A Digital Lifestyle Intervention in Primary Healthcare to Prevent Cardiovascular Disease
1 other identifier
interventional
1,000
1 country
6
Brief Summary
Unhealthy lifestyle behaviors are well-established risk factors for cardiovascular disease (CVD) which is the leading cause of death globally and in Sweden. Digitalization offers new and better possibilities for healthcare to fulfil their responsibility to support healthier lifestyles, however, to ensure scalability and sustained implementation of digital tools within healthcare, digital interventions need to be systematically maintained and delivered by the primary healthcare. The aim of this project is to evaluate whether a digital lifestyle intervention, developed within Swedish primary healthcare, can improve clinically important cardiovascular health outcomes and lifestyle behaviors. In this multi-center randomized controlled trial patients, 40-60 years, in Swedish primary healthcare will be recruited and randomized to the control or intervention group. All participants will receive standard care consisting of one structured health dialogue focused on lifestyle habits. The intervention group will also receive support through the digital lifestyle intervention for creating healthy habits regarding diet, physical activity, alcohol consumption, and tobacco usage. The primary outcome is LDL-cholesterol at 6 months post-randomization. Secondary outcomes 6 months post-randomization are HDL-, total cholesterol, fasting blood glucose, triglycerides, non-HDL, blood pressure, weight, height, BMI, waist circumference, cardiovascular risk evaluation (SCORE2), dietary intake, physical activity, sleep, stress, alcohol consumption, tobacco use, and health-related quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable cardiovascular-diseases
Started Mar 2025
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 21, 2025
CompletedFirst Posted
Study publicly available on registry
February 26, 2025
CompletedStudy Start
First participant enrolled
March 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2027
May 21, 2025
May 1, 2025
2 years
February 21, 2025
May 17, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
LDL-cholesterol
Low density lipoprotein cholesterol
6 months post-randomization
Secondary Outcomes (23)
HDL-cholesterol
6 months post-randomization
Total cholesterol
6 months post-randomization
Fasting blood glucose
6 months post-randomization
Triglycerides
6 months post-randomization
Non-HDL cholesterol
6 months post-randomization
- +18 more secondary outcomes
Study Arms (2)
Digital lifestyle intervention
EXPERIMENTALAccess to the digital intervention which will provide support for healthier lifestyle behaviors regarding diet, physical activity, sleep, stress, alcohol consumption, and use of tobacco.
Control arm
NO INTERVENTIONStandard care i.e., a routine appointment to the primary healthcare center for discussing lifestyle habits
Interventions
The digital lifestyle intervention provides support to the patient through digital lectures, home assignments and digital group meetings as well as provides the possibility for the healthcare provider to provide personalized digital support and feedback to the patient
Eligibility Criteria
You may qualify if:
- Attended a Health dialogue visit to primary healthcare for patients 40-60 years old
- Willing to change at least one lifestyle behavior regarding physical activity, diet, smoking/snus, alcohol, sleep, or stress
You may not qualify if:
- diabetes
- heart failure
- history of myocardial infarction
- history of stroke
- pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Karolinska Institutetlead
- Capio Narsjukvardcollaborator
Study Sites (6)
Primary helathcare centers in Region Gävleborg
Gävle, Sweden
Primary healthcare centers in Region Halland
Halmstad, Sweden
Primay healthcare centers in Region Östergötland
Linköping, Sweden
Primary healthcare centers in region Skåne
Malmo, Sweden
Primary healthcare centers in Region Västerbotten
Umeå, Sweden
Primary healthcare centers in Region Västmanland
Västerås, Sweden
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Marie Löf, PhD
Karolinska Institutet
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 21, 2025
First Posted
February 26, 2025
Study Start
March 3, 2025
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
June 1, 2027
Last Updated
May 21, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share