Interdisciplinary Program to Improve Lifestyle in Chronic Pathology: Alt Pirineu Aran in Fit (APA-FIT)

Summary

Interdisciplinary Program to Improve the Lifestyle of Individuals with Chronic Conditions in the Alt Pirineu and Aran Region

Sedentary behavior and lack of regular physical activity have been widely recognized as urgent global public health issues-not only because they are key risk factors for cardiovascular morbidity and mortality, but also due to their impact on major chronic diseases.

Primary Objective / Hypothesis To evaluate the effectiveness of an intervention program aimed at improving the lifestyle of individuals with chronic conditions in the Alt Pirineu and Aran health region by promoting active living and physical activity (PA), healthy dietary habits, and positive mental health (PMH), through the use of a digital tool (APP). The program also aims to determine whether this intervention leads to a reduction in cardiovascular risk, comorbidity, and premature aging associated with non-communicable diseases.

Study Design and Sample The sample will consist of individuals over 18 years of age with moderate to high cardiovascular risk who voluntarily participate in the project. The program will last for 9 months and will be structured into two groups: an intervention group, which will actively participate in the program through the APP, and a control group, which will not receive the intervention. Pre- and post-intervention measurements will be applied to assess the effects of the program.

Applicability and Relevance This project seeks to implement an interdisciplinary care model for individuals with chronic conditions, aiming to enhance lifestyle behaviors, reduce comorbidity, and mitigate premature aging. The APA-fit digital tool seeks to implement this model by empowering patients in their self-care and facilitating seamless, effective communication between patients and healthcare professionals.

Conditions

• Non-communicable Diseases (NCD)
• Cardiovascular Risk
• Obesity Prevention

Interventions

OTHER

APA-FIT interdisciplinary program

Intervention: APA-FIT The APA-FIT program is an interdisciplinary intervention targeting three core domains in adults with chronic conditions at moderate or high risk for physical activity (PA): physical exercise, nutritional habits, and positive mental health. Over nine months, participants receive: * Individualized PA Prescription * Bimonthly follow-up visits with a certified PA prescriber (physician, nurse, or physiotherapist) * Weekly supervised exercise sessions led by a coach * Automated PA logging and goal tracking via the APA-FIT app * Nutritional Counseling * Initial and final dietary assessments with a registered nutritionist * Bimonthly follow-up and three hands-on Mediterranean-diet workshops * Psychosocial Support for Positive Mental Health * Four bimonthly group sessions facilitated by the primary-care emotional-well-being lead * In-app materials, peer support features, and one-on-one check-ins

Sponsors & Collaborators

• CatSalut Catalonia, Spain

  collaborator UNKNOWN

• University of Barcelona

  lead OTHER

Principal Investigators

• Marta Prats-Arimon, PHD · University of Barcelona

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-09-01

Primary Completion

2025-11-30

Completion

2025-12-30

Countries

• Spain

Study Locations