Targeted Health Dialogues in Primary Care

Официальное название

Targeted Health Dialogues in Primary Care: Lifestyle Screening and Molecular Profiling for a Healthier Life

Обзор

The County Council of Region Skåne, Sweden, has recently initiated Targeted Health Dialogues in primary care. The prevention program includes health dialogues provided by specially trained personnel, collection of clinical and laboratory data as well as questionnaire data on, e.g., individual health and health behaviors. So far, it enrolls all 40-year old Swedish and foreign-born inhabitants in the county and it will also include all 50- and 60-year old persons within a near future. A research project will be integrated within the program where the collected data will be linked, on the individual level, to national and regional data on hospital admissions, clinical diagnoses from specialist clinics and primary care, causes of death, and prescriptions. The individual linkages will also include population data on sociodemographic characteristics, neighborhood of residence and family relations. Blood samples will be collected for analyses of molecular biomarkers. The research project will examine associations between potential predictors and future risk of cardiovascular diseases and other serious diseases, such as cancer, and also whether the effect of the prevention program is modified by these potential predictors. The effect of the intervention will be examined, and whether the protocol needs to be modified in order to develop more precise and personalized medicine.

Подробное описание

The County Council of Region Skåne, the third most populous region in Sweden with 1.4 million inhabitants, has recently initiated Targeted Health Dialogues in primary care with the ultimate goal to improve cardiovascular health in the entire population in Skåne. Targeted health dialogues have previously been proven to improve health behaviors and risk factors and decrease the incidence of cardiovascular disease and mortality. The prevention program includes, in addition to the health dialogues provided by specially trained personnel, collection of clinical and laboratory data (e.g. blood pressure, BMI, waist hip ratio, lipids, fasting blood glucose) as well as detailed questionnaire data on, e.g., individual health and symptoms, family history, diet, physical activity, alcohol and smoking. So far, it enrolls all 40-year old Swedish and foreign-born inhabitants in the county and it will also include all 50- and 60-year old persons within a near future. The County Council and the Ethical Review Board have granted permission to integrate a research project within the program where collected data will be linked, at the individual level, to national and regional data on hospital admissions, clinical diagnoses from specialist clinics and primary care, causes of death, and prescriptions. The individual linkages will also include population data on sociodemographic characteristics, neighborhood of residence and family relations. In addition to the collection and linkages of these data, blood samples will be collected for analyses of molecular biomarkers. The research project will allow for examining associations between a number of potential predictors and future risk of cardiovascular disease and other serious diseases, such as cancer, and also whether the effect of the prevention program is modified by these potential predictors. The effect of the intervention will be examined and whether the protocol needs to be modified in order to develop more precise and personalized medicine.

Вмешательства

• Поведенческое Targeted health dialogues
  Before the targeted health dialogue, the participants fill in a questionnaire about health behaviors, background characteristics and self-rated health. Samples for blood glucose and total cholesterol are taken. BMI, waist-to-hip ratio and blood pressure are measured. The results are summoned in a "health curve", which is discussed with specially trained healthcare personnel in a Targeted heath dialogue. In a sub-group, blood samples are collected for molecular analyses.

Первичные конечные точки

• Effect of targeted health dialogues on CVD incidence [Срок оценки: 2035]
• Effect of targeted health dialogues on incidence of cancer and other serious diseases [Срок оценки: 2035]

Вторичные конечные точки (12)

• Modification by individual characteristics [Срок оценки: 2035]
• Association between risk factors and disease incidence [Срок оценки: 2035]
• Identification of molecular biomarkers [Срок оценки: 2035]
• Public health profile of middle-aged citizens in Sweden's southernmost county [Срок оценки: 2035]
• Associations between dental and general health [Срок оценки: 2035]
• Validation of the targeted health dialogue method [Срок оценки: 2035]
• Health economy [Срок оценки: 2035]
• The effect of targeted health dialogues on health behaviors and self-rated health [Срок оценки: 2035]
• Do targeted health dialogues reach all societal groups? [Срок оценки: 2035]
• Can other lifestyle interventions influence the effect of targeted health dialogues? [Срок оценки: 2035]
• Follow-up of samples taken after the targeted health dialogues. [Срок оценки: 2035]
• Do the the targeted health dialogues influence care seeking? [Срок оценки: 2035]

Критерии участия

Критерии включения

• 40-, 50-, 60-, and 70-year old men and women
• Listed at a healthcare center in Skåne county

Критерии исключения

\* Inability to understand the written study information and give informed consent

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Швеция · 1 центр

• Center for Primary Health Care Research, Lund University and Region Skåne — Malmö

Публикации

• Nymberg P, Milos-Nymberg V, Grundberg A, Oscarson N, Stenman E, Sundquist K. Exploring the link between self-rated poor oral health and cardiovascular risk: a cross-sectional study using SCORE2. BMC Oral Health. 2025 Feb 24;25(1):298. doi: 10.1186/s12903-025-05671-6. PMID 39994610
• Stenman E, Borgstrom Bolmsjo B, Grundberg A, Sundquist K. Health determinants among participants in targeted health dialogues offered to all 40-year-old individuals in a metropolitan region of 1.4 million people. Scand J Prim Health Care. 2025 Mar;43(1):24-35. doi: 10.1080/02813432.2024.2385547. Epub 2024 Aug 1. PMID 39091122

Идентификаторы

NCT: NCT04912739 · 2020-02689

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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