Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials
Abstract Background The incidence and prevalence of chronic diseases have reached epidemic proportions during the last decades and are not expected to diminish. Chronic diseases increasingly affect younger individuals too, with over 40% of all deaths due to non-communicable diseases occurring before...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Trials |
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| Online Access: | http://link.springer.com/article/10.1186/s13063-018-2630-7 |
| _version_ | 1811326496988463104 |
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| author | Kelly F. J. Stewart Anke Wesselius Annemie M. W. J. Schols Maurice P. Zeegers |
| author_facet | Kelly F. J. Stewart Anke Wesselius Annemie M. W. J. Schols Maurice P. Zeegers |
| author_sort | Kelly F. J. Stewart |
| collection | DOAJ |
| description | Abstract Background The incidence and prevalence of chronic diseases have reached epidemic proportions during the last decades and are not expected to diminish. Chronic diseases increasingly affect younger individuals too, with over 40% of all deaths due to non-communicable diseases occurring before the age of 70. This has led to the development of information services aimed at preventive health care, such as Health Potential®. This counselling service estimates a personal disease risk of a carefully selected list of preventable common chronic diseases that have both a genetic and a lifestyle component of development. The results are delivered face-to-face by a lifestyle counsellor, simultaneously stimulating initial steps towards behaviour change. This information can assist in lifestyle decision-making. Methods/design The primary aim is to study the effect of the Health Potential® service on change in lifestyle behaviour in distinguishable customer populations. The secondary aims are (1) to study the effect of the Health Potential® service on determinants of behaviour change, (2) to study the effect of additional lifestyle counselling on behaviour change and determinants thereof, and (3) to describe the characteristics of the Health Potential® customer. The study consists of two integrated designs: (A) a two-armed non-randomised controlled pre-test/post-test trial (1.5:1 ratio), followed by (B) a two-armed randomised controlled pre-test/post-test trial (1:1 ratio), resulting in three study arms. Participants are clients of local prevention clinics, purchasing a personalised health check (PHC; intervention condition), consisting of Health Potential® and a general health check, or the general health check alone (GHC; control condition) (part A). PHC participants will be randomised to receive four additional lifestyle counselling sessions over a period of 3 months (part B). Discussion This research can provide valuable insights into the effectiveness of and possible ways forward in the field of personalised prevention making use of lifestyle interventions enriched with modern genetic advancements. Trial registration Nederlands Trial Register, NTR6289 and NTR6288. Registered on 24 February 2017. |
| first_indexed | 2024-04-13T14:50:18Z |
| format | Article |
| id | doaj.art-087cd859364e417f92d885f4dba58814 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-13T14:50:18Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-087cd859364e417f92d885f4dba588142022-12-22T02:42:36ZengBMCTrials1745-62152018-04-011911910.1186/s13063-018-2630-7Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trialsKelly F. J. Stewart0Anke Wesselius1Annemie M. W. J. Schols2Maurice P. Zeegers3Department of Complex Genetics, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht UniversityDepartment of Complex Genetics, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht UniversityDepartment of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht UniversityDepartment of Complex Genetics, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht UniversityAbstract Background The incidence and prevalence of chronic diseases have reached epidemic proportions during the last decades and are not expected to diminish. Chronic diseases increasingly affect younger individuals too, with over 40% of all deaths due to non-communicable diseases occurring before the age of 70. This has led to the development of information services aimed at preventive health care, such as Health Potential®. This counselling service estimates a personal disease risk of a carefully selected list of preventable common chronic diseases that have both a genetic and a lifestyle component of development. The results are delivered face-to-face by a lifestyle counsellor, simultaneously stimulating initial steps towards behaviour change. This information can assist in lifestyle decision-making. Methods/design The primary aim is to study the effect of the Health Potential® service on change in lifestyle behaviour in distinguishable customer populations. The secondary aims are (1) to study the effect of the Health Potential® service on determinants of behaviour change, (2) to study the effect of additional lifestyle counselling on behaviour change and determinants thereof, and (3) to describe the characteristics of the Health Potential® customer. The study consists of two integrated designs: (A) a two-armed non-randomised controlled pre-test/post-test trial (1.5:1 ratio), followed by (B) a two-armed randomised controlled pre-test/post-test trial (1:1 ratio), resulting in three study arms. Participants are clients of local prevention clinics, purchasing a personalised health check (PHC; intervention condition), consisting of Health Potential® and a general health check, or the general health check alone (GHC; control condition) (part A). PHC participants will be randomised to receive four additional lifestyle counselling sessions over a period of 3 months (part B). Discussion This research can provide valuable insights into the effectiveness of and possible ways forward in the field of personalised prevention making use of lifestyle interventions enriched with modern genetic advancements. Trial registration Nederlands Trial Register, NTR6289 and NTR6288. Registered on 24 February 2017.http://link.springer.com/article/10.1186/s13063-018-2630-7Personalised medicinePersonalised preventionTrialsDirect-to-consumer geneticsLifestyle epidemiologyGenetic epidemiology |
| spellingShingle | Kelly F. J. Stewart Anke Wesselius Annemie M. W. J. Schols Maurice P. Zeegers Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials Trials Personalised medicine Personalised prevention Trials Direct-to-consumer genetics Lifestyle epidemiology Genetic epidemiology |
| title | Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials |
| title_full | Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials |
| title_fullStr | Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials |
| title_full_unstemmed | Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials |
| title_short | Stages of behavioural change after direct-to-consumer disease risk profiling: study protocol of two integrated controlled pragmatic trials |
| title_sort | stages of behavioural change after direct to consumer disease risk profiling study protocol of two integrated controlled pragmatic trials |
| topic | Personalised medicine Personalised prevention Trials Direct-to-consumer genetics Lifestyle epidemiology Genetic epidemiology |
| url | http://link.springer.com/article/10.1186/s13063-018-2630-7 |
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