inactieve patiënten inactive
Conditions
Interventions
1. Circumvent Barrier Approach
This study examines the effectiveness of a subject tailored lifestyle
intervention with a new perspective of changing behavior by circumvent
barriers. This perspective
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Patient has a request for help where intervention or referral is not immediately identified 2. In the opinion of the doctor, a behavioral change towards a healthier lifestyles can affect the decline for health care 3. Subject does not meet the ACSM-guidelines 4. Subject considers to change his behavior within six months 5. Subject voluntary commits to take part on the intervention en to finish it 6. Subject has an age between 18 - 70 years
Exclusion criteria
Exclusion criteria: 1. Subject has a disease or had recent a disease which barriers participation (for instance: heart attack, recent operation, etc) 2. Subject suffers from depression longer than 6 months 3. Subject has chronic pain longer than 6 months 4. Subject has difficulties with the Dutch language 5. There is co morbidity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary dependent study parameters at T0, T1, T2 en T3 (assessed at start, 3 months, 6 months, 12 months) Physical complaints • First this will be assessed by a self-report of the perceived physical state of the participants, illness history, type current problems, type of treatment, number of treatments and the time since last treatment. • General Health Questionnaire, GHQ (Jackson, 2007) is self report questionnaire to measure the level of psychological problems. The GHQ-12 consists of 12 items. Respondents specify their level of agreement to a statement. • De SCL-90 is a self reported questionnaire measuring physical and psychological problems. The questionnaire consists of 90 descriptions of problems in which the respondent has to indicate how much he/she suffers from that problem last 7 days. Respondent judges, on a 5-point scale 1= a little, 2= some, 3= pretty much, 4=much, 5= very much. Physical activity • How many days per week a person spends on physical activities, the amount of time a person spends on the physical activity and the effort of the physical activity is measured with the Short Questionnaire to Asses Health enhancing physical activity (SQUASH; Wendel-Vos et al., 2002) to invent the moving pattern of the subject. For example: walking: * days (days per week), *.. hours and minutes (average time per day), slow/moderate/fast (effort). • Physician based Assessment and Counseling for Exercise (PACE; ), is a method to give individuals a tailored advice about physical activities. With a questionnaire the current moving pattern is invented and the motivation to become active. Assessed during the interventions • With the accelerometer ActiGraph the amount and the moments in which te subject is moving. The Actigraph will be worn on the limbs or around the abdomen. The Actigraph only can be read out by the scientist. The subject does not get any information about his physical activities from this accelerometer. • With a physi | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters (assessed at T0, T1, T2 en T3) Body composition • BMI: measuring body weight / length2 • Fat percentage: bio-impedance measurement • Obdominal girth (is measured by waist circumference) Quality of life: • Firstly, the scale of the EORTC QLQ-C30 (version 3.0) will be used, assessing *global health status and quality of life, items 29 and 30: *How would you rate your overall health during the past week?* and *How would you rate your overall quality of life during the past week?* Answers were given on 7-point scales ranging from 1 = *very poor* to 7 = *excellent*. Second the Linear Analog Self Assessment (LASA overall and LASA physical) was used. For *LASA overall* ratings were made along a line, with on the left site a label *lowest quality* and on the right site *highest quality*. *LASA physical needed to be expressed in a percentage (maximum 100 %). The third used instrument was Cantril*s Ladder (Cantril, 1966). Respondents had to rate their current life satisfaction on a ladder that ranges from 0 to 10, where 0 reflects worst imaginable life satisfaction and 10 reflects best imaginable life satisfaction. Medical consumption • Frequncy doctor visits / paramedical care: this will be assessed by a self-report of how many times participant visited a health professional last 2 months. • Medication: participant is asked what medication he/she is taken at this moment, how often and which dose. Independent variables (assessed at T0, T1, T2 en T3) • Socio-demographic variables will be assessed, such as gender, age, marital status, education level, socio-economic class and postal code. | — |
Countries
Netherlands
Outcome results
None listed