Enkoping

Researchers are evaluating a person-centred nutritional education program promoting a healthy, sustainable Nordic diet compared with the usual practice of providing brief dietary information for adults with Type 1 diabetes. This study aims to understand how this education affects blood glucose control, blood lipids, blood pressure, and adherence to the Nordic diet over six months. The main question is whether this personalized education improves glucose time in range better than short dietary advice. Participants in the intervention group will have a one-on-one meeting with a registered dietitian to discuss their preferences and develop a personalized health plan focused on the Nordic diet. This plan will be reviewed and updated twice during the study, supported by monthly text reminders. Those in the control group will receive a standard brochure with short dietary information. Both groups will be followed for six months. Throughout the study, participants will wear a continuous glucose monitoring sensor to track blood glucose levels. They will visit the clinic at the start and end of the trial for blood samples and clinical checks. Participants will also complete a four-day food diary, a food frequency questionnaire, and rate their food enjoyment at the beginning and conclusion of the study. The primary outcome measured is the percentage of time blood glucose is within the target range during weeks 1, 12, and 24.

Researchers are evaluating the Parenting Young Children PYC program, a home-based parenting support designed for parents with intellectual and developmental disabilities IDDs who face risks of child neglect. The study aims to provide evidence about PYCs effectiveness in improving parenting skills, parental self-confidence, and childrens wellbeing. This non-randomized comparative study includes quantitative, process, and qualitative evaluations involving parents and children. The study compares two groups one receiving the PYC program and another receiving treatment as usual TAU from social services. PYC includes weekly one-hour sessions over at least six months, focusing on parent-child interaction and child care skills with tailored checklists and teaching materials. TAU involves various social service interventions such as counseling, practical support, skills training, and compensatory strategies, delivered in different settings. Participants will be assessed before and after the intervention and followed up six months later. Researchers will measure changes in parenting skills using the Canadian Occupational Performance Measure, parental self-efficacy, and childrens wellbeing through questionnaires. Interviews will explore experiences of parents and children in the PYC group. The total study duration includes intervention and follow-up periods, ensuring careful monitoring of outcomes and family perspectives.

Researchers are investigating how different levels of physical activity, measured objectively, relate to health outcomes in patients who have had a type 1 myocardial infarction. The study aims to explore links between activities of varying intensity, sedentary time, and the risk of major cardiovascular events after a heart attack, as well as how changes in physical activity over time affect these outcomes. Participants in this observational study will be asked to wear an accelerometer device on their right hip during waking hours for seven consecutive days at two follow-up visits2 months and 1 year after hospital discharge. They will also keep a diary recording their wear time and working hours if applicable. About 4000 patients aged 18 to 79 diagnosed with myocardial infarction are expected to be included, and the study will analyze the dose-response relationship between accelerometer data and clinical outcomes. Throughout the study, participants will attend cardiac rehabilitation follow-up visits and provide accelerometer and diary data. Researchers will assess outcomes such as major adverse cardiovascular events, including heart failure, stroke, death, and coronary revascularization, at 1 and 3 years after the initial cardiac event. The study will monitor these outcomes while participants continue their usual care, with a total follow-up period extending to 3 years after the heart attack.