Effectiveness of a Lifestyle Intervention Programme Using Mobile Application vs Booklet for Adult With Metabolic Syndrome
The Effectiveness of a Lifestyle Intervention Programme Using Mobile Application vs Booklet for Adult With Metabolic Syndrome _ a Pilot Study
Aims This Pilot study aims to develop and determine the feasibility and acceptability of a mobile application (MetS app) together with a modified Life style modification Program (LIP) for soon-to-aged adults with metabolic syndrome (MetS) and to determine the sample size for the main RCT. .
Methods A prospective randomized control trial design with process evaluation will be adopted. Inclusion criteria are those MetS participants, age 45 or above, able to use a smart phone. A total of eighty eligible participants will be recruited from 2-3 community Centres. Control group will receive standard care while intervention group will receive a MetS app. Standard care consists of a modified three-month lifestyle modification booklet, a 30 minutes educational session. The intervention group will receive a 30 minute education session plus MetS support, which will be guided by health belief model to support an individual self- monitoring and record of health measures (body weight, blood pressure, waist circumference) and physical exercise (goal setting of exercise and record) across three months. All information from the LIP booklet are also installed in the MetS platform as well. The primary outcomes will be waist measure and the total physical exercise (GSLTPAQ). The secondary outcomes included cardio-metabolic risk factors, cardiovascular endurance, self-efficacy for exercise (SEE) and stress level (PSS-10) and quality of Life (SF12). Data will be collected at baseline, one-month (T1) and three-month (T2). SPSS version 23 and Generalized Estimating equations (GEE) model will be employed to examine the effects of the LIP with MetS app support.
調査の概要
詳細な説明
Background Educational programme intervention on Lifestyle modification is recommended as the primary intervention for metabolic syndrome (MetS), a cluster of cardio-metabolic risk factors with a high prevalence rate globally and locally. Recent studies of lifestyle intervention program (LIP) have been reported as effective on physical indicators and quality of life (QoL) among MetS adult. However, they have the challenges in the delivery in making care scalable and little is known about the effect on exercise outcomes such as total exercise, cardiovascular endurance after exercise as well as whether the outcomes of this programme can be applied in Hong Kong and improved by adding the mobile application.
Aims This Pilot study aims to develop and determine the feasibility and acceptability of a mobile application (MetS app) together with a modified Life style modification Program (LIP) for soon-to-aged adults with metabolic syndrome (MetS) and to determine the sample size for the main RCT. .
Methods A prospective randomized control trial design with process evaluation will be adopted. Inclusion criteria are those MetS participants, age 45 or above, able to use a smart phone. A total of eighty eligible participants will be recruited from 2-3 community Centres. Control group will receive standard care while intervention group will receive a MetS app. Standard care consists of a modified three-month lifestyle modification booklet, a 30 minutes educational session. The intervention group will receive a 30 minute education session plus MetS support, which will be guided by health belief model to support an individual self- monitoring and record of health measures (body weight, blood pressure, waist circumference) and physical exercise (goal setting of exercise and record) across three months. All information from the LIP booklet are also installed in the MetS platform as well. The primary outcomes will be waist measure and the total physical exercise (GSLTPAQ). The secondary outcomes included cardio-metabolic risk factors, cardiovascular endurance, self-efficacy for exercise (SEE) and stress level (PSS-10) and quality of Life (SF12). Data will be collected at baseline, one-month (T1) and three-month (T2). SPSS version 23 and Generalized Estimating equations (GEE) model will be employed to examine the effects of the LIP with MetS app support.
Significance This pilot study will provide insights to guide the main study. The findings will facilitate the development of MetS app that could support the self-efficacy for physical health monitoring and exercise of patients with MetS. Such programme may enhance patient's self-management and monitoring of MetS, exercise behavior sustainability that will be beneficial to reduced MetS risk profile, and improves psychological health and quality of life.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Hong Kong、香港
- Sai Kung community centre
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
Participants who satisfy the inclusion and exclusion criteria will be invited to participate in the RCT. The inclusion criteria are those :
- Ethnic Chinese Client who has a smart phone.
- Adult age 45 or over
MetS Clients [1] with central obesity (male >90 cm , female > 80cm ) plus two items of the followings :
- Raised triglycerides ≥ 150 mg/dL (1.7 mmol/L) or specific treatment for this lipid abnormality
- Reduced HDL cholesterol < 40 mg/dL (1.03 mmol/L) in males < 50 mg/dL (1.29 mmol/L) in females or treatment for this lipid abnormality
- Raised blood pressure systolic BP ≥ 130 or diastolic BP ≥ 85 mm Hg or treatment of previously diagnosed hypertension (HT)
- Raised fasting plasma glucose (FPG) ≥ 100 mg/dL (5.6 mmol/L), or previously diagnosed type 2 diabetes (DM)
Exclusion Criteria:
- Clients with physical, mental, visual, or cognitive impairments with regular medical follow-ups and treatment, and those who have musculoskeletal disorders or other disabling diseases that may limit the practice of walking exercise will be excluded.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
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アクティブコンパレータ：mobile app
Mobile app: The participants will receive a Life style Modification Program with the support of mobile application (MetS app).
The participants can view the similar knowledge content related to metabolic syndrome in their own smart phone.
In addition, a membership area of the Mets app provides individual support of self- health monitoring, goal setting of exercise plan and exercise record.
A user guide of the MetS app will be provided to the participants to take home after the app installment and briefing.
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Mobile app: The participants can view the Life style modification program by using the app. In addition, a membership area of the app provides individual support of self- health monitoring, goal setting of exercise plan and exercise record. A user guide of the MetS app will be provided to the participants to take home after the briefing. Booklet : The booklet content covers 26 pages about the metabolic syndrome and risk factors, suggested life style modification tips in terms of exercise, diet, smoking, mediation and stress management.
他の名前：
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アクティブコンパレータ：booklet
The participants will receive the Life Style Modification programme with the support of a Hong Kong version Metabolic Syndrome (MetS) booklet to take home and use for 3 months.
The booklet had been modified from a booklet of a Life Style Intervention Programme (LIP) in China and the principal investigator of this proposal was the core team members of the previous project .
The booklet content covers 26 pages about the metabolic syndrome and risk factors, suggested life style modification tips in terms of exercise, diet, smoking, mediation and stress management .
The major component of the booklet for the change is the language translated from simplified Chinese to traditional Chinese and slight adjustment about the advice on vegetable choice due to difference in type of available vegetables in Hong Kong.
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Mobile app: The participants can view the Life style modification program by using the app. In addition, a membership area of the app provides individual support of self- health monitoring, goal setting of exercise plan and exercise record. A user guide of the MetS app will be provided to the participants to take home after the briefing. Booklet : The booklet content covers 26 pages about the metabolic syndrome and risk factors, suggested life style modification tips in terms of exercise, diet, smoking, mediation and stress management.
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in body weight
時間枠：1 month and 3 months
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body weight weighted at the same scale by the research assistant (RA) in the follow up
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1 month and 3 months
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Change in total physical exercise
時間枠：baseline, 1 month and 3 months
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Total physical exercise quantified with a modified version of the GSLTPAQ [31-32].
The patients were instructed to indicate the amount of exercises and to rank the exercises in the order of difficulty (strenuous, moderate, and mild).
Total physical exercise will be computed by summing up the total number of sessions per week multiplied by minutes per session.
The scale has been widely used in empirical studies and it has been shown to have good psychometric properties with acceptable test-retest reliability (ranged from 0.62 to 0.81), and correlated with maximum oxygen consumption, treadmill time and other similar physical activity questionnaire.
[31-32].
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baseline, 1 month and 3 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Chinese version of Self-Efficacy for Exercise (SEE-C)
時間枠：baseline, 1 month and 3 months
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The SEE-C consists of nine items, and responses are made on a 0-10 scale.
The sum of the responses to all nine items yields the final composite score ranging from 0-90.
The C-SE has been proved to be reliable with good psychometric properties of Cronbach's alpha coefficient 0.75 for Taiwan Chinese older adults
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baseline, 1 month and 3 months
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change in Cardiovascular endurance test.
時間枠：baseline, 3 mobnths
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it is a three -minute step test to test the cardiovascular functional endurance after exercise across the age span and gender.
A participant step on and off of a 12 inch high bench / or stair for 3 minutes.
Then pulse will be taken afterward while the participant remain standing.
Compare the heart rate with the table according to the age and gender to determine the fitness in a range of 7 score from excellent, good, above average, average, below average, poor and very poor .
Validity of this test has been established in previous studies.
[35] .
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baseline, 3 mobnths
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Change in Perceived stress scale (PSS-10)
時間枠：baseline, 1 month and 3 months
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Ten self-report items measure the degree to which situations in one's life are appraised as stressful and the current levels of experienced stress in the last month.
Summative scores range from 0 to 40, with a higher score indicating higher stress level.
These scores have been used as outcome measures of experienced levels of stress.
The psychometric properties of the Chinese version of PSS-10 were satisfactory with Cronbach's alphas >0.75 in a local study for Chinese cardiac patients.
[36]
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baseline, 1 month and 3 months
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Hospitalization frequency
時間枠：baseline, 3 months
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Recent hospitalization frequency (number of hospitalization visit and hospitalization in last three month) will be asked by Research assistant (RA) at baseline and at 3 months.
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baseline, 3 months
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Mets app usage frequency
時間枠：monthly till 3 month
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MetS app usage (frequency per week) will be collected by RA by retrieving the data from the app server for the intervention group
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monthly till 3 month
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Booklet usage frequency
時間枠：baseline, 1 month and 3 months
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Booklet usage (frequency per week) will be collected for the control group at baseline, 1month and 3 months.
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baseline, 1 month and 3 months
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Waist circumference (cm)
時間枠：baseline, 1 month and 3 months
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The Waist circumference is measured by a trained RA with a tape (cm) at the midpoint between the top of the iliac crest and the lower margin of the last rib in the standing position at the end of several consecutive natural breaths.
Data will be collected at baseline, 1month and 3 months.
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baseline, 1 month and 3 months
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Blood pressure (mmHg)
時間枠：baseline, 1month and 3 months.
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Systolic and diastolic blood pressure (mmHg) is measured by a trained RA using same equipment.
Data will be collected at baseline, 1month and 3 months.
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baseline, 1month and 3 months.
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Lipid level (mmol/L)
時間枠：baseline and 3 months
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Lipid level: A drop of blood sample will be taken by using a finger stick to measure LDL cholesterol (mmol/L), and HDL cholesterol (mmol/L), and triglycerides (mmol/L).
The data can be analysed immediately by using auto-analyser and the participants are asked to have 8 hours fasting.
Data will be collected by RA at baseline, 1month and 3 months.
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baseline and 3 months
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Fasting blood glucose level (mmol/L)
時間枠：baseline, 1 month and 3 months
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The participants are asked to have 8 hours fasting before blood taken.
A drop of blood will be collected by finger stick by RA using same glucometer to measure the fasting blood glucose level at baseline, 1month and 3 months.
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baseline, 1 month and 3 months
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協力者と研究者
捜査官
- 主任研究者：Eliza ML Wong, PhD、The Hong Kong Polytechnic University
研究記録日
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研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
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最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
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詳しくは
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その他の研究ID番号
- 1-BE0N
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