kolehmainen M, Pihlajamäki J, Kujala UM, Korpela R, Ermes M, Lappalainen R, Kolehmainen M.

2020-10-0114 citations

10.1007/s12529-020-09891-8

The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial.

Järvelä-Reijonen E, Karhunen L, Sairanen E, Muotka J, Lindroos S, Laitinen J, Puttonen S, Peuhkuri K, Hallikainen M, Pihlajamäki J, Korpela R, Ermes M, Lappalainen R, Kolehmainen M.

2018-02-2748 citations

10.1186/s12966-018-0654-8

Usage and Dose Response of a Mobile Acceptance and Commitment Therapy App: Secondary Analysis of the Intervention Arm of a Randomized Controlled Trial

Elina Mattila, Raimo Lappalainen, Pasi Välkkynen, Essi Sairanen, Päivi Lappalainen et al. (10 authors)

JMIR mhealth and uhealth2016-07-2882 citations

10.2196/mhealth.5241

The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing: the study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress.

Lappalainen R, Sairanen E, Järvelä E, Rantala S, Korpela R, Puttonen S, Kujala UM, Myllymäki T, Peuhkuri K, Mattila E, Kaipainen K, Ahtinen A, Karhunen L, Pihlajamäki J, Järnefelt H, Laitinen J, Kutinlahti E, Saarelma O, Ermes M, Kolehmainen M.

2014-04-0422 citations

10.1186/1471-2458-14-310

Interventions

BEHAVIORALWellbeing intervention (ACT)

The intervention is based on principles of acceptance-commitment therapy (ACT). It aims to increase psychological flexibility through different exercises that are developed for improving skills of being present, dealing with thoughts and feelings, as well as support clarifying individual values and value-based actions. In addition exercises for relaxation, physical activity, and mindful eating are provided. The content of intervention for face-to-face and mobile groups is similar but delivery method is different.

BEHAVIORALWellbeing intervention (Internet)

The intervention is Duodecim Virtual Health Check and Coaching where the subject gets feedback based on his/her health information and is provided with different weekly tasks regarding lifestyle changes. The tasks are developed based on principles of cognitive behaviour therapy (CBT).

BEHAVIORALNo intervention

No intervention

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

25 Years to 60 Years

Healthy volunteers

No

Inclusion criteria

* Body Mass Index (BMI) 27-34.9 * Psychological Stress (3/4 or 4/4 points in General Health Questionnaire) * Possibility to use computer and internet connection

Exclusion criteria

* Diagnosed severe chronic illness * Symptomatic cardiovascular disease * Type 1 or 2 diabetes * Severe psychiatric conditions * Remarkable clinical operation within past 6 months * Heart attack or stroke within past 6 months * Kidney disease requiring Dialysis * Regular use of cortisone pills * Eating disorder: bulimia * Disability pension for psychological reasons * Pregnancy or breastfeeding within the pas 6 months * Shift work (in three shifts) or night work * Participation in other intervention studies during the present study

Design outcomes

Primary

Measure	Time frame
Psychological Flexibility (AAQ-2)	Change from Baseline in Psychological Flexibility at 8.5 months

Secondary

Measure	Time frame
Perceived and physiological stress (questionnaire, heart rate variability measurement)	pre, post, follow-up (0, 10, 36 weeks)
Blood lipids	pre, post, follow-up (0, 10, 36)
Sleep (ESS, Basic Nordic Sleep Questionnaire, actigraphy, sleep diary)	pre, post, follow-up (0, 10, 36 weeks)
Diet (interview, questionnaire)	pre, post, follow-up (0, 10, 36 weeks)
User experiences concerning technology (interview, questionnaire)	during, post, follow-up (2, 10, 36 weeks)
Depression	Pre, post, follow-up (0, 10, 36 weeks)
Physical Activity (questionnaire)	pre, post, follow-up (0, 10, 36 weeks)

Countries

Finland

Outcome results

None listed