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| Name | Class |
|---|---|
| SalWe Ltd. | INDUSTRY |
| University of Eastern Finland | OTHER |
| University of Helsinki | OTHER |
| VTT Technical Research Centre of Finland |
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The purpose of this study is to examine the effectiveness and applicability of different interventions designed for enhancing overall wellbeing. Lifestyle changes, as well as psychological and physiological health variables are assessed. The interventions are based on the principles of cognitive behavioural therapy, and delivered either face-to-face, via mobile phone application, or Internet.
The study focuses on targeting overweight, stress, and impaired overall wellbeing with new cost-effective intervention methods. The intervention methods are based on the principles of cognitive behavioural therapy (CBT) and further acceptance-commitment therapy (ACT). The interventions are delivered either face-to-face, via mobile application, or via Internet. The purpose of each intervention is to improve the subjects lifestyles and activate them towards beneficial changes in their everyday life. The psychological and physiological effects of interventions are measured with various invasive and non-invasive methods. The study gives new insight into effectiveness and acceptability of up-to-date psychological intervention methods, and new knowledge of different ways to deliver interventions for improving wellbeing of an individual.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Face-to-Face | Experimental | Group meetings face-to-face using intervention for wellbeing with ACT principles. |
|
| Mobile | Experimental | Intervention for wellbeing via mobile phone application with ACT principles. |
|
| Internet | Experimental | Intervention for wellbeing via Internet (Virtual Health Check and Coaching). |
|
| Control | Experimental | Control group, no intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wellbeing intervention (ACT) | Behavioral | The intervention is based on principles of acceptance-commitment therapy (ACT). It aims to increase psychological flexibility through different exercises that are developed for improving skills of being present, dealing with thoughts and feelings, as well as support clarifying individual values and value-based actions. In addition exercises for relaxation, physical activity, and mindful eating are provided. The content of intervention for face-to-face and mobile groups is similar but delivery method is different. |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological Flexibility (AAQ-2) | Change from Baseline in Psychological Flexibility at 8.5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Diet (interview, questionnaire) | pre, post, follow-up (0, 10, 36 weeks) | |
| Perceived and physiological stress (questionnaire, heart rate variability measurement) | pre, post, follow-up (0, 10, 36 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
Diagnosed severe chronic illness
Regular use of cortisone pills
Eating disorder: bulimia
Disability pension for psychological reasons
Pregnancy or breastfeeding within the pas 6 months
Shift work (in three shifts) or night work
Participation in other intervention studies during the present study
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| Name | Affiliation | Role |
|---|---|---|
| Raimo Lappalainen, PhD | University of Jyvaskyla | Principal Investigator |
| Marjukka Kolehmainen, PhD | University of Eastern Finland | Principal Investigator |
| Miikka Ermes, PhD | VTT Technical Research Centre of Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Biomedicine, University of Helsinki | Helsinki | 00290 | Finland | |||
| Department of Psychology and Department of Health Sciences, University of Jyvaskyla |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38375882 | Derived | Metzendorf MI, Wieland LS, Richter B. Mobile health (m-health) smartphone interventions for adolescents and adults with overweight or obesity. Cochrane Database Syst Rev. 2024 Feb 20;2(2):CD013591. doi: 10.1002/14651858.CD013591.pub2. | |
| 34183032 | Derived | Jarvela-Reijonen E, Jarvinen S, Karhunen L, Fohr T, Myllymaki T, Sairanen E, Lindroos S, Peuhkuri K, Hallikainen M, Pihlajamaki J, Puttonen S, Korpela R, Ermes M, Lappalainen R, Kujala UM, Kolehmainen M, Laitinen J. Sleep-time physiological recovery is associated with eating habits in distressed working-age Finns with overweight: secondary analysis of a randomised controlled trial. J Occup Med Toxicol. 2021 Jun 28;16(1):23. doi: 10.1186/s12995-021-00310-6. |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D013315 | Stress, Psychological |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| OTHER |
| Finnish Institute of Occupational Health | OTHER |
| Finnish Red Cross Blood Service | OTHER |
| Duodecim Medical Publications Ltd. | INDUSTRY |
| Firstbeat Technologies Ltd. | INDUSTRY |
| Vivago Ltd | UNKNOWN |
| Valio Ltd | INDUSTRY |
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| Wellbeing intervention (Internet) | Behavioral | The intervention is Duodecim Virtual Health Check and Coaching where the subject gets feedback based on his/her health information and is provided with different weekly tasks regarding lifestyle changes. The tasks are developed based on principles of cognitive behaviour therapy (CBT). |
|
| No intervention | Behavioral | No intervention |
|
| Blood lipids | pre, post, follow-up (0, 10, 36) |
| Sleep (ESS, Basic Nordic Sleep Questionnaire, actigraphy, sleep diary) | pre, post, follow-up (0, 10, 36 weeks) |
| Physical Activity (questionnaire) | pre, post, follow-up (0, 10, 36 weeks) |
| User experiences concerning technology (interview, questionnaire) | during, post, follow-up (2, 10, 36 weeks) |
| Depression | Pre, post, follow-up (0, 10, 36 weeks) |
| Jyväskylä |
| 40014 |
| Finland |
| Institute of Public Health and Clinical Nutrition, University of Eastern Finland (UEF) | Kuopio | 80101 | Finland |
| 32394219 | Derived | Jarvela-Reijonen E, Puttonen S, Karhunen L, Sairanen E, Laitinen J, Kolehmainen M, Pihlajamaki J, Kujala UM, Korpela R, Ermes M, Lappalainen R, Kolehmainen M. The Effects of Acceptance and Commitment Therapy (ACT) Intervention on Inflammation and Stress Biomarkers: a Randomized Controlled Trial. Int J Behav Med. 2020 Oct;27(5):539-555. doi: 10.1007/s12529-020-09891-8. |
| 29482636 | Derived | Jarvela-Reijonen E, Karhunen L, Sairanen E, Muotka J, Lindroos S, Laitinen J, Puttonen S, Peuhkuri K, Hallikainen M, Pihlajamaki J, Korpela R, Ermes M, Lappalainen R, Kolehmainen M. The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial. Int J Behav Nutr Phys Act. 2018 Feb 27;15(1):22. doi: 10.1186/s12966-018-0654-8. |
| 27468653 | Derived | Mattila E, Lappalainen R, Valkkynen P, Sairanen E, Lappalainen P, Karhunen L, Peuhkuri K, Korpela R, Kolehmainen M, Ermes M. Usage and Dose Response of a Mobile Acceptance and Commitment Therapy App: Secondary Analysis of the Intervention Arm of a Randomized Controlled Trial. JMIR Mhealth Uhealth. 2016 Jul 28;4(3):e90. doi: 10.2196/mhealth.5241. |
| 24708617 | Derived | Lappalainen R, Sairanen E, Jarvela E, Rantala S, Korpela R, Puttonen S, Kujala UM, Myllymaki T, Peuhkuri K, Mattila E, Kaipainen K, Ahtinen A, Karhunen L, Pihlajamaki J, Jarnefelt H, Laitinen J, Kutinlahti E, Saarelma O, Ermes M, 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. BMC Public Health. 2014 Apr 4;14:310. doi: 10.1186/1471-2458-14-310. |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |