Health Related Quality of Life and Weight Condition
Conditions
Brief summary
The study aim is to evaluate a patient-centred intervention focusing on improved quality of life and wellbeing among individuals with obesity and risk factors for adverse outcome.
Detailed description
In Denmark, University Hospital of Southern Denmark in Esbjerg has initiated The South Danish Obesity Initiative (SDOI) to optimize the treatment of and the research in obesity. The hospital has for years, offered treatment to individuals with obesity, however, SDOI is an investigation program with the aim to identify people with undiagnosed obesity-related diseases by a systematic and stepwise approach, delivering an up-to-date treatment of diagnosed diseases and offering personalized lifestyle advice based on the finding in the investigation program. The SDOI program comprises collaboration between different medical departments at the hospital and furthermore, entails the establishment of a well-defined cohort as a basis for research. ACT is of interest in the construction of the personalized lifestyle advice in the SDOI program. However, there is limited research available on the effect of the behaviour therapy ACT as a basic method for a lifestyle program targeting overweight individuals who have been made aware of obesity related diseases and re-conditions. ACT might be a valuable tool to assist these individuals to increase their quality of life and thereby, ability to make lifestyle changes.
Interventions
The intervention in SDOI has the predominantly focus on each individual reflection and realisation and is built upon ACT' six core processes: 1) Acceptance, 2) Cognitive defusion 3) Being present, 4) Self as context, 5) Values, and 6) Committed action. The program is based on up to 13 times attendance within the 12 months intervention period.
No lifestyle intervention within the study, only test/datacollection
Sponsors
Study design
Intervention model description
The study is a one-site, single-blind, clinical intervention study.
Eligibility
Inclusion criteria
* Participants will be eligible for inclusion if they are ≥18 years * Body mass index above 30 kg/m2
Exclusion criteria
* Individuals referred for bariatric surgery will not be eligible for inclusion in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HRQoL . | 52 weeks | Measured by the questionnaire Impact of Weight on Quality of Life-Lite at week 52. Scores range from 0 to 100, with 100 representing the best quality of life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body perception | 52 weeks | Questionnaire |
| Isometric muscle strength | 52 weeks | Measured by Biodex dynanometer |
| Self-esteem | 52 weeks | Measured by questionnaire |
| Total cholesterol (mml/L) | 52 weeks | Blood sample |
| General physical activity | 52 weeks | Measured by Accelerometer |
| Diastolic and systolic Blood pressure (mm Hg) | 52 weeks | Blood pressure monitor |
| Perceived chronic pain | 52 weeks | Measured on VAS scale. The score is determined by measuring the distance (mm) on the 10-cm line between the no pain anchor and the patient's mark, providing a range of scores from 0-100 |
| Aerobic capacity | 52 weeks | One-point Åstrand test |
| Insulin resistance (HOMA-IR) | 52 weeks | Blood sample |
Countries
Denmark