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Effect of mindfulness on physical activity in primary healthcare patients : a randomised controlled trial pilot study

Nymberg, Peter LU ; Calling, Susanna LU ; Stenman, Emelie LU ; Palmér, Karolina LU ; Hansson, Eva Ekvall LU ; Sundquist, Kristina LU ; Sundquist, Jan LU and Zöller, Bengt LU (2021) In Pilot and Feasibility Studies 7(1).
Abstract

Increased physical activity can have health benefits among inactive individuals. In Sweden, the healthcare system uses physical activity on prescription (PAP) to motivate patients to increase their physical activity level. Mindfulness may further heighten the internal motivation to engage in physical activity. However, previous research has not demonstrated clear evidence of such an association.

AIM: Examine the feasibility of the study design as a preparation for a full-scale study, and examine the differences, between three interventions, in change over time in physical activity levels and in related variables.

METHOD: Comparison between three different interventions in an ordinary primary health care setting: PAP,... (More)

Increased physical activity can have health benefits among inactive individuals. In Sweden, the healthcare system uses physical activity on prescription (PAP) to motivate patients to increase their physical activity level. Mindfulness may further heighten the internal motivation to engage in physical activity. However, previous research has not demonstrated clear evidence of such an association.

AIM: Examine the feasibility of the study design as a preparation for a full-scale study, and examine the differences, between three interventions, in change over time in physical activity levels and in related variables.

METHOD: Comparison between three different interventions in an ordinary primary health care setting: PAP, mindfulness, and a combination of PAP and mindfulness. Physical activity was measured with self-report and ACTi Graph GT1X activity monitor. Statistical analysis was performed with a mixed-effect model to account for repeated observations and estimate differences both within groups and between groups at 3- and 6-months follow-up.

RESULTS: Between September 2016 and December 2018, a total of 88 participants were randomised into three groups. The total dropout rate was 20.4%, the attendance rate to the mindfulness courses (52% > 6 times) and the web-based mindfulness training (8% > 800 min) was low according to the stated feasibility criteria. Eleven participants were excluded from analysis due to low activity monitor wear time. Neither the activity monitor data nor self-reported physical activity showed any significant differences between the groups.

CONCLUSION: The study design needs adjustment for the mindfulness intervention design before a fully scaled study can be conducted. A combination of PAP and mindfulness may increase physical activity and self-rated health more than PAP or mindfulness alone.

TRIAL REGISTRATION: ClinicalTrials.gov, registration number NCT02869854 . Regional Ethical Review Board in Lund registration number 2016/404.

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type
Contribution to journal
publication status
published
subject
in
Pilot and Feasibility Studies
volume
7
issue
1
article number
70
publisher
BioMed Central (BMC)
external identifiers
  • pmid:33731219
  • scopus:85102706528
ISSN
2055-5784
DOI
10.1186/s40814-021-00810-6
language
English
LU publication?
yes
id
3aca6049-1f55-4150-9873-02fa344b27ef
date added to LUP
2021-03-23 09:50:27
date last changed
2021-06-16 02:51:11
@article{3aca6049-1f55-4150-9873-02fa344b27ef,
  abstract     = {<p>Increased physical activity can have health benefits among inactive individuals. In Sweden, the healthcare system uses physical activity on prescription (PAP) to motivate patients to increase their physical activity level. Mindfulness may further heighten the internal motivation to engage in physical activity. However, previous research has not demonstrated clear evidence of such an association.</p><p>AIM: Examine the feasibility of the study design as a preparation for a full-scale study, and examine the differences, between three interventions, in change over time in physical activity levels and in related variables.</p><p>METHOD: Comparison between three different interventions in an ordinary primary health care setting: PAP, mindfulness, and a combination of PAP and mindfulness. Physical activity was measured with self-report and ACTi Graph GT1X activity monitor. Statistical analysis was performed with a mixed-effect model to account for repeated observations and estimate differences both within groups and between groups at 3- and 6-months follow-up.</p><p>RESULTS: Between September 2016 and December 2018, a total of 88 participants were randomised into three groups. The total dropout rate was 20.4%, the attendance rate to the mindfulness courses (52% &gt; 6 times) and the web-based mindfulness training (8% &gt; 800 min) was low according to the stated feasibility criteria. Eleven participants were excluded from analysis due to low activity monitor wear time. Neither the activity monitor data nor self-reported physical activity showed any significant differences between the groups.</p><p>CONCLUSION: The study design needs adjustment for the mindfulness intervention design before a fully scaled study can be conducted. A combination of PAP and mindfulness may increase physical activity and self-rated health more than PAP or mindfulness alone.</p><p>TRIAL REGISTRATION: ClinicalTrials.gov, registration number NCT02869854 . Regional Ethical Review Board in Lund registration number 2016/404.</p>},
  author       = {Nymberg, Peter and Calling, Susanna and Stenman, Emelie and Palmér, Karolina and Hansson, Eva Ekvall and Sundquist, Kristina and Sundquist, Jan and Zöller, Bengt},
  issn         = {2055-5784},
  language     = {eng},
  month        = {03},
  number       = {1},
  publisher    = {BioMed Central (BMC)},
  series       = {Pilot and Feasibility Studies},
  title        = {Effect of mindfulness on physical activity in primary healthcare patients : a randomised controlled trial pilot study},
  url          = {http://dx.doi.org/10.1186/s40814-021-00810-6},
  doi          = {10.1186/s40814-021-00810-6},
  volume       = {7},
  year         = {2021},
}