Physical Activity on Prescription and Enhanced Individual Support by Physiotherapist

Physical Activity on Prescription and Enhanced Individual Support by Physiotherapist A Comparative Study Between Individuals With One Diagnosis and Multimorbidity

Multimorbidity is common, especially in the elderly population and is associated with a higher risk of mortality and disability, lower quality of life, polypharmacy, increased healthcare use and costs. Physical inactivity increases the risk of multimorbidity and individuals with multimorbidity are more likely to be physically inactive. Physical activity can prevent and treat several diseases. Physical Activity on Prescription (PAP) is an evidence-based method used in health care to increase physical activity. The aim of this study was to investigate whether self-reported physical activity level increase and sedentary time decreases in individuals who have received PAP in health care completed with enhanced individual support by physiotherapist at PAP-reception in wellness center for six months and to compare individuals with one diagnosis to individuals with multimorbidity.

The study population consisted of 331 adults who received PAP in health care and enhanced individual support by a physiotherapist at PAP-reception during six months. Data has been collected retrospectively from a local register with questionnaires from the PAP-reception. Self reported physical activity minutes/week and hours of sedentary time/day were measured at baseline and at six months. Differences in physical activity minutes and sedentary time from baseline to six months have been compared between individuals with one diagnosis and individuals with multimorbidity.

Study Overview

• Status: Completed
• Conditions: Physical Activity; Sedentary Behavior; Multimorbidity
• Intervention / Treatment: Behavioral: Increased physical activity

• Study Type: Observational
• Enrollment (Actual): 331

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 93 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

The study population consists of men and women aged 20-93 years who received PAP from health care and enhanced individual support by physiotherapist at PAP-reception in wellness centre in central and western Gothenburg in 2015-2016. The majority of the study population had a multimorbidity and the most common diagnosis was musculoskeletal disease.

Description

Inclusion Criteria:

• Received physical activity on prescription from health care
• Contact with PAP-reception

Exclusion Criteria:

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physical activity minutes/week	Self-assessment of two physical activity questions	Change between baseline and six months follow up.
Sedentary time hours/day	Self-assessment of one sedentary behaviour question	Change between baseline and six months follow up.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Diagnoses	Type and number of diagnoses	Measured at baseline
Visits and telephone contacts	Number of visits and telephone contacts	Measured at six months follow up
Socia demographic data	Age (years), sex (female/male)	Measured at baseline

Collaborators and Investigators

• Sponsor: Vastra Gotaland Region
• Investigators: Principal Investigator: Maria Larsson, PhD, Sahlgrenska academy, University of Gothenburg

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2015
• Primary Completion (ACTUAL): December 31, 2016
• Study Completion (ACTUAL): April 1, 2020

Study Registration Dates

• First Submitted: April 14, 2020
• First Submitted That Met QC Criteria: April 16, 2020
• First Posted (ACTUAL): April 17, 2020

Study Record Updates

• Last Update Posted (ACTUAL): April 17, 2020
• Last Update Submitted That Met QC Criteria: April 16, 2020
• Last Verified: April 1, 2020

More Information

Terms related to this study

• Keywords: Physiotherapist; Person-centered care; Physical activity on prescription; Individual support; Enhanced support
• Other Study ID Numbers: PAP enhanced support 271821

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: The data that supports the findings of this study are available from the corresponding author on reasonable request.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No