Enjoyment Mediates Long-term Changes in Physical Activity Level in a Physical Activity on Prescription Intervention.

NCT06749249 | Completed

• 1 other identifier: Mediator study 282895
• Study Type: observational
• Target: 444
• Locations: 0 countries
• Sites: N/A

Brief Summary

A sufficient level of physical activity (PA) positively affects health and longevity. In Swedish healthcare, insufficiently physically active patients are offered physical activity on prescription (PAP) treatment, an individual support to increase physical activity level. This study investigates the influence of possible mediators and factors associated with a PA level change in primary care patients during a 5-year PAP intervention. The study population includes 444 patients (56% females), aged 27 to 85 years, with metabolic risk factors and being physically inactive. The patients receive individualized PAP-treatment including PA-consultations, agreed PA recommendations with a written prescription, and structured follow-ups. Associations between 10 theoretical important mediators and factors of PA change, measured at 6 occasions, are analysed against PA level at 5 years and PA level change during the 5-year intervention.

Conditions

Health Behavior; Physical Activity; Metabolic Syndrome; Primary Health Care; Adults

Keywords

Physical activity on prescription; Mediators of physical activity change

Outcome Measures

Primary Outcomes (1)

• Change in self-reported PA-level according to the public health recommendation.

  Self-assessment of PA-level according to American college of sports medicine (ACSM) and American heart association (AHA) public health recommendation 2007. The patient responds to two PA questions, where 30 minutes of moderate-intensity PA per day results in 1 point and 20 minutes of more vigorous-intensity PA per day results in 1.7 point during each specific day of the week. A value of \<5 points indicates an inadequate PA level corresponding to \<150 min/week at a moderate intensity level alternatively 75 min/week at a high intensity level.

  From enrollment to the end of treatment at 5 years.

Secondary Outcomes (7)

• Outcome expectations - Outcome Expectations for Exercise-2 Scale (OEE-2)

  From enrollment to the end of treatment at 5 years

• Enjoyment - Physical Activity Enjoyment Scale (PACES)

  From enrollment to the end of treatment at 5 years.

• Confidence in readiness to change

  From enrollment to the end of treatment at 5 years.

• Self-efficacy expectations - Self-Efficacy for Exercise Scale (SEE)

  From enrollment to the end of treatment at 5 years.

• Social support - Social support for exercise scale (SSES)

  From enrollment to the end of treatment at 5 years.

Other Outcomes (1)

• Socio demographic data.

  From enrollment to the end of treatment at 5 years.

Eligibility Criteria

• Age: 27 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population included 444 patients, aged 27-85 years, with metabolic risk factors and being insufficiently physically active according to the internationally recommended minimum PA level of 150 min/week. The patients were recruited between 2010 and 2014 from 15 primary health care centres in Gothenburg, Sweden, as a convenience sample after agreeing to participate in the PAP treatment.

You may qualify if:

• Physically inactive according to ACSM/AHA public health recommendation from 2007.
• Having at least one component of the metS present according to the National Cholesterol Education Program (NCEP) classification.
• Receiving PAP-treatment. Understanding the Swedish language.

You may not qualify if:

• The patient decline to participate.

Sponsors & Collaborators

• Vastra Gotaland Region: lead

Related Publications (22)

• Buffey AJ, Herring MP, Langley CK, Donnelly AE, Carson BP. The Acute Effects of Interrupting Prolonged Sitting Time in Adults with Standing and Light-Intensity Walking on Biomarkers of Cardiometabolic Health in Adults: A Systematic Review and Meta-analysis. Sports Med. 2022 Aug;52(8):1765-1787. doi: 10.1007/s40279-022-01649-4. Epub 2022 Feb 11.

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  BACKGROUND

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• Lundqvist S, Cider A, Larsson MEH, Hagberg L, Bjork MP, Borjesson M. The effects of a 5-year physical activity on prescription (PAP) intervention in patients with metabolic risk factors. PLoS One. 2022 Oct 31;17(10):e0276868. doi: 10.1371/journal.pone.0276868. eCollection 2022.

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MeSH Terms

Conditions

Health Behavior; Motor Activity; Metabolic Syndrome

Condition Hierarchy (Ancestors)

Behavior; Insulin Resistance; Hyperinsulinism; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 5 Years
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 19, 2024
• First Posted: December 27, 2024
• Study Start: January 1, 2010
• Primary Completion: August 1, 2014
• Study Completion: May 2, 2019
• Last Updated: January 6, 2025

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share
• Time Frame: A source data file will be available in section "Supporting information" in published article.