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Targeted prevention in primary care aimed at lifestyle-related diseases : A study protocol for a non-randomised pilot study

Larsen, Lars Bruun; Sonderlund, Anders Larrabee; Sondergaard, Jens; Thomsen, Janus Laust; Halling, Anders LU ; Hvidt, Niels Christian; Hvidt, Elisabeth Assing; Mønsted, Troels; Pedersen, Line Bjornskov and Roos, Ewa M. LU , et al. (2018) In BMC Family Practice 19(1).
Abstract

Background: The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a mean to reduce the burden of lifestyle-related diseases, though with mixed evidence on effectiveness. Several systematic reviews, on the other hand, suggest that health checks targeting people at high risk of chronic lifestyle-related diseases may be more effective. The evidence is however very limited. To effectively target people at high risk of lifestyle-related disease, there is a substantial need to advance and implement evidence-based health strategies and interventions that facilitate the identification and... (More)

Background: The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a mean to reduce the burden of lifestyle-related diseases, though with mixed evidence on effectiveness. Several systematic reviews, on the other hand, suggest that health checks targeting people at high risk of chronic lifestyle-related diseases may be more effective. The evidence is however very limited. To effectively target people at high risk of lifestyle-related disease, there is a substantial need to advance and implement evidence-based health strategies and interventions that facilitate the identification and management of people at high risk. This paper reports on a non-randomized pilot study carried out to test the acceptability, feasibility and short-term effects of a healthcare intervention in primary care designed to systematically identify persons at risk of developing lifestyle-related disease or who engage in health-risk behavior, and provide targeted and coherent preventive services to these individuals. Methods: The intervention took place over a three-month period from September 2016 to December 2016. Taking a two-pronged approach, the design included both a joint and a targeted intervention. The former was directed at the entire population, while the latter specifically focused on patients at high risk of a lifestyle-related disease and/or who engage in health-risk behavior. The intervention was facilitated by a digital support system. The evaluation of the pilot will comprise both quantitative and qualitative research methods. All outcome measures are based on validated instruments and aim to provide results pertaining to intervention acceptability, feasibility, and short-term effects. Discussion: This pilot study will provide a solid empirical base from which to plan and implement a full-scale randomized study with the central aim of determining the efficacy of a preventive health intervention. Trial registration: Registered at Clinical Trial Gov (Unique Protocol ID: TOFpilot2016). Registered 29 April 2016. The study adheres to the SPIRIT guidelines.

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published
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keywords
Intersectoral collaboration, Primary care, Targeted health checks
in
BMC Family Practice
volume
19
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85050496279
ISSN
1471-2296
DOI
10.1186/s12875-018-0820-8
language
English
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yes
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ec7fa465-15ca-46e3-8bd5-9e1dea63be13
date added to LUP
2018-08-20 10:48:08
date last changed
2019-01-06 14:02:14
@article{ec7fa465-15ca-46e3-8bd5-9e1dea63be13,
  abstract     = {<p>Background: The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a mean to reduce the burden of lifestyle-related diseases, though with mixed evidence on effectiveness. Several systematic reviews, on the other hand, suggest that health checks targeting people at high risk of chronic lifestyle-related diseases may be more effective. The evidence is however very limited. To effectively target people at high risk of lifestyle-related disease, there is a substantial need to advance and implement evidence-based health strategies and interventions that facilitate the identification and management of people at high risk. This paper reports on a non-randomized pilot study carried out to test the acceptability, feasibility and short-term effects of a healthcare intervention in primary care designed to systematically identify persons at risk of developing lifestyle-related disease or who engage in health-risk behavior, and provide targeted and coherent preventive services to these individuals. Methods: The intervention took place over a three-month period from September 2016 to December 2016. Taking a two-pronged approach, the design included both a joint and a targeted intervention. The former was directed at the entire population, while the latter specifically focused on patients at high risk of a lifestyle-related disease and/or who engage in health-risk behavior. The intervention was facilitated by a digital support system. The evaluation of the pilot will comprise both quantitative and qualitative research methods. All outcome measures are based on validated instruments and aim to provide results pertaining to intervention acceptability, feasibility, and short-term effects. Discussion: This pilot study will provide a solid empirical base from which to plan and implement a full-scale randomized study with the central aim of determining the efficacy of a preventive health intervention. Trial registration: Registered at Clinical Trial Gov (Unique Protocol ID: TOFpilot2016). Registered 29 April 2016. The study adheres to the SPIRIT guidelines.</p>},
  articleno    = {124},
  author       = {Larsen, Lars Bruun and Sonderlund, Anders Larrabee and Sondergaard, Jens and Thomsen, Janus Laust and Halling, Anders and Hvidt, Niels Christian and Hvidt, Elisabeth Assing and Mønsted, Troels and Pedersen, Line Bjornskov and Roos, Ewa M. and Pedersen, Pia Vivian and Thilsing, Trine},
  issn         = {1471-2296},
  keyword      = {Intersectoral collaboration,Primary care,Targeted health checks},
  language     = {eng},
  month        = {07},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Family Practice},
  title        = {Targeted prevention in primary care aimed at lifestyle-related diseases : A study protocol for a non-randomised pilot study},
  url          = {http://dx.doi.org/10.1186/s12875-018-0820-8},
  volume       = {19},
  year         = {2018},
}