Effectiveness and Cost-effectiveness of the Check Your Health Preventive Programme

Conditions

Cardiovascular Disease, Health Promotion, Mental Health, Physical Inactivity, Selfreported Quality of Health

Keywords

Health check, Health promotion, prevention diabetes, prevention cardiovascular disease, mental health

Brief summary

Check your health is a prevention intervention designed to create awareness and action on health condition with focus at physical activity at a population-level to 30-49 years of age. It consists of a behavioural and clinical examination followed by either (I) referral to a health promoting consultation in general practice (II) targeted behavioural programmes at the local Health Centre or (III ) no need for follow-up; stratified after risk-profile. The CORE trial (Check your health) aim to investigate effectiveness on health and social outcomes of the preventive health check and to establish the cost-effectiveness according to life years gained; direct costs and total health costs. A pragmatic cluster randomised controlled trial has been established to meet the aims and in total 10.600 individuals from 35 practices have been randomized in to two groups that will be invited in 2013-14 and 2017-18 respectively. The group offered the preventive health check in 2013-14 will constitute the intervention group and the group examined in 2017 - 18 the control group. A follow up of the intervention group in 2017 - 18 will provide data for the intention to treat analysis revealing the effect. Outcome measures are level of physical activity, risk of getting cardiovascular disease, sick leave and labor market attachment.

Anne‐Louise Bjerregaard, Else‐Marie Dalsgaard, Niels-Henrik Bruun, Kasper Norman, Daniel R. Witte et al. (8 authors)

Journal of Epidemiology & Community Health2021-06-186 citations

10.1136/jech-2021-216581

Factors associated with non-initiation of mental healthcare after detection of poor mental health at a scheduled health check: a cohort study

Christine Geyti, Kaj Sparle Christensen, Else‐Marie Dalsgaard, Bodil Hammer Bech, Jane Gunn et al. (7 authors)

BMJ Open2020-10-017 citations

10.1136/bmjopen-2020-037731

Initiation and cessation of mental healthcare after mental health screening in primary care: a prospective cohort study.

Geyti C, Dalsgaard EM, Sandbæk A, Maindal HT, Christensen KS.

2018-11-178 citations

10.1186/s12875-018-0864-9

Effectiveness of the population-based Check your health preventive programme conducted in primary care with 4 years follow-up [the CORE trial]: study protocol for a randomised controlled trial

Helle Terkildsen Maindal, Henrik Støvring, Annelli Sandbæk

Trials2014-08-2923 citations

10.1186/1745-6215-15-341

Interventions

OTHERHealth check

The program includes four components: Invitation: All participants receive invitation by mail and a prefixed appointment time. A web-based questionnaire including self-reported health (SF12), physical activity, smoking habits and alcohol use/behaviour has to be answered before Health Examination (HE). The HE include: Blood pressure, waist, weight, lung function test, lipid profile, HbA1c and fitness (Aastrand). Health profile pamphlet: The participant receives a pamphlet with the results. The persons are stratified into three groups (I) referral to a consultation in general practice (GP) (II) targeted behavioural programs at the health centre (HC) or (III ) no identified need for health promoting follow-up. Follow-up according to risk-profile: If referred to GP treatment of risk conditions or diseases will follow national guidelines. The GPs were paid 50 Euros per health interview.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

30 Years to 49 Years

Healthy volunteers

Yes

Inclusion criteria

* all citizens living in Randers Municipality aged 30-49 on 1 January 2012, identified in the Danish Civil Registers (DCR) and randomised for health check in 2013 or 2017.

Exclusion criteria

* Terminal illness, reported by their GP is

Design outcomes

Primary

Measure	Time frame	Description
Physical activity	4 years	Physical activity level will be measured by 1) self-reported physical activity (days/week with minimum 30 minutes moderate physical activity) and 2) physical fitness, measured by Aastrands submaximal bike-test.
Modelled cardiovascular risk	4 years	Cardiovascular risk will be measured as a modelled risk of developing cardiovascular disease within 10 years and includes information on age, gender, smoking status, systolic blood pressure and total cholesterol.
Health related quality of life	4 years	Health related quality of life measured by The Medical Outcome Study Short Form 12 Health Survey (SF12)
Functional capacity	4 years	Functional capacity will be measured as affiliation to the labor market (work participation in the last year)and sick leave \> 3 weeks.

Other

Measure	Time frame	Description
Health economy assessment	4 years	The economic benefits of the interventions will be assessed by comparing mean direct and total costs (direct and productivity costs), and expected life years gained (LYG) in the intervention group with the control group (within a period of four.

Countries

Denmark

Outcome results

None listed