Enkoping

Researchers are evaluating the effects of a person-centred nutrition education intervention promoting a healthy, sustainable Nordic diet compared with the current practice of providing short dietary information. This study focuses on adults with Type 1 diabetes and aims to measure impacts on blood glucose levels, blood lipids, blood pressure, and adherence to the Nordic diet, with the main question being whether person-centred education improves glucose time in range compared to brief dietary advice. Participants in the intervention group will have an individual pre-assessment with a dietitian to create a personalized health plan based on their preferences. They will attend an education session on the Nordic diet and receive monthly text message reminders. The health plan will be reviewed and updated twice during the six-month study. The control group will receive short dietary information as part of routine clinical care. All participants will be followed for six months. During the study, participants will wear continuous glucose monitoring sensors and visit the clinic at the start and end for blood samples and clinical checks. They will also keep a four-day food diary, complete a food frequency questionnaire, and rate their food enjoyment at the beginning and end. The primary outcome is the percentage of time blood glucose levels stay between 3.9 and 10 mmol/l, measured at weeks 1, 12, and 24. Safety and adherence will be monitored throughout the study.

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 focuses on parents with conditions such as intellectual disability, ADHD, and autism spectrum disorder, who have children aged 0 to 9 years living at home and require tailored parenting support. The goal is to assess how PYC improves parenting skills compared to usual social services, addressing a need for evidence-based programs that support family preservation and children's rights in this vulnerable group. The PYC program involves weekly one-hour sessions conducted at home over at least six months. It includes two main modules: Parent-Child Interaction, which enhances responsiveness and prosocial behavior, and Child Care Skills and Safety, which focuses on home safety and caregiving tasks like food, health, and hygiene. Each parent receives a customized checklist to guide the intervention. The study compares PYC to Treatment as Usual (TAU), which consists of various social service supports such as counseling, practical help, skills training, and compensatory strategies, delivered in different formats including home-based or group settings. Participants will be evaluated before and after the intervention and followed up six months later. The main measure is improvement in parenting skills based on the Canadian Occupational Performance Measure. Secondary outcomes include parental confidence and children's wellbeing. Researchers will also conduct interviews with parents and children receiving PYC to understand their experiences. The study design is a multi-center, non-randomized comparison due to ethical concerns with randomization in this group, ensuring careful monitoring of progress and outcomes over time.

Researchers are studying the relationship between different levels of physical activity, sedentary time, and health outcomes in patients who have had a myocardial infarction (heart attack). The main goal is to understand how activity measured by accelerometers relates to clinical outcomes and how changes in physical activity over time affect these outcomes after a heart attack. The study plans to include about 4000 patients over two years who have experienced a myocardial infarction. Participants will wear an accelerometer device attached to their right hip during waking hours for seven consecutive days at two follow-up visits: once at 2 months and again at 1 year after hospital discharge. They will also keep a paper diary to record device wear time and working hours, then return both by mail. This process is repeated at the 1-year follow-up. During the study, participants attend follow-up visits where their physical activity data are collected and analyzed. Researchers will explore how different intensities of activity relate to major adverse cardiovascular events one year after the heart attack. Safety and adherence are monitored by collecting activity diaries and accelerometer data. Participation spans from hospital discharge through at least one year after the event to track outcomes and physical activity changes over time.