Katrineholm

Researchers are evaluating the effects and mechanisms of different patient education methods for individuals aged 50 years and older diagnosed with osteoporosis or osteopenia. The study aims to compare three types of educational interventions to see how they influence osteoporosis-specific self-care, quality of life, fracture risk, illness perception, physical activity, physical function, fear of falling, and pain. This randomized clinical trial includes three groups to understand which education approach may best support patients in managing their condition. Participants are assigned to one of three groups: a control group receiving general osteoporosis information from healthcare services via an open website; a face-to-face education group attending three two-hour sessions led by physiotherapists and a physician or nurse over 3 to 5 weeks; and a digital education group accessing an internet-based program with nine modules available over a year. The digital program includes text, images, videos, exercises, quizzes, and checklists, with adherence monitored through module access and session attendance. During the study, participants complete questionnaires and physical assessments at the start, then again at 3 and 12 months. Some participants also wear accelerometers to objectively measure physical activity and sedentary behavior at these times. The main outcome measured is osteoporosis-specific self-care using the OsCare Questionnaire from baseline to 12 months. The study tracks adherence, health outcomes, and safety over one year to better understand how patient education impacts osteoporosis management.

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.