期刊论文详细信息
BMC Public Health
The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing: the study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress
Marjukka Kolehmainen2  Miikka Ermes5  Osmo Saarelma1  Eija Kutinlahti1  Jaana Laitinen6  Heli Järnefelt6  Jussi Pihlajamäki2  Leila Karhunen2  Aino Ahtinen5  Kirsikka Kaipainen5  Elina Mattila5  Katri Peuhkuri7  Tero Myllymäki3  Urho M Kujala4  Sampsa Puttonen6  Riitta Korpela7  Sanni Rantala7  Elina Järvelä2  Essi Sairanen3  Raimo Lappalainen3 
[1] Duodecim Medical Publications Ltd, Helsinki, Finland;Institute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, Kuopio, Finland;Department of Psychology, University of Jyväskylä, Ylistönmäentie 33, P. O. Box 35, 40014 Jyväskylä, Finland;Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland;VTT Technical Research Centre of Finland, Tampere, Finland;Finnish Institute of Occupational Health, Helsinki, Finland;Institute of Biomedicine, University of Helsinki, Helsinki, Finland
关键词: Technology-aided interventions;    Web-based intervention;    Mobile application;    Cognitive behavioral therapy;    Acceptance and Commitment Therapy;    Stress;    Obesity;    Well-being;    Lifestyle;   
Others  :  1131705
DOI  :  10.1186/1471-2458-14-310
 received in 2014-03-10, accepted in 2014-03-25,  发布年份 2014
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【 摘 要 】

Background

Obesity and stress are among the most common lifestyle-related health problems. Most of the current disease prevention and management models are not satisfactorily cost-effective and hardly reach those who need them the most. Therefore, novel evidence-based controlled interventions are necessary to evaluate models for prevention and treatment based on self-management. This randomized controlled trial examines the effectiveness, applicability, and acceptability of different lifestyle interventions with individuals having symptoms of metabolic syndrome and psychological distress. The offered interventions are based on cognitive behavioral approaches, and are designed for enhancing general well-being and supporting personalized lifestyle changes.

Methods/Design

339 obese individuals reporting stress symptoms were recruited and randomized to either (1) a minimal contact web-guided Cognitive Behavioral Therapy-based (CBT) intervention including an approach of health assessment and coaching methods, (2) a mobile-guided intervention comprising of mindfulness, acceptance and value-based exercises, (3) a face-to-face group intervention using mindfulness, acceptance and value-based approach, or (4) a control group. The participants were measured three times during the study (pre = week 0, post = week 10, and follow-up = week 36). Psychological well-being, lifestyles and habits, eating behaviors, and user experiences were measured using online surveys. Laboratory measurements for physical well-being and general health were performed including e.g. liver function, thyroid glands, kidney function, blood lipids and glucose levels and body composition analysis. In addition, a 3-day ambulatory heart rate and 7-day movement data were collected for analyzing stress, recovery, physical activity, and sleep patterns. Food intake data were collected with a 48 -hour diet recall interview via telephone. Differences in the effects of the interventions would be examined using multiple-group modeling techniques, and effect-size calculations.

Discussion

This study will provide additional knowledge about the effects of three low intensity interventions for improving general well-being among individuals with obesity and stress symptoms. The study will show effects of two technology guided self-help interventions as well as effect of an acceptance and value–based brief group intervention. Those who might benefit from the aforesaid interventions will increase knowledge base to better understand what mechanisms facilitate effects of the interventions.

Trial registration

Current Clinical Trials NCT01738256, Registered 17 August, 2012.

【 授权许可】

   
2014 Lappalainen et al.; licensee BioMed Central Ltd.

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