Cardiovascular DiseasesNCT06847633
A Digital Lifestyle Intervention in Primary Healthcare to Prevent Cardiovascular Disease
A study testing Digital lifestyle intervention in people with Cardiovascular Diseases and Lifestyle Factors, run by Karolinska Institutet at 6 sites in Sweden.
Trial summary
Unhealthy lifestyle behaviors are well-established risk factors for cardiovascular disease (CVD) which is the leading cause of death globally and in Sweden. Digitalization offers new and better possibilities for healthcare to fulfil their responsibility to support healthier lifestyles, however, to ensure scalability… Read more about this study
- Who is it for?
- Ages 39 to 61 years
- Conditions the study is for
- Cardiovascular Diseases, Lifestyle Factors
- What is being tested?
- Digital lifestyle intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,000 participants
- Where
- 6 sitesSweden
- Study dates
- 3 Mar 2025to Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 39 to 61 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Attended a Health dialogue visit to primary healthcare for patients 40-60 years old
- Willing to change at least one lifestyle behavior regarding physical activity, diet, smoking/snus, alcohol, sleep, or stress
Who cannot join
- diabetes
- heart failure
- history of myocardial infarction
- history of stroke
- pregnancy
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
6 sites in 1 country
Sweden6 sites, 6 recruiting
- Not yet recruiting
Primary helathcare centers in Region Gävleborg
Gävle
- Recruiting
Primary healthcare centers in Region Halland
Halmstad
+46702473149
- Recruiting
Primay healthcare centers in Region Östergötland
Linköping
- Recruiting
Primary healthcare centers in region Skåne
Malmö
+46702473149
- Recruiting
Primary healthcare centers in Region Västerbotten
Umeå
+46702473149
- Recruiting
Primary healthcare centers in Region Västmanland
Västerås
About this study
Unhealthy lifestyle behaviors are well-established risk factors for cardiovascular disease (CVD) which is the leading cause of death globally and in Sweden. Digitalization offers new and better possibilities for healthcare to fulfil their responsibility to support healthier lifestyles, however, to ensure scalability and sustained implementation of digital tools within healthcare, digital interventions need to be systematically maintained and delivered by the primary healthcare. The aim of this project is to evaluate whether a digital lifestyle intervention, developed within Swedish primary healthcare, can improve clinically important cardiovascular health outcomes and lifestyle behaviors. In this multi-center randomized controlled trial patients, 40-60 years, in Swedish primary healthcare will be recruited and randomized to the control or intervention group. All participants will receive standard care consisting of one structured health dialogue focused on lifestyle habits. The intervention group will also receive support through the digital lifestyle intervention for creating healthy habits regarding diet, physical activity, alcohol consumption, and tobacco usage. The primary outcome is LDL-cholesterol at 6 months post-randomization. Secondary outcomes 6 months post-randomization are HDL-, total cholesterol, fasting blood glucose, triglycerides, non-HDL, blood pressure, weight, height, BMI, waist circumference, cardiovascular risk evaluation (SCORE2), dietary intake, physical activity, sleep, stress, alcohol consumption, tobacco use, and health-related quality of life.
- Conditions
- Cardiovascular Diseases, Lifestyle Factors
- Being tested
- Digital lifestyle intervention
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digital lifestyle interventionBehavioural
The digital lifestyle intervention provides support to the patient through digital lectures, home assignments and digital group meetings as well as provides the possibility for the healthcare provider to provide personalized digital support and feedback to the patient
| Study group | Role | What they receive |
|---|---|---|
| Digital lifestyle intervention | Experimental | Access to the digital intervention which will provide support for healthier lifestyle behaviors regarding diet, physical activity, sleep, stress, alcohol consumption, and use of tobacco. Receives: Behavioral: Digital lifestyle intervention |
| Control arm | No intervention | Standard care i.e., a routine appointment to the primary healthcare center for discussing lifestyle habits |
What is being measured
The primary outcome is the main question the study is designed to answer.
LDL-cholesterol
Low density lipoprotein cholesterol
Measured: 6 months post-randomization
Secondary outcomes (23)
HDL-cholesterol
High density lipoprotein cholesterol
Measured: 6 months post-randomization
Total cholesterol
Measured: 6 months post-randomization
Fasting blood glucose
Measured: 6 months post-randomization
Triglycerides
Measured: 6 months post-randomization
Non-HDL cholesterol
Calculated by subtracting HDL cholesterol from total cholesterol
Measured: 6 months post-randomization
Systolic blood pressure
Measured: 6 months post-randomization
Diastolic blood pressure
Measured: 6 months post-randomization
Weight
Measured: 6 months post-randomization
Height
Measured: 6 months post-randomization
Body mass index
Measured: 6 months post-randomization
Waist circumference
Measured: 6 months post-randomization
Systematic COronary Risk Evaluation model, second version (SCORE2)
Estimated percentage risk of fatal and non-fatal cardiovascular disease within the next 10 years. The estimation is based on data on sex, age, smoking, systolic blood pressure (SBP), total cholesterol, and HDL cholesterol
Measured: 6 months post-randomization
Health-related quality of life
Measured by the questionnaire EuroQol-5 Dimensions-5 Levels (EQ-5D-5L). Five dimensions including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five response options, scored 1-5, ranging from 'no problems' to 'extreme problems'
Measured: 6 months post-randomization
Health-related quality of life
Measured by the questionnaire EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) visual analogue scale (VAS) ranging from 0 to 100 where higher values represents better self-assessed health.
Measured: 6 months post-randomization
Diet intake
Assessed by questions on intake quantity of vegetables, fruit, sweet beverages, and snacks the past week
Measured: 6 months post-randomization
Physical activity
Assessed by questions on time (minutes and hours) spent in moderate and vigorous physical activity the past week
Measured: 6 months post-randomization
Sedentary time
One question about time in sitting position
Measured: 6 months post-randomization
Stress
Assessed by the Perceived Stress Scale. Minimum value 0. Maximum value 56. Higher scores indicating greater perceived stress.
Measured: 6 months post-randomization
Sleep
Assessed by the Karolinska Sleep Questionnaire. No single set of minimum and maximum values. Each item is scored from 0-5, where higher values indicate greater sleep issues
Measured: 6 months post-randomization
Alcohol consumption
Questions on monthly frequency of heavy episodic drinking, weekly alcohol consumption
Measured: 6 months post-randomization
Tobacco use
Questions on frequency of smoking and using snus the past week and the past 4 weeks
Measured: 6 months post-randomization
Mediated effects on behavior change
Potential mediators to be assessed are confidence, importance, and know-how (i.e., knowing how to change a behavior).
Measured: 6 months post-randomization
Participant experience from using the digital intervention
Questions on experience from using the intervention (intervention group only). The questions are framed as statements with five response options ranging from 'Not agreeing at all' to 'Fully agreeing'
Measured: 6 months post-randomization
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2025
- Study start3 Mar 2025
- Primary completionDec 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cardiovascular DiseasesStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Collaborators
- Capio Narsjukvard
- Responsible party
- Principal investigator, Marie Löf, docent, Karolinska Institutet
- Investigators
- Marie Löf, PhD, Principal investigator, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06847633
- Sponsor's protocol ID
- 2024-07911-01
- Other IDs
- 2025-07793, 2025
- Status last verified
- Jun 2026
- First submitted
- 21 Feb 2025
- Last updated
- 9 Jun 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Digital Lifestyle Intervention in Primary Healthcare to Prevent Cardiovascular Disease
- ClinicalTrials.gov ID
- NCT06847633
- Acronym / sponsor ID
- 2024-07911-01
- Conditions
- Cardiovascular Diseases, Lifestyle Factors
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Karolinska InstitutetUniversity, hospital or other
- Collaborators
- Capio Narsjukvard
- Study start
- 3 Mar 2025 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 26 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Unhealthy lifestyle behaviors are well-established risk factors for cardiovascular disease (CVD) which is the leading cause of death globally and in Sweden. Digitalization offers new and better possibilities for healthcare to fulfil their responsibility to support healthier lifestyles, however, to ensure scalability and sustained implementation of digital tools within healthcare, digital interventions need to be systematically maintained and delivered by the primary healthcare. The aim of this project is to evaluate whether a digital lifestyle intervention, developed within Swedish primary healthcare, can improve clinically important cardiovascular health outcomes and lifestyle behaviors. In this multi-center randomized controlled trial patients, 40-60 years, in Swedish primary healthcare will be recruited and randomized to the control or intervention group. All participants will receive standard care consisting of one structured health dialogue focused on lifestyle habits. The intervention group will also receive support through the digital lifestyle intervention for creating healthy habits regarding diet, physical activity, alcohol consumption, and tobacco usage. The primary outcome is LDL-cholesterol at 6 months post-randomization. Secondary outcomes 6 months post-randomization are HDL-, total cholesterol, fasting blood glucose, triglycerides, non-HDL, blood pressure, weight, height, BMI, waist circumference, cardiovascular risk evaluation (SCORE2), dietary intake, physical activity, sleep, stress, alcohol consumption, tobacco use, and health-related quality of life.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Digital lifestyle intervention | Experimental | Behavioral: Digital lifestyle interventionAccess to the digital intervention which will provide support for healthier lifestyle behaviors regarding diet, physical activity, sleep, stress, alcohol consumption, and use of tobacco. |
| Control arm | No intervention | –Standard care i.e., a routine appointment to the primary healthcare center for discussing lifestyle habits |
Who may qualify
- Ages
- 39 to 61 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Attended a Health dialogue visit to primary healthcare for patients 40-60 years old
- Willing to change at least one lifestyle behavior regarding physical activity, diet, smoking/snus, alcohol, sleep, or stress
Key exclusion criteria (5 listed)
- diabetes
- heart failure
- history of myocardial infarction
- history of stroke
- pregnancy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Digital lifestyle interventionThe digital lifestyle intervention provides support to the patient through digital lectures, home assignments and digital group meetings as well as provides the possibility for the healthcare provider to provide personalized digital support and feedback to the patient | Behavioural | Digital lifestyle intervention |
Primary outcome
LDL-cholesterol
Time frame: 6 months post-randomization
Low density lipoprotein cholesterol
23 secondary outcomes
HDL-cholesterol
Time frame: 6 months post-randomization
Total cholesterol
Time frame: 6 months post-randomization
Fasting blood glucose
Time frame: 6 months post-randomization
Triglycerides
Time frame: 6 months post-randomization
Non-HDL cholesterol
Time frame: 6 months post-randomization
Systolic blood pressure
Time frame: 6 months post-randomization
Diastolic blood pressure
Time frame: 6 months post-randomization
Weight
Time frame: 6 months post-randomization
Height
Time frame: 6 months post-randomization
Body mass index
Time frame: 6 months post-randomization
Waist circumference
Time frame: 6 months post-randomization
Systematic COronary Risk Evaluation model, second version (SCORE2)
Time frame: 6 months post-randomization
Health-related quality of life
Time frame: 6 months post-randomization
Health-related quality of life
Time frame: 6 months post-randomization
Diet intake
Time frame: 6 months post-randomization
Physical activity
Time frame: 6 months post-randomization
Sedentary time
Time frame: 6 months post-randomization
Stress
Time frame: 6 months post-randomization
Sleep
Time frame: 6 months post-randomization
Alcohol consumption
Time frame: 6 months post-randomization
Tobacco use
Time frame: 6 months post-randomization
Mediated effects on behavior change
Time frame: 6 months post-randomization
Participant experience from using the digital intervention
Time frame: 6 months post-randomization
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jun 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Marie Löf, PhD principal investigator
Karolinska Institutet
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digital lifestyle intervention in people with Cardiovascular Diseases and Lifestyle Factors, run by Karolinska Institutet at 6 sites in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 9 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Linnea Hedin, PhD (+4670-2473149, linnea.hedin@ki.se), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
LDL-cholesterol (time frame: 6 months post-randomization). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2026.