Moving on! Can a Tailored Treatment in a Primary Care Setting Reduce Symptoms, Healthcare Consumption, Sick Leave and Prevent Pain and Hypertension in Individuals With Anxiety Disorders?
Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The goal of this clinical study is to investigate the effects of two different interventions in patients with anxiety disorder and who seeks help at primary care centers. The participants will choose between two interventions: 1. A 12-week physical exercise program with three training sessions per week, or 2. A modified version of eHealth Lift, a digital development of the Health Lift, an evidence based lifestyle-intervention for health promotion and prevention in primary health care. The participant will fill in self-assessment scales and questionnaires and also have BMI and blood pressure measured at the start of the study, at 12-weeks after the study start and after 1 year. The main question the investigators aim to answer is if the interventions are better than treatment as usual for this group of patients regarding: * symptoms of anxiety and depression * pain * sleep * alcohol habits * fatigue * general health * work ability/sick leave * physical activity * perceived quality of life * BMI and blood pressure * number of health care contacts * psychopharmaceuticals and analgesics prescribed * health literacy
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:
• Clinical diagnosis of anxiety disorder (panic syndrome, 41.0; generalized anxiety, F41.1; mixed anxiety- and depression, F41.2 and F41.3; anxiety not otherwise specified, F41.9).
• Seeking care at primary care centers within the Region Västra Götaland.
• With or without ongoing treatment with psychoactive medication (antidepressants or anxiolytics).
Locations
Other Locations
Sweden
School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg
RECRUITING
Gothenburg
Contact Information
Primary
Maria Åberg, PhD, MD
maria.aberg@gu.se
+46 (0)709668274
Backup
Jenny Nyberg, PhD
jenny.nyberg@neuro.gu.se
+46 (0)702180801
Time Frame
Start Date:2025-03-17
Estimated Completion Date:2027-12-31
Participants
Target number of participants:450
Treatments
Experimental: PHYSBI: 12-week physical exercise program
An individualized 12-week training program including 3 occasions/week of moderate-high intensity. It may also contain elements of high intensity, corresponding to 3.0-8.9 metabolic equivalents (METs), Borg Rating of Perceived Exertion (RPE) 12-17 and 60-94% of maximal heart rate. The intervention includes cardiorespiratory and resistance training where two sessions per week are group-sessions and one session per week is performed individually. A study physiotherapists will design individualized exercise programs during a single one-to-one session with the patients.
Experimental: Modified eHealth Lift: a digital, evidence based lifestyle-intervention for health promotion.
A modified and digital development of the Health Lift, an evidence based lifestyle-intervention for health promotion and prevention in primary health care. This intervention will be executed together with care manager contact according to medical guidelines. The patient receives a material consisting of separate questionnaires dealing with dietary habits, smoking, alcohol habits, physical activity, stress, living conditions, waist-hip-ratio and well-being expressed as a life ladder, present and future. Results are then converted into a health profile and a counsellor indicated what could be offered individually or in groups depending on the participant's wishes. This person-centered method ia based on strengthening the individual's own chosen health promoting activities and support for participation in municipal facilities.
No_intervention: Care as usual
Care as usual for anxiety disorders at the primary care centers.