Participants, Recruitment and eligibility All patients referred to the promotion centre in the municipalities from January 2015 will be screened for eligibility. The patients will be informed about the study and will be given formalized oral and written material, a consent form and a free post envelope. Upon reception of the consent form by the health professional at the municipality, the patient will be contacted by one of the health professionals assigned to the study and a date for the first visit is arranged.