A Web-based Approach to Treating Cardiovascular Disease Risk in Employees With Metabolic Syndrome (BEHHS)
19 de febrero de 2015 actualizado por: Baptist Health South Florida
Baptist Employee Healthy Heart Study (BEHHS) - A Novel Web-based Approach to Reduce Cardiovascular Disease Risk in a Diverse Employee Population With Metabolic Syndrome Via Diet and Lifestyle Change
The purpose of BEHHS is first to assess the baseline sub-clinical disease in a population of Baptist Health Employees who have Metabolic Syndrome, a known contributor to cardiovascular disease.
Second, the investigators wish to encourage a healthy lifestyle through personalized nutrition and fitness advice, delivered as part of a web based program, which will in turn lead to increases in heart healthy behaviors such as increased consumption of heart healthy foods, increased exercise initiation, and more positive attitudes about health.
To assess this, the investigators plan to randomize 200 employees with Metabolic Syndrome to either the new web-based diet and lifestyle program, or to care-as-usual, which is the currently offered MyWellnessAdvantage and WebMD websites.
The investigators hypothesize that the web-based group will show greater improvements in physical health (such as weight loss, cholesterol reduction, etc.) as well as increased consumption of heart healthy foods, exercise initiation, and quality of sleep as measured by surveys administered at the 4,8, and 12 month follow-up appointments.
Descripción general del estudio
Estado
Terminado
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
182
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Florida
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Miami, Florida, Estados Unidos, 33143
- South Miami Heart Center Outpatient Services
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Employee of Baptist Health
- Access to Internet
- Has a smart phone (Android or Apple supported) with data plan
- Has an email address
Diagnosis of three or more of the following:
- Waist circumference >=40 inches in and male and >= 35 inches in a female
- Fasting triglyceride level > 150 mg/dl*
- HDL-C < 40 mg/dl in men or < 50 mg/dl in women*
- BP > 130/85 mm Hg*
Fasting blood glucose > 110 mg/dl
- Or currently on medication to treat the abnormal condition
Exclusion Criteria:
- Prior history of major cardiovascular events (angina, myocardial infarction, prior coronary revascularization
- Any woman of childbearing potential who is pregnant, breastfeeding/currently lactating, seeking to become pregnant or suspects that she may be pregnant**
- Active treatment for cancer
- Known history of a bilateral mastectomy
- Known history of diabetes (already being treated as high-risk group, would not qualify as having Metabolic Syndrome for purposes of our study)
- Known history of Chronic Obstructive Pulmonary Disease
- Currently in atrial fibrillation
- Known history of hypo-tension
- Known history of heart failure
- Known history of aortic valve stenosis
- Known history of heart block
- Chest CT scan in the last year
- Cognitive inability as judged by the interviewer
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: My Everyday Health Group
Subjects in this group will be randomized to a web based diet and weight modification program (MyEveryday Health) and provided personal access codes.
They will also continue to have access to the WebMD website provided as part of their employment with Baptist Health South Florida.
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MyEveryday Health is a web-based nutritional and lifestyle management program.
The program includes personalized diet and weight guidance, meal planners, shopping list generator, recipe finder, weight tracker and dining out and fast food guides.
Based on specific algorithms, tips and suggestions on how to make changes in their diet and lifestyle will be give each time the subject logs in.
The MyEverydayHealth website will also be available as an app for their smart phone to the participants.
If they choose to use the app, daily reminders to log in and use their tools will be sent, along with motivating tool/tips/tricks to stay with the program.
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Sin intervención: WebMD Group
This group will continue to have access to a website that is available for use of all employees (WebMD) at Baptist Health South Florida.
This is the care-as-usual arm.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
|---|---|
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Reduction in BMI
Periodo de tiempo: 4 months, 12 months
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4 months, 12 months
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Change in waist circumference
Periodo de tiempo: 4 months, 12 months
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4 months, 12 months
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Change in Lipids
Periodo de tiempo: 4 months, 12 months
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Examining any changes in advanced lipids such as HDL, LDL, triglycerides, particle size
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4 months, 12 months
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Change in Blood Pressure
Periodo de tiempo: 4 months, 12 months
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4 months, 12 months
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Change in Glucose Regulation
Periodo de tiempo: 4 months, 12 months
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Change in fasting blood glucose(FBG) and HbA1C
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4 months, 12 months
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Lifestyle Change
Periodo de tiempo: 4 months, 12 months
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Changes in reported physical activity, diet, and behavioral scores based on self report by survey
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4 months, 12 months
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Change in Sub-Clinical Disease
Periodo de tiempo: 12 months
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Change in measures of sub-clinical cardiovascular disease; Endothelial function, Carotid intima-medial thickness, coronary artery calcium
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12 months
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Khurram Nasir, MD, MPH, Baptist Health Medical Group
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Aziz M, Gannarapu S, Humayun C, Siddiqui U, Nasir K, Aneni EC. Association of particles of lipoprotein subclasses with arterial stiffness in a high-risk working population: the Baptist Employee Healthy Heart Study (BEHHS). Egypt Heart J. 2020 Mar 19;72(1):12. doi: 10.1186/s43044-020-00046-4.
- Post JM, Ali SS, Roberson LL, Aneni EC, Shaharyar S, Younus A, Jamal O, Ahmad R, Aziz MA, Malik R, Spatz ES, Feldman T, Fialkow J, Veledar E, Cury RC, Agatston AS, Nasir K. Rationale and design of the Baptist Employee Healthy Heart Study: a randomized trial assessing the efficacy of the addition of an interactive, personalized, web-based, lifestyle intervention tool to an existing health information web platform in a high-risk employee population. Trials. 2016 Jul 1;17(1):308. doi: 10.1186/s13063-016-1424-z.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de agosto de 2013
Finalización primaria (Actual)
1 de febrero de 2015
Finalización del estudio (Actual)
1 de febrero de 2015
Fechas de registro del estudio
Enviado por primera vez
3 de julio de 2013
Primero enviado que cumplió con los criterios de control de calidad
30 de julio de 2013
Publicado por primera vez (Estimar)
31 de julio de 2013
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
20 de febrero de 2015
Última actualización enviada que cumplió con los criterios de control de calidad
19 de febrero de 2015
Última verificación
1 de febrero de 2015
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 13-028
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .