Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
122 participants
INTERVENTIONAL
2022-04-09
2024-05-08
Brief Summary
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Detailed Description
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Engaging everyday activities (EEA´s) are activities the person perceives as valuable, meaningful, and purposeful, as well as provide positive feelings and a sense of participation. EEA´s are performed regularly and are a part of a person's life and depending on the activity it may or may not contribute to health.
The MMD prevention program is person-centered group interventio with health professionals as interventionists. The program starts with an individual meeting at baseline with a lifestyle analysis that includes formulating individual activity goals. Follow-up assessment is done one week after the last group session. There are 6 group sessions where each session has a pre-set theme e.g. stroke risk, engaging everyday activities, physical activity, diet, life habits and routines. Five group-sessions will be conducted over a five week period with a booster session after another five weeks, in total 10 weeks.
The MMD prevention program is a theoretically grounded, complex intervention developed in accordance with the Medical Research Council (MRC) guidelines for developing complex interventions. And in line with the MRC guidelines a feasibility and pilot study have already been conducted. To enable reduction of stroke risk and achieve healthy lifestyle habits the MMD program uses strategies based on behavioural change theories. Behaviour change derives from the interaction process between the person, the environment, and the action. Key in the MMD-program is the incorporation of health beneficial EEA´s, either to incorporate new health beneficial EEA´s or to alter current non health beneficial EEA´s.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Prevention treatment group
10 week stroke prevention program with six group sessions on pre-set themes targeting modifiable stroke risk factors . The group sessions are chaired by health professionals but also consists of peer learning to support change in lifestyle habits and activity patterns and reduce stroke risk. The change process is supported with a mHealth application for daily registrering of six domains; stroke risk factors, EEA, stress and goal achievement.
A lifestyle and stroke risk analysis will be performed at baseline measures, at follow up and at 12 month follow up.
Make My Day - stroke prevention program
A stroke prevention program within primary healthcare
Standard treatment group
Usual care within primary healthcare. At baseline, follow up and at 12 month follow up a lifestyle and stroke risk analysis will be conducted.
No interventions assigned to this group
Interventions
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Make My Day - stroke prevention program
A stroke prevention program within primary healthcare
Eligibility Criteria
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Inclusion Criteria
* Motivated for lifestyle change
* Motivated for participating in a digital lifestyle prevention (including user of a smartphone or tablet)
* Between 55-75 years of age and without a diagnosis of dementia or cognitive impairment hindering participation
Exclusion Criteria
* Lack of understanding the Swedish language
Other:
* All participants may choose to interrupt their participation in the study at any time.
* The researcher can also discontinue a participant's participation based on health issues or reasons that might jeopardize that person's safety. Reasons for interruption will be recorded.
55 Years
75 Years
ALL
No
Sponsors
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Forte
INDUSTRY
Region Stockholm
OTHER_GOV
Karolinska Institutet
OTHER
Responsible Party
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Ann-Helen Patomella
Associate Professor
Principal Investigators
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Ann-Helen Patomella, PhD
Role: PRINCIPAL_INVESTIGATOR
Karolinska Institutet
Locations
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Stockholms Sjukhem
Stockholm, , Sweden
Countries
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References
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Malstam E, Asaba E, Akesson E, Guidetti S, Patomella AH. 'Weaving lifestyle habits': Complex pathways to health for persons at risk for stroke. Scand J Occup Ther. 2022 Feb;29(2):152-164. doi: 10.1080/11038128.2021.1903991. Epub 2021 Apr 4.
Patomella AH, Guidetti S, Malstam E, Eriksson C, Bergstrom A, Akesson E, Kottorp A, Asaba E. Primary prevention of stroke: randomised controlled pilot trial protocol on engaging everyday activities promoting health. BMJ Open. 2019 Nov 2;9(11):e031984. doi: 10.1136/bmjopen-2019-031984.
Patomella AH, Farias L, Eriksson C, Guidetti S, Asaba E. Engagement in Everyday Activities for Prevention of Stroke: Feasibility of an mHealth-Supported Program for People with TIA. Healthcare (Basel). 2021 Jul 30;9(8):968. doi: 10.3390/healthcare9080968.
Asaba E, Bergstrom A, Patomella AH, Guidetti S. Engaging occupations among persons at risk for stroke: A health paradox. Scand J Occup Ther. 2022 Feb;29(2):116-125. doi: 10.1080/11038128.2020.1829036. Epub 2020 Oct 6.
Patomella AH, Guidetti S, Hagstromer M, Olsson CB, Jakobsson E, Nilsson GH, Akesson E, Asaba E. Make My Day: primary prevention of stroke using engaging everyday activities as a mediator of sustainable health - a randomised controlled trial and process evaluation protocol. BMJ Open. 2023 Dec 6;13(12):e072037. doi: 10.1136/bmjopen-2023-072037.
Other Identifiers
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KI2020-00175
Identifier Type: -
Identifier Source: org_study_id
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