Targeted prevention in primary care aimed at lifestyle-related diseases

a study protocol for a non-randomised pilot study

Lars Bruun Larsen, Anders Larrabee Sønderlund, Jens Søndergaard, Janus Laust Thomsen, Anders Halling, Niels Christian Hvidt, Elisabeth Assing Hvidt, Troels Sune Mønsted, Line Bjørnskov Pedersen, Ewa M. Roos, Pia Vivian Pedersen, Trine Thilsing

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

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.
OriginalsprogDansk
Artikelnummer4427
TidsskriftBMC Family Practice
Vol/bind19
Udgave nummer124
DOI
StatusUdgivet - 2018

Citer dette

Bruun Larsen, L., Larrabee Sønderlund, A., Søndergaard, J., Laust Thomsen, J., Halling, A., Hvidt, N. C., ... Thilsing, T. (2018). Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study. BMC Family Practice, 19(124), [4427]. https://doi.org/10.1186/s12875-018-0820-8
Bruun Larsen, Lars ; Larrabee Sønderlund, Anders ; Søndergaard, Jens ; Laust Thomsen, Janus ; Halling, Anders ; Hvidt, Niels Christian ; Assing Hvidt, Elisabeth ; Mønsted, Troels Sune ; Bjørnskov Pedersen, Line ; M. Roos, Ewa ; Pedersen, Pia Vivian ; Thilsing, Trine . / Targeted prevention in primary care aimed at lifestyle-related diseases : a study protocol for a non-randomised pilot study. I: BMC Family Practice. 2018 ; Bind 19, Nr. 124.
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title = "Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study",
abstract = "BackgroundThe 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.MethodsThe 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.DiscussionThis 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.",
author = "{Bruun Larsen}, Lars and {Larrabee S{\o}nderlund}, Anders and Jens S{\o}ndergaard and {Laust Thomsen}, Janus and Anders Halling and Hvidt, {Niels Christian} and {Assing Hvidt}, Elisabeth and M{\o}nsted, {Troels Sune} and {Bj{\o}rnskov Pedersen}, Line and {M. Roos}, Ewa and Pedersen, {Pia Vivian} and Trine Thilsing",
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Bruun Larsen, L, Larrabee Sønderlund, A, Søndergaard, J, Laust Thomsen, J, Halling, A, Hvidt, NC, Assing Hvidt, E, Mønsted, TS, Bjørnskov Pedersen, L, M. Roos, E, Pedersen, PV & Thilsing, T 2018, 'Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study', BMC Family Practice, bind 19, nr. 124, 4427. https://doi.org/10.1186/s12875-018-0820-8

Targeted prevention in primary care aimed at lifestyle-related diseases : a study protocol for a non-randomised pilot study. / Bruun Larsen, Lars ; Larrabee Sønderlund, Anders; Søndergaard, Jens; Laust Thomsen, Janus; Halling, Anders; Hvidt, Niels Christian; Assing Hvidt, Elisabeth; Mønsted, Troels Sune; Bjørnskov Pedersen, Line; M. Roos, Ewa; Pedersen, Pia Vivian; Thilsing, Trine .

I: BMC Family Practice, Bind 19, Nr. 124, 4427, 2018.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Targeted prevention in primary care aimed at lifestyle-related diseases

T2 - a study protocol for a non-randomised pilot study

AU - Bruun Larsen, Lars

AU - Larrabee Sønderlund, Anders

AU - Søndergaard, Jens

AU - Laust Thomsen, Janus

AU - Halling, Anders

AU - Hvidt, Niels Christian

AU - Assing Hvidt, Elisabeth

AU - Mønsted, Troels Sune

AU - Bjørnskov Pedersen, Line

AU - M. Roos, Ewa

AU - Pedersen, Pia Vivian

AU - Thilsing, Trine

PY - 2018

Y1 - 2018

N2 - BackgroundThe 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.MethodsThe 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.DiscussionThis 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.

AB - BackgroundThe 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.MethodsThe 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.DiscussionThis 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.

U2 - 10.1186/s12875-018-0820-8

DO - 10.1186/s12875-018-0820-8

M3 - Tidsskriftartikel

VL - 19

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

IS - 124

M1 - 4427

ER -

Bruun Larsen L, Larrabee Sønderlund A, Søndergaard J, Laust Thomsen J, Halling A, Hvidt NC et al. Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study. BMC Family Practice. 2018;19(124). 4427. https://doi.org/10.1186/s12875-018-0820-8