Evaluation of an Individually Tailored Digital Service to Promote Healthy and Sustainable Behaviors and Well-being
Study Details
Study Description
Brief Summary
The goal of this quasi-experimental study observational study is to evaluate the impact of an individually tailored digital service aimed to support healthy habits on well-being, lifestyle behaviors, and mental health among the adult population. The main questions it aims to answer are:
- Is a digital service developed to personalize support for healthy habits effective in improving well-being compared to a control group in the general population after 6 months?
- Does the digital service improve dietary and physical activity habits, mental health, and well-being among users across 24 months? III) Are sociodemographic factors associated with achieving the self-identified goals and improvements in dietary and physical activity habits, mental health, and well-being? IV) Do the intended mediators (engagement with the service, improved motivation, improved self-efficacy, and reduced barriers) mediate the effects of the digital service on achieving the self-identified goal, improved dietary and physical activity habits, mental health, and well-being? V) How is the pattern of user engagement across 24 months?
Participants are users of the mobile phone application LongLife Active®. Researchers will compare with individuals in the general population to see if the digital service is effective in improving well-being, dietary and physical activity habits, and mental health.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
LongLife Active is an individually tailored digital service supporting healthy habits that is based on behavioral research evidence, supported by artificial intelligence and co-developed.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Intervention group- Basic Subjects with behavioral support from the app LongLife Active® |
Behavioral: LongLife Active- Basic
The digital service LongLife Active with three core subjects:
1) a Healthy diet, 2) Physical activity, and 3) Mental balance. The service includes tracking and self-monitoring of behaviors, goal setting, action planning, feedback and digital rewards, a database with food recipes, a database with exercises, inspiration, and skills training webinars.
|
| Intervention group- Standard Subjects with behavioral support from the app LongLife Active® + social support |
Behavioral: LongLife Active- Standard
The digital service LongLife Active with three core subjects:
1) a Healthy diet, 2) Physical activity, and 3) Mental balance. The service includes tracking and self-monitoring of behaviors, goal setting, action planning, feedback and digital rewards, a database with food recipes, a database with exercises, inspiration, and skills training webinars.
Users with the membership Standard are also offered of a community with social support.
|
| Intervention group- Premium Subjects with behavioral support from the app LongLife Active® + social support + individual coaching |
Behavioral: LongLife Active- Premium
The digital service LongLife Active with three core subjects:
1) a Healthy diet, 2) Physical activity, and 3) Mental balance. The service includes tracking and self-monitoring of behaviors, goal setting, action planning, feedback and digital rewards, a database with food recipes, a database with exercises, inspiration, and skills training webinars.
Users with the membership Premium are also offered of a community with social support plus private on-line health consultations. The number of private health consultations is 3 for a 3 months subscription, 4 for a 6 months subscription, and 6 for a 12 months subscription.
|
| Control group No exposure |
Outcome Measures
Primary Outcome Measures
- Well-being [6 months]
Well-being will be assessed by the WHO-5 Well-Being Index. The WHO-5 comprises the following five items: being cheerful and in good spirits; being calm and relaxed; feeling active and vigorous; feeling fresh and rested when waking up in the morning; and having an interest in day-to-day activities. Six response alternatives are scored from 5 (All of the time) to 0 (At no time). The total raw score which ranges from 0 to 25 is multiplied by 4 to calculate the final score. The final score range goes from 0 = worst imaginable well-being to 100 = the best imaginable well-being.
- Well-being [24 months]
Well-being will be assessed by the WHO-5 Well-Being Index. The WHO-5 comprises the following five items: being cheerful and in good spirits; being calm and relaxed; feeling active and vigorous; feeling fresh and rested when waking up in the morning; and having an interest in day-to-day activities. Six response alternatives are scored from 5 (All of the time) to 0 (At no time). The total raw score which ranges from 0 to 25 is multiplied by 4 to calculate the final score. The final score range goes from 0 = worst imaginable well-being to 100 = the best imaginable well-being.
Secondary Outcome Measures
- Stress [6 months]
Stress will be assessed by the Karolinska Exhaustion Disorder Scale (KEDS), a self-rating scale for stress-induced exhaustion disorder. 9 items are scored 1-6, a higher total score indicates more exhaustion.
- Burnout [6 months]
Burnout will be assessed by the Oldenburg Burnout Inventory (OLBI). 16 items are scored 1-4, a higher total score indicates more burnout.
- Sleep [6 months]
Sleep will be assessed by the self-reported number of hours of sleep per night and by Insomnia Severity Index (ISI). In ISI 7 items are scored 1-4 and a higher total score indicates more sleeping problems.
- Stress [24 months]
Stress will be assessed by the Karolinska Exhaustion Disorder Scale (KEDS), a self-rating scale for stress-induced exhaustion disorder. 9 items are scored 1-6, a higher total score indicates more exhaustion.
- Burnout [24 months]
Burnout will be assessed by the Oldenburg Burnout Inventory (OLBI). 16 items are scored 1-4, a higher total score indicates more burnout.
- Sleep [24 months]
Sleep will be assessed by the self-reported number of hours of sleep per night and by Insomnia Severity Index (ISI). In ISI 7 items are scored 1-4 and a higher total score indicates more sleeping problems.
Other Outcome Measures
- Goal achievement [6 months]
Reaching the self-identified goal will be evaluated by collecting information on number of days/week the self-identified goal was met during the past month. Confidence for reaching the goal will also be asked for on a scale 1 low confidence to 6 high confidence.
- Dietary habits [6 months]
Dietary behaviours will be assessed by questions from the Social Board of Health and Welfare in Sweden, with the addition of some study specific questions on plant based diet.
- Physical activity [6 months]
Physical activity will be collected by questions from the Social Board of Health and Welfare with additional questions on active transport and physical activity at work. In a randomized sample of individuals having increased physical activity as a goal (n=300) physical activity will also be measured objectively by the use of the three-axial accelerometer-based device.
- Sedentary behavior [6 months]
Sedentary behavior will be collected by questions from the Social Board of Health and Welfare with additional questions on active transport and physical activity at work. In a randomized sample of individuals having increased physical activity as a goal (n=300) physical activity will also be measured objectively by the use of the three-axial accelerometer-based device.
- Daily number of steps [6 months]
Daily number of steps will be obtained from app analytics.
- Goal achievement [24 months]
Reaching the self-identified goal will be evaluated by collecting information on number of days/week the self-identified goal was met during the past month. Confidence for reaching the goal will also be asked for on a scale 1 low confidence to 6 high confidence.
- Dietary habits [24 months]
Dietary behaviours will be assessed by questions from the Social Board of Health and Welfare in Sweden, with the addition of some study specific questions on plant based diet.
- Physical activity [24 months]
Physical activity will be collected by questions from the Social Board of Health and Welfare with additional questions on active transport and physical activity at work. In a randomized sample of individuals having increased physical activity as a goal (n=300) physical activity will also be measured objectively by the use of the three-axial accelerometer-based device.
- Sedentary behavior [24 months]
Sedentary behavior will be collected by questions from the Social Board of Health and Welfare with additional questions on active transport and physical activity at work. In a randomized sample of individuals having increased physical activity as a goal (n=300) physical activity will also be measured objectively by the use of the three-axial accelerometer-based device.
- Daily number of steps [24 months]
Daily number of steps will be obtained from app analytics.
Eligibility Criteria
Criteria
Inclusion Criteria (intervention arms):
-
adults ≥18 years
-
siging up for the service LongLife Active using BankID for identification
-
consent to the research study
Inclusion Criteria (controls):
-
adults ≥18 years
-
consent to the research study
Exclusion Criteria (intervention arms):
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individuals who are discharged from the app due to refracting the terms of the service
-
subjects scoring >70 on well-being will be excluded from the primary analyses
Exclusion Criteria (controls):
-
age ≤ 17 years.
-
is currently using a digital product or any other kind of support for behavior change
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is found to be a user of LongLife Active.
-
subjects scoring >70 on well-being will be excluded from the primary analyses
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Sophiahemmet University
- Karolinska Institutet
- Stockholm University
- The Swedish School of Sport and Health Sciences
- Linnaeus University
- Södertörn University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CIV-23-07-043416