The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing: The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress

R. Lappalainen (Corresponding Author), E. Sairanen, E. Järvelä, S. Rantala, R. Korpela, S. Puttonen, U.M. Kujala, T. Myllmäki, K. Peuhkuri, Elina Mattila, Kirsikka Kaipainen, Aino Ahtinen, L. Karhunen, J. Pihlajamäki, H. Järnefelt, J. Laitinen, E. Kutinlahti, O. Saarelma, Miikka Ermes, M. Kolehmainen

Research output: Contribution to journalArticleScientificpeer-review

18 Citations (Scopus)

Abstract

Background: Obesity and stress are among the most common lifestyle-related health problems. Most of the current disease prevention and management models are not satisfactorily cost-effective and hardly reach those who need them the most. Therefore, novel evidence-based controlled interventions are necessary to evaluate models for prevention and treatment based on self-management. This randomized controlled trial examines the effectiveness, applicability, and acceptability of different lifestyle interventions with individuals having symptoms of metabolic syndrome and psychological distress. The offered interventions are based on cognitive behavioral approaches, and are designed for enhancing general well-being and supporting personalized lifestyle changes.

Methods/Design: 339 obese individuals reporting stress symptoms were recruited and randomized to either (1) a minimal contact web-guided Cognitive Behavioral Therapy-based (CBT) intervention including an approach of health assessment and coaching methods, (2) a mobile-guided intervention comprising of mindfulness, acceptance and value-based exercises, (3) a face-to-face group intervention using mindfulness, acceptance and value-based approach, or (4) a control group. The participants were measured three times during the study (pre = week 0, post = week 10, and follow-up = week 36). Psychological well-being, lifestyles and habits, eating behaviors, and user experiences were measured using online surveys. Laboratory measurements for physical well-being and general health were performed including e.g. liver function, thyroid glands, kidney function, blood lipids and glucose levels and body composition analysis. In addition, a 3-day ambulatory heart rate and 7-day movement data were collected for analyzing stress, recovery, physical activity, and sleep patterns. Food intake data were collected with a 48 -hour diet recall interview via telephone. Differences in the effects of the interventions would be examined using multiple-group modeling techniques, and effect-size calculations.

Discussion: This study will provide additional knowledge about the effects of three low intensity interventions for improving general well-being among individuals with obesity and stress symptoms. The study will show effects of two technology guided self-help interventions as well as effect of an acceptance and value-based brief group intervention. Those who might benefit from the aforesaid interventions will increase knowledge base to better understand what mechanisms facilitate effects of the interventions.

Trial registration: Current Clinical Trials NCT01738256, Registered 17 August, 2012.
Original languageEnglish
Article number310
Number of pages16
JournalBMC Public Health
Volume14
DOIs
Publication statusPublished - 2014
MoE publication typeA1 Journal article-refereed

Fingerprint

Life Style
Randomized Controlled Trials
Psychology
Mindfulness
Health
Obesity
Knowledge Bases
Cognitive Therapy
Feeding Behavior
Self Care
Disease Management
Body Composition
Habits
Blood Glucose
Sleep
Thyroid Gland
Eating
Heart Rate
Clinical Trials
Interviews

Keywords

  • Acceptance and Commitment Therapy
  • Cognitive behavioral therapy
  • Lifestyle
  • Mobile application
  • Obesity
  • Stress
  • Technology-aided interventions
  • Web-based intervention
  • Well-being

Cite this

Lappalainen, R. ; Sairanen, E. ; Järvelä, E. ; Rantala, S. ; Korpela, R. ; Puttonen, S. ; Kujala, U.M. ; Myllmäki, T. ; Peuhkuri, K. ; Mattila, Elina ; Kaipainen, Kirsikka ; Ahtinen, Aino ; Karhunen, L. ; Pihlajamäki, J. ; Järnefelt, H. ; Laitinen, J. ; Kutinlahti, E. ; Saarelma, O. ; Ermes, Miikka ; Kolehmainen, M. / The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing : The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress. In: BMC Public Health. 2014 ; Vol. 14.
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Lappalainen, R, Sairanen, E, Järvelä, E, Rantala, S, Korpela, R, Puttonen, S, Kujala, UM, Myllmäki, T, Peuhkuri, K, Mattila, E, Kaipainen, K, Ahtinen, A, Karhunen, L, Pihlajamäki, J, Järnefelt, H, Laitinen, J, Kutinlahti, E, Saarelma, O, Ermes, M & Kolehmainen, M 2014, 'The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing: The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress', BMC Public Health, vol. 14, 310. https://doi.org/10.1186/1471-2458-14-310

The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing : The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress. / Lappalainen, R. (Corresponding Author); Sairanen, E.; Järvelä, E.; Rantala, S.; Korpela, R.; Puttonen, S.; Kujala, U.M.; Myllmäki, T.; Peuhkuri, K.; Mattila, Elina; Kaipainen, Kirsikka; Ahtinen, Aino; Karhunen, L.; Pihlajamäki, J.; Järnefelt, H.; Laitinen, J.; Kutinlahti, E.; Saarelma, O.; Ermes, Miikka; Kolehmainen, M.

In: BMC Public Health, Vol. 14, 310, 2014.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing

T2 - The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress

AU - Lappalainen, R.

AU - Sairanen, E.

AU - Järvelä, E.

AU - Rantala, S.

AU - Korpela, R.

AU - Puttonen, S.

AU - Kujala, U.M.

AU - Myllmäki, T.

AU - Peuhkuri, K.

AU - Mattila, Elina

AU - Kaipainen, Kirsikka

AU - Ahtinen, Aino

AU - Karhunen, L.

AU - Pihlajamäki, J.

AU - Järnefelt, H.

AU - Laitinen, J.

AU - Kutinlahti, E.

AU - Saarelma, O.

AU - Ermes, Miikka

AU - Kolehmainen, M.

PY - 2014

Y1 - 2014

N2 - Background: Obesity and stress are among the most common lifestyle-related health problems. Most of the current disease prevention and management models are not satisfactorily cost-effective and hardly reach those who need them the most. Therefore, novel evidence-based controlled interventions are necessary to evaluate models for prevention and treatment based on self-management. This randomized controlled trial examines the effectiveness, applicability, and acceptability of different lifestyle interventions with individuals having symptoms of metabolic syndrome and psychological distress. The offered interventions are based on cognitive behavioral approaches, and are designed for enhancing general well-being and supporting personalized lifestyle changes. Methods/Design: 339 obese individuals reporting stress symptoms were recruited and randomized to either (1) a minimal contact web-guided Cognitive Behavioral Therapy-based (CBT) intervention including an approach of health assessment and coaching methods, (2) a mobile-guided intervention comprising of mindfulness, acceptance and value-based exercises, (3) a face-to-face group intervention using mindfulness, acceptance and value-based approach, or (4) a control group. The participants were measured three times during the study (pre = week 0, post = week 10, and follow-up = week 36). Psychological well-being, lifestyles and habits, eating behaviors, and user experiences were measured using online surveys. Laboratory measurements for physical well-being and general health were performed including e.g. liver function, thyroid glands, kidney function, blood lipids and glucose levels and body composition analysis. In addition, a 3-day ambulatory heart rate and 7-day movement data were collected for analyzing stress, recovery, physical activity, and sleep patterns. Food intake data were collected with a 48 -hour diet recall interview via telephone. Differences in the effects of the interventions would be examined using multiple-group modeling techniques, and effect-size calculations. Discussion: This study will provide additional knowledge about the effects of three low intensity interventions for improving general well-being among individuals with obesity and stress symptoms. The study will show effects of two technology guided self-help interventions as well as effect of an acceptance and value-based brief group intervention. Those who might benefit from the aforesaid interventions will increase knowledge base to better understand what mechanisms facilitate effects of the interventions. Trial registration: Current Clinical Trials NCT01738256, Registered 17 August, 2012.

AB - Background: Obesity and stress are among the most common lifestyle-related health problems. Most of the current disease prevention and management models are not satisfactorily cost-effective and hardly reach those who need them the most. Therefore, novel evidence-based controlled interventions are necessary to evaluate models for prevention and treatment based on self-management. This randomized controlled trial examines the effectiveness, applicability, and acceptability of different lifestyle interventions with individuals having symptoms of metabolic syndrome and psychological distress. The offered interventions are based on cognitive behavioral approaches, and are designed for enhancing general well-being and supporting personalized lifestyle changes. Methods/Design: 339 obese individuals reporting stress symptoms were recruited and randomized to either (1) a minimal contact web-guided Cognitive Behavioral Therapy-based (CBT) intervention including an approach of health assessment and coaching methods, (2) a mobile-guided intervention comprising of mindfulness, acceptance and value-based exercises, (3) a face-to-face group intervention using mindfulness, acceptance and value-based approach, or (4) a control group. The participants were measured three times during the study (pre = week 0, post = week 10, and follow-up = week 36). Psychological well-being, lifestyles and habits, eating behaviors, and user experiences were measured using online surveys. Laboratory measurements for physical well-being and general health were performed including e.g. liver function, thyroid glands, kidney function, blood lipids and glucose levels and body composition analysis. In addition, a 3-day ambulatory heart rate and 7-day movement data were collected for analyzing stress, recovery, physical activity, and sleep patterns. Food intake data were collected with a 48 -hour diet recall interview via telephone. Differences in the effects of the interventions would be examined using multiple-group modeling techniques, and effect-size calculations. Discussion: This study will provide additional knowledge about the effects of three low intensity interventions for improving general well-being among individuals with obesity and stress symptoms. The study will show effects of two technology guided self-help interventions as well as effect of an acceptance and value-based brief group intervention. Those who might benefit from the aforesaid interventions will increase knowledge base to better understand what mechanisms facilitate effects of the interventions. Trial registration: Current Clinical Trials NCT01738256, Registered 17 August, 2012.

KW - Acceptance and Commitment Therapy

KW - Cognitive behavioral therapy

KW - Lifestyle

KW - Mobile application

KW - Obesity

KW - Stress

KW - Technology-aided interventions

KW - Web-based intervention

KW - Well-being

U2 - 10.1186/1471-2458-14-310

DO - 10.1186/1471-2458-14-310

M3 - Article

VL - 14

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 310

ER -