The Effect of a Lifestyle Intervention Program Using a Mobile Application for Adults with Metabolic Syndrome, versus the Effect of a Program Using a Booklet: A Pilot Randomized Controlled Trial

Autor: Kai Wang Yeung, Angela Y. M. Leung, Qun Wang, Eliza M L Wong, Hon Lon Tam, Doris Y. P. Leung
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinical Interventions in Aging
ISSN: 1178-1998
Popis: Eliza Mi Ling Wong 1Doris YP Leung 1Hon Lon Tam 1Qun Wang 2Kai Wang Yeung 1Angela YM Leung 1 1School of Nursing, The Hong KongPolytechnic University, Hong Kong, SAR,People’s Republic of China; 2School ofNursing, Shenzhen University, Shenzhen,Guangdong, People’s Republic of China Correspondence: Eliza Mi Ling WongSchool of Nursing, GH 521, School ofNursing, The Hong Kong PolytechnicUniversity, Hung Hom, Kowloon,Hong Kong, SAR, People’s Republic ofChinaTel +86 852- 27666544Fax +86 852-2364 9663Email eliza.wong@polyu.edu.hk Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptabilityof a lifestyle intervention program using a mobile application (app) versus the effect ofa program using a booklet for adults with metabolic syndrome (MetS).Patients and Methods: This trial was conducted in two community centers of Hong Kong.Participants were included if they were adults with MetS, aged over 50, and able to usea smartphone. Eligible subjects were randomly assigned to either the app group or bookletgroup. Those in the booklet group received a health talk and a booklet, whereas those in theapp group received a health talk and a MetS app to support their exercise maintenance andhealth records for 3 months. Both groups received similar educational content related tohealthcare for MetS clients. Data were collected at baseline (T1) and at 1- (T2) and 3-month(T3) intervals. Outcomes were body weight (primary outcome), total amount of exercise,blood pressure, and lipid concentrations. Data were analyzed using the generalized estimatingequation models. Feasibility and acceptability were assessed in process evaluation.Results: Ninety-eight individuals were screened for eligibility and 77 were randomized intothe app group (n = 38) or booklet group (n = 39). The attrition rate at T3 was 11.690%. Theapp group showed a significant reduction in body weight (β = − 1.069, p = 0.012) and bodymass index (β = − 0.371, p = 0.026), a greater amount of exercise (β = 8.454, p = 0.032), andimproved exercise self-efficacy (β = 10.62, p = 0.001) within 3 months. There were nosignificant differences between groups for other outcomes. The participants appreciated theproposed intervention of the programme.Conclusion: The MetS app may be incorporated in the health promotion programme tosupport exercise maintenance and a healthy lifestyle in the community.Keywords: exercise, body weight, metabolic syndrome, intervention, programme, mobileapplication
Databáze: OpenAIRE