Cardiovascular Risk Factor, Lifestyle Risk Reduction, Primary Care
Conditions
Brief summary
The aim of the present study is to describe and evaluate the effect of a structured lifestyle intervention program, focusing on lifestyle habits, in a primary care setting in patients with high cardiovascular risk. Furthermore, we want to explore the patient´s experience of lifestyle change and counseling after participation in the intervention program and to investigate the cost-effectiveness of the program.
Detailed description
Intervention The intervention program comprises five individual visits to the same nurse, specialised in diabetes care and the metabolic syndrome every three month during one year. The nurse led a person centered dialog based on the answers from a questionnaire. At every visit, focus was primarily on lifestyle habits, using motivational interviewing to strengthen the patient's ability to modify one or more lifestyle habits. Dietary counselling was in accordance with the Swedish recommendation in nutrition. If the patient were in need of extended counseling regarding one or more lifestyle habits, he or she could be referred within the primary care unit to a specialist. During the 12-month period, all patients where offered to participate in evening group sessions at three different occasions. Topics were physical activity, fatty acids, healthy food, tobacco and alcohol, stress, sleep and methods of how to change behavior.
Interventions
BEHAVIORALstructured lifestyle program
Intensive Lifestyle counseling during one year
Sponsors
Uppsala University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Patients diagnosed with * hypertension * diabetes mellitus type 2 * impaired glucose tolerance
Exclusion criteria
* dementia * severe psychiatric disease * difficulties to understand Swedish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in physical activity | From baseline to 12 months | Patients rating perceived physical activity on a scale 0-10 at baseline and at 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Framingham risk score | From baseline to 12 months | The Framingham Risk Score is a gender-specific algorithm used to estimate the 10-year cardiovascular risk of an individual. Cardiovascular risk scoring systems give an estimate of the probability that a person will develop cardiovascular disease within a specified amount of time, in this case 10 years. Individuals with low risk have 10% or less CHD risk at 10 years, with intermediate risk 10-20%, and with high risk 20% or more. |
Outcome results
None listed