Clinical trial

Lifestyle Medicine: Establishing Clinical Approaches to Chronic Disease for Rural Patients

Recruiting now · Not applicable · 1 countries · Registry ID NCT06049420

Recruiting nowNot applicableInterventional

What this study is about

Developed nations worldwide are currently enduring a health crisis, as chronic diseases continue to decrease quality of life and promote additional disease states or even death for much of the population. Rural populations are at a particular disadvantage, as they lack access to health clubs, wellness programs and similar resources that are more available in urban areas. Although pharmaceutical therapies have continued to show therapeutic advancements, the rates of disease onset and death from chronic disease has not seen similar improvements, and in fact continue to worsen. Excitingly, significant evidence has been published demonstrating an affordable, effective treatment to directly treat and prevent these chronic diseases, but few have demonstrated successful implementation of this therapy, which is improved lifestyle. Specifically, physical activity and healthy body composition are powerful therapeutics that have been demonstrated to effectively combat and prevent chronic diseases. Additionally, improving these lifestyle factors are often more effective than pharmaceutical interventions without the wide range of side effects. Unfortunately, barriers exist on multiple tiers in the practice of family medicine that demote the implementation of lifestyle medicine. To better serve patients at risk of, or suffering from chronic disease, the investigators are seeking to establish a lifestyle medicine prescription program for rural West Virginia. This program will provide patient education on the benefits of physical activity, body composition, and help patients identify strategies to implement healthy lifestyle choices that can be sustainable for the long-term. Patients will be advised on local opportunities to increase physical activity (yoga studio, martial arts, fitness facilities, aquatic center, etc.) and provided access to the facilities they are most likely to adhere to regularly. They will also be provided training on exercise techniques, equipment, and facilities to increase familiarity and comfort in these settings.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 64 Years

SexAll

Healthy volunteersNot accepted

ConditionObesity, Hyperlipidemias, Polycystic Ovary Syndrome, Hypertension, Coronary Heart Disease, Heart Failure, Depression, Anxiety, Type II Diabetes, Metabolic Syndrome

Full registry criteria

Inclusion Criteria: * Program admittance will be restricted to patients with 2+ diagnosed diseases that have sufficient evidence for the efficacy of exercise therapy (obesity, hyperlipidemia, metabolic syndrome, polycystic ovarian syndrome, type II diabetes, hypertension, coronary heart disease, heart failure, depression, anxiety) * physician referral required Exclusion Criteria: * no chronic disease diagnosis, lack of physician referral, unwillingness to participate.

Treatments and study arms

Lifestyle counseling and coaching

Behavioral

Each participant will be provided with personalized exercise therapy that is best suited for their personal goals and disease states. Participants in this study will be encouraged to establish accountability through setting SMART goals, and through monitoring their activity using wearable fitness technology provided to them. This program will also aim to create a sense of community as group activity classes will be available for those that wish to attend. Individualized exercise/physical activity prescriptions will be provided and discussed.

Primary outcomes

Demand1 month

initial demand for the program

Attrition rate4 months

Drop out rate after opting in to the intervention

physical activity4 months

minutes of moderate to vigorous physical activity

Body CompositionOnce at enrollment, and once at cessation of the intervention 4 weeks later.

Fat mass (kg) and Fat free mass (kg) will be collected pre- and post-intervention

Body CompositionOnce at enrollment, and once at cessation of the intervention 4 weeks later.

bone mineral content (g) will be collected pre- and post-intervention

Body CompositionOnce at enrollment, and once at cessation of the intervention 4 weeks later.

bone density (g/cm\^2)) will be collected pre- and post-intervention

Study locations

1 locations were listed when this page was built. The first 40 are shown.

West Virginia School of Osteopathic Medicine🇺🇸 Lewisburg, West Virginia, United States

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Dovenia Ponnoth, Ph.D.Contact

Email · Call 3046476297

Peter FeltmanContact

Email · Call 3046476284