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

Eliza Mi Ling Wong; Doris Y.P. Leung; Hon Lon Tam; Qun Wang; Kai Wang Yeung; Angela Y.M. Leung

doi:10.2147/CIA.S303920

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

Eliza Mi Ling Wong, Doris Y.P. Leung, Hon Lon Tam, Qun Wang, Kai Wang Yeung, Angela Y.M. Leung

Research output: Journal article publication › Journal article › Academic research › peer-review

13 Citations (Scopus)

Abstract

Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptability of a lifestyle intervention program using a mobile application (app) versus the effect of a 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 use a smartphone. Eligible subjects were randomly assigned to either the app group or booklet group. Those in the booklet group received a health talk and a booklet, whereas those in the app group received a health talk and a MetS app to support their exercise maintenance and health records for 3 months. Both groups received similar educational content related to healthcare 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 estimat-ing equation models. Feasibility and acceptability were assessed in process evaluation. Results: Ninety-eight individuals were screened for eligibility and 77 were randomized into the app group (n = 38) or booklet group (n = 39). The attrition rate at T3 was 11.690%. The app group showed a significant reduction in body weight (β = −1.069, p = 0.012) and body mass index (β = −0.371, p = 0.026), a greater amount of exercise (β = 8.454, p = 0.032), and improved exercise self-efficacy (β = 10.62, p = 0.001) within 3 months. There were no significant differences between groups for other outcomes. The participants appreciated the proposed intervention of the programme. Conclusion: The MetS app may be incorporated in the health promotion programme to support exercise maintenance and a healthy lifestyle in the community.

Original language	English
Pages (from-to)	633-644
Number of pages	12
Journal	Clinical Interventions in Aging
Volume	16
DOIs	https://doi.org/10.2147/CIA.S303920
Publication status	Published - Apr 2021

Keywords

Body weight
Exercise
Intervention
Metabolic syndrome
Mobile application
Programme

ASJC Scopus subject areas

Geriatrics and Gerontology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

More information

10.2147/CIA.S303920

http://hdl.handle.net/10397/91107

Cite this

Wong, E. M. L., Leung, D. Y. P., Tam, H. L., Wang, Q., Yeung, K. W., & Leung, A. Y. M. (2021). 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. Clinical Interventions in Aging, 16, 633-644. https://doi.org/10.2147/CIA.S303920

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abstract = "Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptability of a lifestyle intervention program using a mobile application (app) versus the effect of a 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 use a smartphone. Eligible subjects were randomly assigned to either the app group or booklet group. Those in the booklet group received a health talk and a booklet, whereas those in the app group received a health talk and a MetS app to support their exercise maintenance and health records for 3 months. Both groups received similar educational content related to healthcare 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 estimat-ing equation models. Feasibility and acceptability were assessed in process evaluation. Results: Ninety-eight individuals were screened for eligibility and 77 were randomized into the app group (n = 38) or booklet group (n = 39). The attrition rate at T3 was 11.690%. The app group showed a significant reduction in body weight (β = −1.069, p = 0.012) and body mass index (β = −0.371, p = 0.026), a greater amount of exercise (β = 8.454, p = 0.032), and improved exercise self-efficacy (β = 10.62, p = 0.001) within 3 months. There were no significant differences between groups for other outcomes. The participants appreciated the proposed intervention of the programme. Conclusion: The MetS app may be incorporated in the health promotion programme to support exercise maintenance and a healthy lifestyle in the community.",

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note = "Funding Information: Sincere thanks to the Start-up Fund, the Hong Kong Polytechnic University for the groundwork and Health and Medical Research Fund, Food and Health Bureau of Hong Kong SAR to support our research. Special thanks to the clients who participate in our project. Publisher Copyright: {\textcopyright} 2021 Wong et al.",

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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. / Wong, Eliza Mi Ling; Leung, Doris Y.P.; Tam, Hon Lon et al.
In: Clinical Interventions in Aging, Vol. 16, 04.2021, p. 633-644.

Research output: Journal article publication › Journal article › Academic research › peer-review

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T1 - 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

T2 - A pilot randomized controlled trial

AU - Wong, Eliza Mi Ling

AU - Leung, Doris Y.P.

AU - Tam, Hon Lon

AU - Wang, Qun

AU - Yeung, Kai Wang

AU - Leung, Angela Y.M.

N1 - Funding Information: Sincere thanks to the Start-up Fund, the Hong Kong Polytechnic University for the groundwork and Health and Medical Research Fund, Food and Health Bureau of Hong Kong SAR to support our research. Special thanks to the clients who participate in our project. Publisher Copyright: © 2021 Wong et al.

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Y1 - 2021/4

N2 - Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptability of a lifestyle intervention program using a mobile application (app) versus the effect of a 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 use a smartphone. Eligible subjects were randomly assigned to either the app group or booklet group. Those in the booklet group received a health talk and a booklet, whereas those in the app group received a health talk and a MetS app to support their exercise maintenance and health records for 3 months. Both groups received similar educational content related to healthcare 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 estimat-ing equation models. Feasibility and acceptability were assessed in process evaluation. Results: Ninety-eight individuals were screened for eligibility and 77 were randomized into the app group (n = 38) or booklet group (n = 39). The attrition rate at T3 was 11.690%. The app group showed a significant reduction in body weight (β = −1.069, p = 0.012) and body mass index (β = −0.371, p = 0.026), a greater amount of exercise (β = 8.454, p = 0.032), and improved exercise self-efficacy (β = 10.62, p = 0.001) within 3 months. There were no significant differences between groups for other outcomes. The participants appreciated the proposed intervention of the programme. Conclusion: The MetS app may be incorporated in the health promotion programme to support exercise maintenance and a healthy lifestyle in the community.

AB - Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptability of a lifestyle intervention program using a mobile application (app) versus the effect of a 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 use a smartphone. Eligible subjects were randomly assigned to either the app group or booklet group. Those in the booklet group received a health talk and a booklet, whereas those in the app group received a health talk and a MetS app to support their exercise maintenance and health records for 3 months. Both groups received similar educational content related to healthcare 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 estimat-ing equation models. Feasibility and acceptability were assessed in process evaluation. Results: Ninety-eight individuals were screened for eligibility and 77 were randomized into the app group (n = 38) or booklet group (n = 39). The attrition rate at T3 was 11.690%. The app group showed a significant reduction in body weight (β = −1.069, p = 0.012) and body mass index (β = −0.371, p = 0.026), a greater amount of exercise (β = 8.454, p = 0.032), and improved exercise self-efficacy (β = 10.62, p = 0.001) within 3 months. There were no significant differences between groups for other outcomes. The participants appreciated the proposed intervention of the programme. Conclusion: The MetS app may be incorporated in the health promotion programme to support exercise maintenance and a healthy lifestyle in the community.

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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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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