FaR-forskning

IMPA-projektet är ett forskningsprojekt om implementering av FaR (fysisk aktivitet på recept) för barn som har obesitas. FaR-metoden används inom barnverksamhet idag, men har tidigare i stort sett inte alls forskats på gällande barn. IMPA står för ”Implementering av fysisk aktivitet på recept för barn som har obesitas”.

Vill du veta mer om projektet?

Du kan läsa mer om om IMPA-projektet i:

Projektbeskrivning: Forskningsprojektet IMPA (pdf).

Kontaktpersoner

Följande kontaktpersoner inom projektet finns hos Centrum för fysisk aktivitet:

• Charlotte Boman, projektledare/doktorand, mejl: charlotte.boman@vgregion.se
• Hannah Lundh, gör sitt masterarbete inom ramen för projektet, mejl: hannah.lundh@vgregion.se
• Stefan Lundqvist, bihandledare, mejl: stefan.lundqvist@vgregion.se

Ansvarig forskare för IMPA-projektet: docent Susanne Bernhardsson, FoUUI primär och nära vård. Mejl: susanne.bernhardsson@vgregion.se.

Aktiv 65 är en hälsoscreening av 65-åringar. 2012 beviljades FaR®-teamet medel för att bedriva en hälsoscreening av 65-åringar. Studien vänder sig till alla listade 65-åringar på en offentlig och en privat vårdcentral. Genom att screena och arbeta med risk- och friskfaktorer hos individen är målet att undvika och/eller skjuta upp insjuknandet i diabetes typ 2 och hjärt- och kärlsjukdomar. I arbetet används vetenskapligt utvärderade instrument såsom Hälsoprofilen, konditionstest och funktionstester.

Under 2022 presenteras ett magisterarbete utifrån datan som samlats in:
PHYSICAL FITNESS AND PHYSICAL ACTIVITY in persons 65 years of age living in the city center of Gothenburg.

Fysioterapeut Charlotte Boman har i sitt magisterarbete undersökt Utforskande av hur fysisk aktivitet kan främjas för barn med intellektuella utvecklingsrelaterade funktionsnedsättningar: vårdpersonalens upplevelser av behov, hinder och möjligheter.

Resultatet publiceras under 2022.

På sidan FaR-studien Göteborg hittar du information om studien och dess olika delprojekt.

Fysioterapeut Panagiotis Kanellakis har i sitt master-arbete utvärderat FaR-fysioterapeutens arbete på motionsanläggning där 114 patienter med olika diagnoser följts upp efter en 6-månaders intervention. Ökad tilltro till att förändra fysisk aktivitet, en förbättrad fysisk aktivitetsnivå och högre egenskattad fysisk och psykisk hälsa är en del av resultaten vid 6-månaders uppföljning.

Om du vill läsa artikeln i sin helhet, mejla stefan.lundqvist@vgregion.se.

Det finns en hel del forskning om FaR nationellt i Sverige; i listan nedan hittar du referenser. Listan är skriven i alfabetisk ordning och uppdaterad 2021-05-20.

Andersen, Pia, Sara Holmberg, Lena Lendahls, Per Nilsen, and Margareta Kristenson. 2018. "Physical Activity on Prescription with Counsellor Support: A 4-Year Registry-Based Study in Routine Health Care in Sweden." Healthcare 6 (2):34.

Andersen, Pia, Lena Lendahls, Sara Holmberg, and Per Nilsen. 2019. "Patients’ experiences of physical activity on prescription with access to counsellors in routine care: a qualitative study in Sweden." BMC Public Health 19 (1):210. doi: 10.1186/s12889-019-6535-5.

Andersen P, Holmberg S, Årestedt K, Lendahls L, Nilsen P. Physical Activity on Prescription in Routine Health Care: 1-Year Follow-Up of Patients with and without Counsellor Support. Int J Environ Res Public Health. 2020;17(16).

Bohman, Doris M., Linda Mattsson, and Gunilla Borglin. 2015. "Primary healthcare nurses’ experiences of physical activity referrals: an interview study." Primary Health Care Research & Development 16 (3):270-280. doi:10.1017/S1463423614000267.

Börjesson, M, Daniel Arvidsson, Å Blomqvist, E-L Daxberg, I.H. Jonsdottir, S Lundqvist, A Mellén, A Onerup, J Persson, P Sjögren, T Svanberg, and L Jivegård. 2018. Efficacy of the Swedish model for physical activity by prescription [Effektivitet av den svenska modellen för fysisk aktivitet på recept (FaR). In Regional activity based HTA Göteborg, Västra Götalandsregionen, Sahlgrenska Universitetssjukhuset, HTA-centrum.

Fagevik Olsén M, Wiklund M, Sandberg E, Lundqvist S, Dean E. Long-term effects of physical activity prescription after bariatric surgery: A randomized controlled trial. Physiotherapy theory and practice. 2021:1-11.

Gustavsson, Catharina, Maria Nordqvist, Kristina Bröms, Lars Jerdén, Lena V. Kallings, and Lars Wallin. 2018. "What is required to facilitate implementation of Swedish physical activity on prescription? – interview study with primary healthcare staff and management." BMC Health Services Research 18 (1):196. doi: 10.1186/s12913-018-3021-1.

Hagberg L, Lundqvist S, Lindholm L. What is the time cost of exercise? Cost of time spent on exercise in a primary health care intervention to increase physical activity. Cost Effectiveness and Resource Allocation. 2020;18(1):14.

Hellenius Mai-Lis. Prescribing Exercise in Clinical Practice. 2011. Curr Cardiovasc Risk Rep. 5:331

Hellgren, Margareta I., Per-Anders Jansson, Hans Wedel, and Ulf Lindblad. 2016. "A lifestyle intervention in primary care prevents deterioration of insulin resistance in patients with impaired glucose tolerance: A randomised controlled trial." Scandinavian Journal of Public Health 44 (7):718-725. doi: 10.1177/1403494816663539.

Hemmingsson, E., J. Uddén, M. Neovius, U. Ekelund, and S. Rössner. 2009. "Increased physical activity in abdominally obese women through support for changed commuting habits: a randomized clinical trial." International Journal Of Obesity 33:645. doi: 10.1038/ijo.2009.77.

Hendberg, P., H. Horder, and L. Ziden. 2014. "[Physical activity on prescription (PaP) after hip fracture lead to increased self-efficacy. Walks as a supplement compared with physical therapy alone]." Lakartidningen 111 (1-2):28-30.

Jansson AB, Carlsson G. Physical activity on prescription at the time of stroke or transient ischemic attack diagnosis - from a patient perspective. Disabil Rehabil. 2019:1-8.

Joelsson, Monica, Susanne Bernhardsson, and Maria E. H. Larsson. 2017. "Patients with chronic pain may need extra support when prescribed physical activity in primary care: a qualitative study AU - Joelsson, Monica." Scandinavian Journal of Primary Health Care 35 (1):64-74. doi: 10.1080/02813432.2017.1288815.

Joelsson M, Lundqvist S, Larsson MEH. Tailored physical activity on prescription with follow-ups improved motivation and physical activity levels. A qualitative study of a 5-year Swedish primary care intervention. Scandinavian Journal of Primary Health Care. 2020:1-12.

Kallings, L. V. 2008. "Physical Activity on Prescription -Studies on physical activity level, adherence and cardiovascular risk factors. Doctoral Thesis." Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.

Kallings, L. V., ed. 2011. FaR® -Individanpassad skriftlig ordination av fysisk aktivitet. R 2011:30. Östersund: Statens folkhälsoinstitut.
Kallings L, Leijon M. Erfarenheter av Fysisk aktivitet på recept - FaR. Stockholm: The Swedish National Institute of Public Health, 2003.

Kallings, L. V. 2012. "Fysisk aktivitet på recept – en underutnyttjad resurs [Need for better implementation of physical activity on prescription]. (In Swedish with an English summary)." Läkartidningen 109 (51-52):2348-2350.

Kallings, L. V. 2016. "The organisation of promoting physical activity in health care - examples from the Nordic countries." Clinical Health Promotion 6, Supplement 2 (“Implementation of physical activity in health care - facilitators and barriers” Supplement by the HPH Task Force on Health Enhancing Physical Activity in Hospitals and Health Services):27-30.

Kallings LV. The Swedish approach on physical activity on prescription. (“Implementation of physical activity in health care - facilitators and barriers” Supplement by the HPH Task Force on Health Enhancing Physical Activity in Hospitals and Health Services). Clinical Health Promotion. 2016;6(Supplement 2):31-3.

Kallings, L. V., M. E. Leijon, J Kowalski, M. L. Hellenius, and A. Stahle. 2009. "Self-Reported Adherence: A Method for Evaluating Prescribed Physical Activity in Primary Health Care Patients." J Phys Act Health 6:483-492.

Kallings, L. V., M. Leijon, M. L. Hellenius, and A. Stahle. 2008. "Physical activity on prescription in primary health care: a follow-up of physical activity level and quality of life." Scand J Med Sci Sports 18 (2):154-161. doi: doi:10.1111/j.1600-0838.2007.00678.x.

Kallings, L. V., and On behalf of the “Nordic network for physical activity food and health". 2010. Physical activity on prescription in the Nordic region - experiences and recommendations. Oslo: Helsedirekektoratet

Kallings, Lena V, Justo Sierra Johnson, Rachel M Fisher, Ulf de Faire, Agneta Stahle, Erik Hemmingsson, and Mai-Lis Hellenius. 2009. "Beneficial effects of individualized physical activity on prescription on body composition and cardiometabolic risk factors: results from a randomized controlled trial." Eur J Cardiovasc Prev Rehabil 16 (1):80-84.

Lauruschkus Katarina, Hallström Inger, Westbom Inger, Tornberg Åsa, Nordmark Eva. Participation in physical activities for children with cerebral palsy:feasibility and effectiveness of physical activity on prescription. 2017. Archives of Physiotherapy 7:13

Leijon, M. E. , P. Bendtsen, P. Nilsen, K. Festin, and A. Ståhle. 2009. "Does a physical activity referral scheme improve the physical activity among routine primary health care patients?" Scand J Med Sci Sports 19 (5):627-636.

Leijon, M. E., P. Bendtsen, P. Nilsen, K. Ekberg, and A. Stahle. 2008. "Physical activity referrals in Swedish primary health care - prescriber and patient characteristics, reasons for prescriptions, and prescribed activities." BMC Health Serv Res. 8 (1):201.

Leijon, Matti, Preben Bendtsen, Agneta Stahle, Kerstin Ekberg, Karin Festin, and Per Nilsen. 2010. "Factors associated with patients self-reported adherence to prescribed physical activity in routine primary health care." BMC Family Practice 11 (1):38.

Leijon, Matti E., Johan Faskunger, Preben Bendtsen, Karin Festin, and Per Nilsen. 2011. "Who is not adhering to physical activity referrals, and why?" Scandinavian Journal of Primary Health Care 29 (4):234-240. doi: doi:10.3109/02813432.2011.628238.

Lundqvist, Stefan, Mats Börjesson, Maria E. H. Larsson, Åsa Cider, and Lars Hagberg. 2019. "Which patients benefit from physical activity on prescription (PAP)? A prospective observational analysis of factors that predict increased physical activity." BMC Public Health 19 (1):482. doi: 10.1186/s12889-019-6830-1.

Lundqvist, Stefan, Mats Börjesson, Maria E. H. Larsson, Lars Hagberg, and Åsa Cider. 2017. "Physical Activity on Prescription (PAP), in patients with metabolic risk factors. A 6-month follow-up study in primary health care." PLOS ONE 12 (4):e0175190. doi: 10.1371/journal.pone.0175190.

Lundqvist S, Börjesson M, Cider Å, Hagberg L, Ottehall CB, Sjöström J, et al. Long-term physical activity on prescription intervention for patients with insufficient physical activity level—a randomized controlled trial. Trials. 2020;21(1):793.

Lundqvist S. 2020. "Physical activity on prescription in primary care. Impact on physical activity level, metabolic health and health-related quality of life, and its cost-effectiveness - a short- and long-term perspective. Doctoral Thesis." Institute of Neuroscience and Physiology. Department of Health and Rehabilitation. University of Gothenburg. Sahlgrenska Academy. Tillgänglig på: Göteborgs universitet: Physical activity on prescription in primary care (webbsida)

Lönnberg L, Ekblom-Bak E, Damberg M. Improved unhealthy lifestyle habits in patients with high cardiovascular risk: results from a structured lifestyle programme in primary care. Upsala Journal of Medical Sciences. 2019:1-11.

Martinsson Ngouali, T.; Börjesson, M.; Cider, Å.; Lundqvist, S. Nonresponders of Physical Activity on Prescription (PAP) Can Increase Their Exercise Capacity with Enhanced Physiotherapist Support. Int. J. Environ. Res. Public Health 2021, 18, 4795. Tillgänglig på: Nonresponders of Physical Activity on Prescription (PAP) Can Increase Their Exercise Capacity with Enhanced Physiotherapist Support (webbsida)

Moren, C., A. K. Welmer, M. Hagstromer, E. Karlsson, and D. K. Sommerfeld. 2016. "The Effects of "Physical Activity on Prescription" in Persons With Transient Ischemic Attack: A Randomized Controlled Study." J Neurol Phys Ther. doi: 10.1097/npt.0000000000000134.

Nymberg P, Calling S, Stenman E, Palmér K, Hansson EE, Sundquist K, et al. Effect of mindfulness on physical activity in primary healthcare patients: a randomised controlled trial pilot study. Pilot and feasibility studies. 2021;7(1):70.

Olsson, S. J., M. Borjesson, E. Ekblom-Bak, E. Hemmingsson, M. L. Hellenius, and L. V. Kallings. 2015. "Effects of the Swedish physical activity on prescription model on health-related quality of life in overweight older adults: a randomised controlled trial." BMC Public Health 15:687. doi: 10.1186/s12889-015-2036-3.

Onerup, Aron, Daniel Arvidsson, Åse Blomqvist, Eva-Lotte Daxberg, Lennart Jivegård, Ingibjörg H Jonsdottir, Stefan Lundqvist, Anders Mellén, Josefine Persson, Petteri Sjögren, Therese Svanberg, and Mats Borjesson. 2019. "Physical activity on prescription in accordance with the Swedish model increases physical activity: a systematic review." British Journal of Sports Medicine 53 (6):383-388. doi: 10.1136/bjsports-2018-099598.

Persson, Gerthi, Annika Brorsson, Eva Ekvall Hansson, Margareta Troein, and Eva Strandberg. 2013. "Physical activity on prescription (PAP) from the general practitioner's perspective - a qualitative study." BMC Family Practice 14 (1):128.

Persson, Gerthi, Ingvar Ovhed, and Eva Hansson. 2010. "Simplified routines in prescribing physical activity can increase the amount of prescriptions by doctors, more than economic incentives only: an observational intervention study." BMC Research Notes 3 (1):304.

Raustorp A, Sundberg CJ. The evolution of physical activity on prescription (FaR) in Sweden. Schweizerische Zeitschrift für Sportmedizin Sporttraumatologie. 2014;62:23-5.

Romé, Åsa. 2014. "Prescribed physical activity. A health economic analysis. Doctoral thesis." Doctoral thesis, Faculty of Medicine, Lund University.

Romé, Åsa, Ulf Persson, Charlotte Ekdahl, and Gunvor Gard. 2009. "Physical activity on prescription (PAP): Costs and consequences of a randomized, controlled trial in primary healthcare." Scandinavian Journal of Primary Health Care 27 (4):216-222. doi: doi:10.3109/02813430903438734.

Romé, Åsa, Ulf Persson, Charlotte Ekdahl, and Gunvor Gard. 2014. "Costs and outcomes of an exercise referral programme – A 1-year follow-up study." European Journal of Physiotherapy 16 (2):82-92. doi: 10.3109/21679169.2014.886291.

Ronnberg, A. K., I. Ostlund, H. Fadl, T. Gottvall, and K. Nilsson. 2015. "Intervention during pregnancy to reduce excessive gestational weight gain—a randomised controlled trial." BJOG: An International Journal of Obstetrics & Gynaecology 122 (4):537-544. doi: 10.1111/1471-0528.13131.

Rödjer, Lars, Ingibjörg H. Jonsdottir, and Mats Börjesson. 2016. "Physical activity on prescription (PAP): self-reported physical activity and quality of life in a Swedish primary care population, 2-year follow-up." Scandinavian Journal of Primary Health Care 34 (4):443-452. doi: 10.1080/02813432.2016.1253820.

Sjogren, Per, Justo Sierra-Johnson, Lena Kallings, Tommy Cederholm, Maria Kolak, Mats Halldin, Kerstin Brismar, Ulf de Faire, Mai-Lis Hellenius, and Rachel Fisher. 2012. "Functional changes in adipose tissue in a randomised controlled trial of physical activity." Lipids in Health and Disease 11 (1):80.

Sjögren, Per, Rachel Fisher, Lena Kallings, Ulrika Svenson, Göran Roos, and Mai-Lis Hellénius. 2014. "Stand up for health—avoiding sedentary behaviour might lengthen your telomeres: secondary outcomes from a physical activity RCT in older people." British Journal of Sports Medicine 48 (19):1407-9. doi: 10.1136/bjsports-2013-093342.

Sjoling, Mats, Kristina Lundberg, Erling Englund, Anton Westman, and Miek Jong. 2011. "Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension." BMC Research Notes 4 (1):352.

The Swedish Council on Technology Assessment in Health Care (SBU). Methods of Promoting Physical Activity: A Systematic Review. Report No. 181 Stockholm: SBU; 2007 [cited 2020 Sep 15]. Tillgänglig på: Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension (webbsida)