Katrineholm

Researchers are evaluating the effectiveness and underlying mechanisms of patient education for people aged 50 and older who have osteoporosis or osteopenia. This randomized clinical trial compares three educational approaches to see how they affect osteoporosis self-care, quality of life, fracture risk, illness perception, physical activity, physical function, fear of falling, and pain. The study is sponsored by the University Hospital, Linkoeping, and aims to understand differences in outcomes among these education methods. Participants are randomly assigned to one of three groups a control group receiving standard osteoporosis information via an open website a face-to-face education group attending three 2-hour sessions led by physiotherapists and a physician or nurse over 2 months and a digital education group accessing nine online modules over one year. The digital program includes text, images, videos, exercises, and quizzes, with adherence tracked by module access, while attendance is recorded for face-to-face sessions. Participants complete questionnaires and physical tests at the start, and at 3 and 12 months follow-up. Some will also wear accelerometers to measure physical activity and sedentary behavior at these times. The main outcome measures include osteoporosis-specific self-care at 12 months, with additional assessments of health-related quality of life, fear of falling, illness perception, medication beliefs, physical activity, fracture risk, pain, balance, and physical performance. The study lasts at least one year with ongoing monitoring of participant progress.

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.