Effects of Efficient Lifestyle Counseling Method on the Risks of Cardiovascular Disease in Health Care Center Patients
Study Details
Study Description
Brief Summary
The aim of the trial is to study the effect of a lifestyle change program in patients with obesity and risk of cardiovascular diseases. The main focus is to motivate and support lifestyle changes.
Two different group counseling methods (intensive and standard) with or without internet support will be compared. Thus, the patients will be randomized into four arms. Patients will be recruited from local general practice teams. The intensive lifestyle counseling consists of 12 group counseling sessions and 2 personal counseling sessions. The standard counseling consists of 4 group sessions. The internet-based counseling contains aspects of cognitive behavior therapy and persuasive design system and consists of weekly reminders, tasks, self-monitoring, and reflection.
The main outcome is the decrease in body weight. Secondary outcomes are changes in eating behavior, eating habits, components of metabolic syndrome (waist circumference, plasma lipid and glucose values), and calculated scores of cardiometabolic condition, cardiovascular risk and adiposity.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Group counseling
|
Behavioral: Group counseling
4 times
|
Experimental: Group counseling + persuasive ICT support
|
Behavioral: Group counseling
4 times
Behavioral: Persuasive ICT support
Weekly reminders for 12 months
|
Active Comparator: Intensive group counseling
|
Behavioral: Intensive group counseling
14 times
|
Experimental: Intensive group counseling + persuasive ICT support
|
Behavioral: Intensive group counseling
14 times
Behavioral: Persuasive ICT support
Weekly reminders for 12 months
|
Outcome Measures
Primary Outcome Measures
- Change in body weight [Baseline to 2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Body mass index 30 to 40 kg/m2
-
- 2 risk factors of cardiovascular diseases:
-
Elevated blood pressure or hypertension
-
High LDL or hypocholesterolemic drug
-
Low HDL or hypocholesterolemic drug
-
Elevated triglyceride value or hypolipidemic drug
-
Elevated glucose value or diabetes medication
-
Smoking
-
Access to email and internet
Exclusion Criteria:
-
Untreated hypothyroidism
-
Oral corticosteroid treatment
-
Pregnancy and lactation
-
Angina pectoris
-
Cardiac insufficiency
-
Coronary Heart Disease
-
Inability to speak Finnish
-
Anticipated lack of compliance
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Oulu University Hospital | Oulu | Finland | 90029 OYS |
Sponsors and Collaborators
- University of Oulu
Investigators
- Principal Investigator: Janne Hukkanen, MD, PhD, University of Oulu, Oulu University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Resepti-Onnikka