Project description
Personalised exercise and self-management against multimorbidity
Multimorbidity affects function and quality of life of patients and puts a costly burden on families and society. Research and healthcare have mostly focused on individual conditions, thereby limiting available, effective treatments of multimorbidity. Exercise has positive effects on improving health in 26 individual chronic conditions. The EU-funded MOBILIZE project intends to develop a personalised exercise and self-management programme supporting individual self-management of multimorbidity. The project relies on interdisciplinary collaboration and builds on available evidence, patient involvement and methodological expertise. A randomised trial will investigate self-reported, physiological and societal impacts and compare the personalised programme with standard single-disease models of treatment. If supported by study findings, a model for implementation of the personalised programme in clinical practice will be developed.
Objective
The goal of this proposal is to support the paradigm shift in the health care of people with multiple chronic conditions in Europe from a focus on disease-based curative models to holistic person-centered self-care through personalized,supervised exercise therapy and education.
The problem:The impact of multimorbidity on the individual and society is massive and much greater than the impact of single chronic conditions alone. However, effective treatments are missing and research and health care reinforce an inefficient and burdensome single-disease framework.
The solution:Exercise has the potential to disrupt the ‘vicious cycle’ of systemic inflammation associated with chronic conditions and improve health in multimorbidity. A personalized exercise and education program aimed at supporting subsequent self-management by the individual will be developed in an interdisciplinary collaboration, building on evidence from biomarkers, patient involvement and methodological expertise. Self-reported,physiological and societal effects will be investigated in a randomized controlled trial comparing the personalized program with standard single-disease models of care. Scientific and public dissemination and implementation ensuring significant personal and societal benefit is fundamental to the proposal.
The proposal is associated with high risk, as the current disease-based curative models involve treatment by several highly specialized health care providers, while the new person-centered self-management model is centered on a personalized program delivered by one health care provider.
The ground-breaking nature of this proposal lies in its potential to revolutionize how health care is organized for people with multimorbidity, by giving them one primary care provider, and how we use non-surgical treatment in health care and science by bringing the concept of precision medicine into multimorbidity and utilizing it to improve treatment outcome with exercise therapy as the model.
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Funding Scheme
ERC-STG - Starting GrantHost institution
5230 Odense M
Denmark