LOFIT (Lifestyle front Office For Integrating lifestyle medicine in the Treatment of patients): a novel care model towards community-based options for lifestyle change-study protocol.

Autor: van Dijk ML; Amsterdam UMC, VU University Medical Center, Department of Public and Occupational Health, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. mlvandijk95@gmail.com.; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands. mlvandijk95@gmail.com.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands. mlvandijk95@gmail.com.; Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands. mlvandijk95@gmail.com., Te Loo LM; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.; Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Haarlem, The Netherlands., Vrijsen J; Department of Orthopedics, Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., van den Akker-Scheek I; Department of Orthopedics, Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Westerveld S; Department of Orthopedics, Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Annema M; Department of Orthopedics, Ommelander Hospital Groningen, Scheemda, Groningen, The Netherlands., van Beek A; Department of Endocrinology and Metabolic Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., van den Berg J; Department of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Boerboom AL; Department of Orthopedics, Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Bouma A; Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., de Bruijne M; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Crasborn J; Health Insurance Expertise (formerly Zilveren Kruis), Utrecht, The Netherlands., van Dongen JM; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Driessen A; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Eijkelenkamp K; Department of Endocrinology and Metabolic Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Goelema N; Department of Orthopedics, Ommelander Hospital Groningen, Scheemda, Groningen, The Netherlands., Holla J; Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Haarlem, The Netherlands.; Amsterdam Rehabilitation Research Centre, Reade, Amsterdam, The Netherlands., de Jong J; Institute of Sports Studies, Hanze University of Applied Sciences, Groningen, The Netherlands., de Joode A; Department of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Kievit A; Department of Orthopedics, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands., Klooster JV; Department of Strategy, Development and External Relations, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Kruizenga H; Department of Nutrition & Dietetics, Amsterdam UMC location Vrije Universiteit, De Boelelaan, 1117, Amsterdam, The Netherlands., van der Leeden M; Department of Rehabilitation Medicine, Amsterdam Movement Sciences Research Institute, Amsterdam Public Health Research Institute, Amsterdam UMC location Vrije Universiteit, Amsterdam, The Netherlands., Linders L; Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Haarlem, The Netherlands., Marks-Vieveen J; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.; Department of Anesthesiology, Amsterdam UMC location Vrije Universiteit, De Boelelaan, 1117, Amsterdam, The Netherlands., Mulder DJ; Department of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Muller F; Zilveren Kruis, Leiden, The Netherlands., van Nassau F; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Nauta J; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Oostvogels S; Menzis, Groningen, The Netherlands., Oude Sogtoen J; Huis voor de Sport in Groningen, Groningen, The Netherlands., van der Ploeg HP; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Rijnbeek P; NL Actief, Ede, The Netherlands., Schouten L; Team Sportservice Noord-Holland, Haarlem, The Netherlands., Schuling R; Institute of Sports Studies, Hanze University of Applied Sciences, Groningen, The Netherlands., Serné EH; Department of Internal Medicine, Amsterdam UMC location Vrije Universiteit, De Boelelaan, 1117, Amsterdam, The Netherlands., Smuling S; Huis voor de Sport in Groningen, Groningen, The Netherlands., Soeters MR; Department of Internal Medicine, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands., Verhagen EALM; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Zwerver J; Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.; Sports Valley, Sports Medicine, Gelderse Vallei Hospital, Ede, The Netherlands., Dekker R; Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., van Mechelen W; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Jelsma JGM; Department of Public and Occupational Health, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Health Behaviors & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.; Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Trials [Trials] 2023 Feb 17; Vol. 24 (1), pp. 114. Date of Electronic Publication: 2023 Feb 17.
DOI: 10.1186/s13063-022-06960-z
Abstrakt: Background: A healthy lifestyle is indispensable for the prevention of noncommunicable diseases. However, lifestyle medicine is hampered by time constraints and competing priorities of treating physicians. A dedicated lifestyle front office (LFO) in secondary/tertiary care may provide an important contribution to optimize patient-centred lifestyle care and connect to lifestyle initiatives from the community. The LOFIT study aims to gain insight into the (cost-)effectiveness of the LFO.
Methods: Two parallel pragmatic randomized controlled trials will be conducted for (cardio)vascular disorders (i.e. (at risk of) (cardio)vascular disease, diabetes) and musculoskeletal disorders (i.e. osteoarthritis, hip or knee prosthesis). Patients from three outpatient clinics in the Netherlands will be invited to participate in the study. Inclusion criteria are body mass index (BMI) ≥25 (kg/m 2 ) and/or smoking. Participants will be randomly allocated to either the intervention group or a usual care control group. In total, we aim to include 552 patients, 276 in each trial divided over both treatment arms. Patients allocated to the intervention group will participate in a face-to-face motivational interviewing (MI) coaching session with a so-called lifestyle broker. The patient will be supported and guided towards suitable community-based lifestyle initiatives. A network communication platform will be used to communicate between the lifestyle broker, patient, referred community-based lifestyle initiative and/or other relevant stakeholders (e.g. general practitioner). The primary outcome measure is the adapted Fuster-BEWAT, a composite health risk and lifestyle score consisting of resting systolic and diastolic blood pressure, objectively measured physical activity and sitting time, BMI, fruit and vegetable consumption and smoking behaviour. Secondary outcomes include cardiometabolic markers, anthropometrics, health behaviours, psychological factors, patient-reported outcome measures (PROMs), cost-effectiveness measures and a mixed-method process evaluation. Data collection will be conducted at baseline, 3, 6, 9 and 12 months follow-up.
Discussion: This study will gain insight into the (cost-)effectiveness of a novel care model in which patients under treatment in secondary or tertiary care are referred to community-based lifestyle initiatives to change their lifestyle.
Trial Registration: ISRCTN ISRCTN13046877 . Registered 21 April 2022.
(© 2023. The Author(s).)
Databáze: MEDLINE
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