The primary aim of this study is to investigate whether a number of co-created bridge-building activities between municipality-based lifestyle programs and community-based physical activities (e.g. local sports and exercise associations) can support persons with type 2 diabetes, cardiovascular disease and/or obesity in maintain physical activity levels.
This study is an evaluation of a number of co-created bridge-building activities between municipality-based lifestyle programs and community-based physical activities. Persons with type 2 diabetes, cardiovascular disease and/or obesity initiating a lifestyle program (8-12 weeks duration) in the municipality of Odsherred, Denmark, will be included in the study. We will include sixty (n=60) persons or the number of persons recruited at the end of the recruitment period, December 1, 2022 - whichever is reached first. Participants will undergo objective measurement of physical activity level, test of standing balance, 6-minute walk test, measurement of body composition, and answer questionnaires related to their background (education, job situation, civil status), health, lifestyle and well-being. Measurements will be performed before and after participants undergo a lifestyle program, and 3 and 6 months after termination of the lifestyle program.
Study Type
OBSERVATIONAL
Enrollment
60
Four co-created bridge-building activities has been implemented in the municipality of Odsherred, including (1) A digital portal for information and sharing of knowledge, (2) Visits between municipal rehabilitation programs and community-based physical activities, (3) Co-created teams for the target group, and (4) a 'Bridge builder' coordinator.
Centre for Physical Activity Research, Rigshospitalet
Copenhagen, Denmark
RECRUITINGFeasibility and fidelity
Feasibility and fidelity are evaluated using research progression criteria. Every domain is scored as either 1) Progress to RCT (randomized controlled trial) (green), 2) Amend before progressing to RCT (amber) or 3 do not progress to RCT (red). Domains include: * Satisfaction with project activities * Recruitment rate * Test- and participation burden * Retainment * Referral rate * Adherence * Physical activity improvement
Time frame: From baseline (0 months) to follow-up (9 months)
Moderate and vigorous physical activity (MVPA) time
Change in time spend in MVPA (Accelerometer AX3)
Time frame: From baseline (0 months) to follow-up (9 months)
Sitting time
Change in time spend sitting (Accelerometer AX3)
Time frame: From baseline (0 months) to follow-up (9 months)
Low-intensity physical activity (LPA) time
Change in time spend in LPA (Accelerometer AX3)
Time frame: From baseline (0 months) to follow-up (9 months)
Total physical activity (TPA) level
Change in TPA measured in counts per minute (CPM) (Accelerometer AX3)
Time frame: From baseline (0 months) to follow-up (9 months)
Steps
Change in number of steps (Acceleromter AX3)
Time frame: From baseline (0 months) to follow-up (9 months)
Six-minute walk distance
Change in distance walked in a period of 6 minutes (6-minute walk test)
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Time frame: From baseline (0 months) to follow-up (9 months)
Standing balance
Change in time spend in three standing positions (0-30 sec)
Time frame: From baseline (0 months) to follow-up (9 months)
Body weight
Change in body weight (bioimpedance scale)
Time frame: From baseline (0 months) to follow-up (9 months)
Fat mass
Change in fat mass (bioimpedance scale)
Time frame: From baseline (0 months) to follow-up (9 months)
Fat percentage
Change in fat percentage (bioimpedance scale)
Time frame: From baseline (0 months) to follow-up (9 months)
Fat free mass
Change in fat free mass (bioimpedance scale)
Time frame: From baseline (0 months) to follow-up (9 months)
Muscle mass
Change in muscle mass (bioimpedance scale)
Time frame: From baseline (0 months) to follow-up (9 months)
Body mass index
Change in body mass index (BMI)
Time frame: From baseline (0 months) to follow-up (9 months)
Mental well-being
Change in 5-item World Health Organization well-being index (WHO-5)
Time frame: From baseline (0 months) to follow-up (9 months)
Risk of depression
Change in number of participants scoring \<50 in the WHO-5
Time frame: From baseline (0 months) to follow-up (9 months)
Physical health-related quality of life
Change in the SF-12 physical component summary (PCS)
Time frame: From baseline (0 months) to follow-up (9 months)
Mental health-related quality of life
Change in the SF-12 mental component summary (MCS)
Time frame: From baseline (0 months) to follow-up (9 months)
Perceived stress
Change in perceived stress scale (PSS) score
Time frame: From baseline (0 months) to follow-up (9 months)
Loneliness
Change in Three-Item Loneliness Scale (T-ILS) score
Time frame: From baseline (0 months) to follow-up (9 months)