Musculoskeletal Disease, Obesity, Psychological Disorder
Conditions
Keywords
Physical Fitness, Health Status, Exercise, Tobacco Use Cessation, Quality of Life, Healthy Diet, Health Promotion, Patient Education as Topic, Counseling
Brief summary
A Healthy Life Center (HLC, 'Frisklivssentrale') is a public community-based health service providing lifestyle support programs for physical activity, smoking cessation and diet, to inhabitants with increased risk for development of non-communicable diseases. HLCs intention is to reach physically inactive people who need guidance to get more physically active, and offer them a lifestyle program for three months or more. The main aim of this study is to study whether the HLCs, organized according to the Norwegian Directorate of Health's guidelines for municipal healthy life centers, affects the participants short term (3 months) and long term (15 months) physical activity level. Also changes in diet, tobacco use, health related quality of life, physical fitness, anthropometry, self-efficacy, motivation, drug use, use of health services and work participation will be assessed. Secondary aim is to study whether there are any moderators, such as HLCs capacity, expertise, and collaboration with other services, that have significance for participants' change. Also it will be studied whether the HLCs result in larger changes in some subgroups (e.g. socioeconomic) of participants than in others.
Interventions
Depending on what behavior participants aim to change, they get individual counselling using elements from motivational interviewing, group-based exercise twice a week, diet courses and tobacco secession courses during three months
Sponsors
Study design
Eligibility
Inclusion criteria
* about to start structural support for lifestyle change (regarding physical activity, diet and/or tobacco cessation * referred to a Healthy Life Center (HLC) from either primary physician, from other health care services or social services, or participants seeking contact themselves without a specific referral.
Exclusion criteria
* having participated in an HLC the previous 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| physical activity | change from baseline to 3 months | measured by accelerometer (ActiGraph GT3X+) for seven consecutive days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | change from baseline to 3 months | assessed by questionnaire |
| health related quality of life | change from baseline to 3 months | assessed by SF-36 questionnaire |
| Diet | change from baseline to 3 months | assessed by questionnaire |
| Physical fitness | change from baseline to 3 months | assessed by a standardized progressive walking protocol to a submaximal workload on a treadmill |
| Tobacco use | change from baseline to 3 months | assessed by questionnaire |
| Body Mass Index | change from baseline to 3 months | body height measured by a Seca altimeter |
| Waist circumference | change from baseline to 3 months | measured by Seca measurement tape |
| Hip circumference | change from baseline to 3 months | measured by Seca measurement tape |
| Body weight | change from baseline to 3 months | measured on a scale digital weight |
Countries
Norway