Sara B Johnson, Paul Spin, Faith Connolly, Marc Stein, Tina L Cheng, Katherine Connor
Asthma and Attendance in Urban Schools
Preventing chronic disease
examine effects empowermentbased interprofessional lifestyle intervention program among people risk type 2 diabetes knowledge skills confidence selfmanagement health psychological wellbeing lifestyle characteristics explore participants perceptions participating intervention line medical research council complex interventions research methods framework conducted randomized controlled trial embedded qualitative interviews primary healthcare clinics norway 20192021 patients risk finnish diabetes risk score calculator findrisc 15 body mass index bmi 30 142 accepted invitation 14 participants intervention group participated individual interviews 12month followup primary outcome patient activation measure pam13 secondary outcomes eq5d5l eqvas whooverall health whooverall qol weight height waist circumference regularity physical activity used thematic analysis analyse qualitative data clinically relevant differences neither primary secondary endpoints intervention control group qualitative data identified two distinct features meaningful perspectives lifestyle changes lifestyle change linear process due challenges faced along way putting ownership choices life picture negative results rct stand contrast findings given participants voices perceiving intervention key eye opener placing health challenges perspective interpret seemingly conflicting findings participants seen heard understood helping take conscious ownership choices life time demonstrating improvements symptoms measures dilemma needs exploration careful implement interventions demonstrate effects quantitative outcomes