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Pilot study on increased adherence to physical activity on prescription (PAP) through mindfulness : Study protocol 11 Medical and Health Sciences 1117 Public Health and Health Services

Nymberg, Peter LU ; Ekvall Hansson, Eva LU ; Stenman, Emelie LU ; Calling, Susanna LU ; Sundquist, Kristina LU ; Sundquist, Jan LU and Zöller, Bengt LU (2018) In Trials 19(1).
Abstract

Background: In the Swedish population aged between 50 and 64 years only 7.1% reach the recommended level of physical activity. Physical activity on prescription (PAP) has been used in Sweden since the beginning of the twenty-first century with moderate adherence of approximately 50%. Mindfulness seems to affect motivation to and satisfaction with physical activity. The aim is to test the feasibility of a study in routine care; i.e. to test if mindfulness can improve adherence to PAP, measured by changes in physical activity. Methods/design: We will include 90 sedentary individuals, aged 40-65 years, from primary health care centres in Sweden. Individuals will be randomised to only PAP, mindfulness and PAP or mindfulness only. The PAP... (More)

Background: In the Swedish population aged between 50 and 64 years only 7.1% reach the recommended level of physical activity. Physical activity on prescription (PAP) has been used in Sweden since the beginning of the twenty-first century with moderate adherence of approximately 50%. Mindfulness seems to affect motivation to and satisfaction with physical activity. The aim is to test the feasibility of a study in routine care; i.e. to test if mindfulness can improve adherence to PAP, measured by changes in physical activity. Methods/design: We will include 90 sedentary individuals, aged 40-65 years, from primary health care centres in Sweden. Individuals will be randomised to only PAP, mindfulness and PAP or mindfulness only. The PAP group will be based on patients' preferences. The mindfulness groups will meet once a week for 8 weeks and practise 20 min of individual training per day. There will not be any motivational interview or physical activity on prescription in the group assigned to only mindfulness. The participants will complete the Five Facet Mindfulness Questionnaire, the Insomnia Severity Index and also answer questions concerning their lifestyle. Physical activity will be measured by ACTi Graph GT1X activity monitor at baseline and after 3 and 6 months. Patients with a severe psychological disease, unstable angina or a recent myocardial infarction will be excluded. The main outcome will be adherence to PAP in an ordinary primary health care setting. In this pilot study, we will also evaluate measures such as the recruitment rate, number of dropouts and adherence to mindfulness practice. Discussion: This study is the first to explore the effect of mindfulness on adherence to PAP and test the feasibility of the study design. Trial registration: ClinicalTrials.gov, NCT02869854. Registered on 26 August 2016.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Health care, Lifestyle change, Motivation, Physical activity
in
Trials
volume
19
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85054997902
ISSN
1745-6215
DOI
10.1186/s13063-018-2932-9
language
English
LU publication?
yes
id
93f6fb39-e5d2-4299-9278-b6fe2626bceb
date added to LUP
2018-10-30 11:16:06
date last changed
2019-02-20 11:33:51
@article{93f6fb39-e5d2-4299-9278-b6fe2626bceb,
  abstract     = {<p>Background: In the Swedish population aged between 50 and 64 years only 7.1% reach the recommended level of physical activity. Physical activity on prescription (PAP) has been used in Sweden since the beginning of the twenty-first century with moderate adherence of approximately 50%. Mindfulness seems to affect motivation to and satisfaction with physical activity. The aim is to test the feasibility of a study in routine care; i.e. to test if mindfulness can improve adherence to PAP, measured by changes in physical activity. Methods/design: We will include 90 sedentary individuals, aged 40-65 years, from primary health care centres in Sweden. Individuals will be randomised to only PAP, mindfulness and PAP or mindfulness only. The PAP group will be based on patients' preferences. The mindfulness groups will meet once a week for 8 weeks and practise 20 min of individual training per day. There will not be any motivational interview or physical activity on prescription in the group assigned to only mindfulness. The participants will complete the Five Facet Mindfulness Questionnaire, the Insomnia Severity Index and also answer questions concerning their lifestyle. Physical activity will be measured by ACTi Graph GT1X activity monitor at baseline and after 3 and 6 months. Patients with a severe psychological disease, unstable angina or a recent myocardial infarction will be excluded. The main outcome will be adherence to PAP in an ordinary primary health care setting. In this pilot study, we will also evaluate measures such as the recruitment rate, number of dropouts and adherence to mindfulness practice. Discussion: This study is the first to explore the effect of mindfulness on adherence to PAP and test the feasibility of the study design. Trial registration: ClinicalTrials.gov, NCT02869854. Registered on 26 August 2016.</p>},
  articleno    = {563},
  author       = {Nymberg, Peter and Ekvall Hansson, Eva and Stenman, Emelie and Calling, Susanna and Sundquist, Kristina and Sundquist, Jan and Zöller, Bengt},
  issn         = {1745-6215},
  keyword      = {Health care,Lifestyle change,Motivation,Physical activity},
  language     = {eng},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Trials},
  title        = {Pilot study on increased adherence to physical activity on prescription (PAP) through mindfulness : Study protocol 11 Medical and Health Sciences 1117 Public Health and Health Services},
  url          = {http://dx.doi.org/10.1186/s13063-018-2932-9},
  volume       = {19},
  year         = {2018},
}