Development and feasibility of a function-based preventive intervention for lifestyle-related disorders
Abstract Background The enormous effect of lifestyle-related disorders on health of the global population warrants the development of preventive interventions. Focusing on musculoskeletal health and physical activity may be a way to encourage necessary lifestyle changes by making them more concrete...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-024-18017-8 |
| _version_ | 1797272956134490112 |
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| author | Lena Bornhöft Daniel Arvidsson Anna Bergenheim Mats Börjesson Jonatan Fridolfsson Margareta Hellgren Lena Nordeman Maria EH Larsson |
| author_facet | Lena Bornhöft Daniel Arvidsson Anna Bergenheim Mats Börjesson Jonatan Fridolfsson Margareta Hellgren Lena Nordeman Maria EH Larsson |
| author_sort | Lena Bornhöft |
| collection | DOAJ |
| description | Abstract Background The enormous effect of lifestyle-related disorders on health of the global population warrants the development of preventive interventions. Focusing on musculoskeletal health and physical activity may be a way to encourage necessary lifestyle changes by making them more concrete and understandable. The aims of the current study were to develop a function-based preventive intervention aimed at lifestyle-related disorders in physically inactive 40-year-old people and to investigate the feasibility of the intervention. The feasibility study aimed to solve practical and logistical challenges and to develop the intervention based on the experiences of participants and involved clinical personnel according to defined criteria. Methods Development of the standardised functional examination was based on literature-validated tests and clinical reasoning. Development of a risk profile was based on the functional examination and similar profiles which have already proved feasible. The feasibility of the functional examination and risk profile, together with function-based lifestyle counselling was tested on 27 participants in a pilot study with two physiotherapist examinations over a four-month period. Practical results and feedback from participants and collaborating personnel were examined. Results The functional examination consists of 20 established tests not requiring specialised equipment or training which were deemed relevant for a middle-aged population and a sub-maximal ergometer test. The risk profile consists of seven functional dimensions: cardiovascular fitness, strength in upper extremity, lower extremity and trunk, mobility, balance and posture, and three non-functional dimensions: weight, self-assessed physical activity and pain. Each dimension contains at least two measures. The participants appreciated the intervention and found it motivating for making lifestyle changes. They found the tests and risk profile understandable and could see them as tools to help achieve concrete goals. The examination required 60–75 min for one physiotherapist. The recruitment rate was low and recruited participants were highly motivated to making lifestyle changes. Conclusion This project developed a functional test battery and risk profile aimed at inactive 40-year-olds which fulfilled our feasibility criteria. Functional screening and lifestyle counselling were found to be of value to a sub-group of inactive 40-year-olds who were already motivated to improve their health situations. Trial registration ClinicalTrials.gov: NCT05535296 first posted on 10/09/2022. |
| first_indexed | 2024-03-07T14:36:46Z |
| format | Article |
| id | doaj.art-4f8502c037884fe5835e513388fad08e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T14:36:46Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-4f8502c037884fe5835e513388fad08e2024-03-05T20:35:52ZengBMCBMC Public Health1471-24582024-03-0124111510.1186/s12889-024-18017-8Development and feasibility of a function-based preventive intervention for lifestyle-related disordersLena Bornhöft0Daniel Arvidsson1Anna Bergenheim2Mats Börjesson3Jonatan Fridolfsson4Margareta Hellgren5Lena Nordeman6Maria EH Larsson7Research, Education, Development, Innovation and Implementation, Primary Health CareCenter for Health and Performance, Department of Food and Nutrition and Sport Science, Faculty of Education, University of GothenburgResearch, Education, Development, Innovation and Implementation, Primary Health CareDepartment of Molecular and Clinical Medicine, Sahlgrenska Academy at University of GothenburgCenter for Health and Performance, Department of Food and Nutrition and Sport Science, Faculty of Education, University of GothenburgGeneral practice - Family medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgResearch, Education, Development, Innovation and Implementation, Primary Health CareResearch, Education, Development, Innovation and Implementation, Primary Health CareAbstract Background The enormous effect of lifestyle-related disorders on health of the global population warrants the development of preventive interventions. Focusing on musculoskeletal health and physical activity may be a way to encourage necessary lifestyle changes by making them more concrete and understandable. The aims of the current study were to develop a function-based preventive intervention aimed at lifestyle-related disorders in physically inactive 40-year-old people and to investigate the feasibility of the intervention. The feasibility study aimed to solve practical and logistical challenges and to develop the intervention based on the experiences of participants and involved clinical personnel according to defined criteria. Methods Development of the standardised functional examination was based on literature-validated tests and clinical reasoning. Development of a risk profile was based on the functional examination and similar profiles which have already proved feasible. The feasibility of the functional examination and risk profile, together with function-based lifestyle counselling was tested on 27 participants in a pilot study with two physiotherapist examinations over a four-month period. Practical results and feedback from participants and collaborating personnel were examined. Results The functional examination consists of 20 established tests not requiring specialised equipment or training which were deemed relevant for a middle-aged population and a sub-maximal ergometer test. The risk profile consists of seven functional dimensions: cardiovascular fitness, strength in upper extremity, lower extremity and trunk, mobility, balance and posture, and three non-functional dimensions: weight, self-assessed physical activity and pain. Each dimension contains at least two measures. The participants appreciated the intervention and found it motivating for making lifestyle changes. They found the tests and risk profile understandable and could see them as tools to help achieve concrete goals. The examination required 60–75 min for one physiotherapist. The recruitment rate was low and recruited participants were highly motivated to making lifestyle changes. Conclusion This project developed a functional test battery and risk profile aimed at inactive 40-year-olds which fulfilled our feasibility criteria. Functional screening and lifestyle counselling were found to be of value to a sub-group of inactive 40-year-olds who were already motivated to improve their health situations. Trial registration ClinicalTrials.gov: NCT05535296 first posted on 10/09/2022.https://doi.org/10.1186/s12889-024-18017-8Lifestyle-related disordersPreventionPhysical activityFunctionRisk profile |
| spellingShingle | Lena Bornhöft Daniel Arvidsson Anna Bergenheim Mats Börjesson Jonatan Fridolfsson Margareta Hellgren Lena Nordeman Maria EH Larsson Development and feasibility of a function-based preventive intervention for lifestyle-related disorders BMC Public Health Lifestyle-related disorders Prevention Physical activity Function Risk profile |
| title | Development and feasibility of a function-based preventive intervention for lifestyle-related disorders |
| title_full | Development and feasibility of a function-based preventive intervention for lifestyle-related disorders |
| title_fullStr | Development and feasibility of a function-based preventive intervention for lifestyle-related disorders |
| title_full_unstemmed | Development and feasibility of a function-based preventive intervention for lifestyle-related disorders |
| title_short | Development and feasibility of a function-based preventive intervention for lifestyle-related disorders |
| title_sort | development and feasibility of a function based preventive intervention for lifestyle related disorders |
| topic | Lifestyle-related disorders Prevention Physical activity Function Risk profile |
| url | https://doi.org/10.1186/s12889-024-18017-8 |
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