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dc.contributor.authorLappalainen, Raimo
dc.contributor.authorSairanen, Essi
dc.contributor.authorJärvelä, Elina
dc.contributor.authorRantala, Sanni
dc.contributor.authorKorpela, Riitta
dc.contributor.authorPuttonen, Sampsa
dc.contributor.authorKujala, Urho
dc.contributor.authorMyllymäki, Tero
dc.contributor.authorPeuhkuri, Katri
dc.contributor.authorMattila, Elina
dc.contributor.authorKaipainen, Kirsikka
dc.contributor.authorAhtinen, Aino
dc.contributor.authorKarhunen, Leila
dc.contributor.authorPihlajamäki, Jussi
dc.contributor.authorJärnefelt, Heli
dc.contributor.authorLaitinen, Jaana
dc.contributor.authorKutinlahti, Eija
dc.contributor.authorSaarelma, Osmo
dc.contributor.authorErmes, Miikka
dc.contributor.authorKolehmainen, Marjukka
dc.date.accessioned2014-06-17T08:16:37Z
dc.date.available2014-06-17T08:16:37Z
dc.date.issued2014fi
dc.identifier.citationLappalainen, R., Sairanen, E., Järvelä, E., Rantala, S., Korpela, R., Puttonen, S., . . . Kolehmainen, M. (2014). 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. <em>BMC Public Health</em>, 14 (310). <a href="http://dx.doi.org/10.1186/1471-2458-14-310">doi:10.1186/1471-2458-14-310</a> Retrieved from <a href="http://www.biomedcentral.com/1471-2458/14/310">http://www.biomedcentral.com/1471-2458/14/310</a>fi
dc.identifier.otherTUTKAID_61372
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/43738
dc.description.abstractBackground. Obesity and stress are among the most common lifestyle-related health problems. Most of the current disease prevention and management models are not satisfactorily cost-effective and hardly reach those who need them the most. Therefore, novel evidence-based controlled interventions are necessary to evaluate models for prevention and treatment based on self-management. This randomized controlled trial examines the effectiveness, applicability, and acceptability of different lifestyle interventions with individuals having symptoms of metabolic syndrome and psychological distress. The offered interventions are based on cognitive behavioral approaches, and are designed for enhancing general well-being and supporting personalized lifestyle changes. Methods/Design. 339 obese individuals reporting stress symptoms were recruited and randomized to either (1) a minimal contact web-guided Cognitive Behavioral Therapy-based (CBT) intervention including an approach of health assessment and coaching methods, (2) a mobile-guided intervention comprising of mindfulness, acceptance and value-based exercises, (3) a face-to-face group intervention using mindfulness, acceptance and value-based approach, or (4) a control group. The participants were measured three times during the study (pre = week 0, post = week 10, and follow-up = week 36). Psychological well-being, lifestyles and habits, eating behaviors, and user experiences were measured using online surveys. Laboratory measurements for physical well-being and general health were performed including e.g. liver function, thyroid glands, kidney function, blood lipids and glucose levels and body composition analysis. In addition, a 3-day ambulatory heart rate and 7-day movement data were collected for analyzing stress, recovery, physical activity, and sleep patterns. Food intake data were collected with a 48 -hour diet recall interview via telephone. Differences in the effects of the interventions would be examined using multiple-group modeling techniques, and effect-size calculations. Discussion. This study will provide additional knowledge about the effects of three low intensity interventions for improving general well-being among individuals with obesity and stress symptoms. The study will show effects of two technology guided self-help interventions as well as effect of an acceptance and value–based brief group intervention. Those who might benefit from the aforesaid interventions will increase knowledge base to better understand what mechanisms facilitate effects of the interventions.fi
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.relation.ispartofseriesBMC Public Health
dc.relation.urihttp://www.biomedcentral.com/1471-2458/14/310
dc.subject.otherelämäntapafi
dc.subject.otherhyvinvointifi
dc.subject.otherylipainofi
dc.subject.otherstressifi
dc.subject.otherkognitiivinen käyttäytymisterapiafi
dc.subject.othermobiilisovelluksetfi
dc.subject.otherteknologia-avusteinen interventiofi
dc.subject.otherlifestylefi
dc.subject.otherwell-beingfi
dc.subject.otherobesityfi
dc.subject.otherstressfi
dc.subject.otheracceptance and commitment therapyfi
dc.subject.othercognitive behavioral therapyfi
dc.subject.othermobile applicationfi
dc.subject.otherweb-based interventionfi
dc.subject.othertechnology-aided interventionsfi
dc.titleThe 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 distressfi
dc.identifier.urnURN:NBN:fi:jyu-201405101673
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiainePsykologia
dc.contributor.oppiaineLiikuntalääketiede
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2014-05-10T03:30:11Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn1471-2458
dc.relation.numberinseries310
dc.relation.volume14
dc.type.versionpublishedVersion
dc.rights.copyright© 2014 Lappalainen et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttp://creativecommons.org/licenses/by/4.0
dc.relation.doi10.1186/1471-2458-14-310


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© 2014 Lappalainen et al.; licensee BioMed Central Ltd. 


This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
Except where otherwise noted, this item's license is described as © 2014 Lappalainen et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.