TY - JOUR
T1 - The effect of a lifestyle intervention program using a mobile application versus the effect of a program using a booklet for adults with metabolic syndrome
T2 - A three-arm randomized controlled trial
AU - Wong, Eliza Mi Ling
AU - Leung, Doris Yin Ping
AU - Wang, Qun
AU - Leung, Angela Yee Man
AU - Cheung, Alice Siu Ping
N1 - Funding Information:
This research is supported by the Health and Medical Research Fund (No. 10110301), Food and Health Bureau, Hong Kong SAR.
Funding Information:
Sincere thanks to Health and Medical Research Fund, Food and Health Bureau of Hong Kong SAR to support our research from 2019 to 2021.
Publisher Copyright:
© 2023 Sigma Theta Tau International.
PY - 2023
Y1 - 2023
N2 - Purpose: The research aimed to examine the effect of a lifestyle intervention program using mobile application versus booklet for adults with metabolic syndrome in Hong Kong. The outcomes comprised body weight (primary outcome), exercise amount, improvement of cardiometabolic risk factors, cardiovascular endurance, perceived stress scale, and exercise self-efficacy. Design: A three-arm randomized controlled trial namely App group, Booklet group, and control group was adopted. Methods: Two hundred sixty-four adults with metabolic syndrome were recruited from community centers from 2019 to December 2021. Inclusion criteria are those adults with metabolic syndrome, able to use a smart phone. All participants received a 30-min health talk. App group additionally received a mobile application, while Booklet group received a booklet, and the control group received a placebo booklet. Data were collected at baseline, Weeks 4, 12, and 24. SPSS and generalized estimating equations (GEE) model were employed for data analysis. Findings: Attrition rates were minimal, ranged from 2.65% to 6.44%. Both app and booklet group showed significant improvement in outcomes (exercise amount, waist circumference) when compared to control group. However, statistically significant and superior results were observed in app group, including body weight, exercise amount, waist circumference, body mass index, and systolic blood pressure when compared to booklet group. Conclusion: The lifestyle intervention supported with app was found to be superior to the booklet support for reducing body weight and maintaining exercise. Clinical Relevance: The lifestyle intervention program using mobile application support could be used widely for adults with metabolic syndrome in the community. Suggest nurses may incorporate this program in their health promotion strategies focusing on a healthy lifestyle to reduce the risk of progression to metabolic syndrome.
AB - Purpose: The research aimed to examine the effect of a lifestyle intervention program using mobile application versus booklet for adults with metabolic syndrome in Hong Kong. The outcomes comprised body weight (primary outcome), exercise amount, improvement of cardiometabolic risk factors, cardiovascular endurance, perceived stress scale, and exercise self-efficacy. Design: A three-arm randomized controlled trial namely App group, Booklet group, and control group was adopted. Methods: Two hundred sixty-four adults with metabolic syndrome were recruited from community centers from 2019 to December 2021. Inclusion criteria are those adults with metabolic syndrome, able to use a smart phone. All participants received a 30-min health talk. App group additionally received a mobile application, while Booklet group received a booklet, and the control group received a placebo booklet. Data were collected at baseline, Weeks 4, 12, and 24. SPSS and generalized estimating equations (GEE) model were employed for data analysis. Findings: Attrition rates were minimal, ranged from 2.65% to 6.44%. Both app and booklet group showed significant improvement in outcomes (exercise amount, waist circumference) when compared to control group. However, statistically significant and superior results were observed in app group, including body weight, exercise amount, waist circumference, body mass index, and systolic blood pressure when compared to booklet group. Conclusion: The lifestyle intervention supported with app was found to be superior to the booklet support for reducing body weight and maintaining exercise. Clinical Relevance: The lifestyle intervention program using mobile application support could be used widely for adults with metabolic syndrome in the community. Suggest nurses may incorporate this program in their health promotion strategies focusing on a healthy lifestyle to reduce the risk of progression to metabolic syndrome.
KW - body weight
KW - exercise
KW - lifestyle intervention
KW - m-health
KW - metabolic syndrome
UR - http://www.scopus.com/inward/record.url?scp=85150592812&partnerID=8YFLogxK
U2 - 10.1111/jnu.12883
DO - 10.1111/jnu.12883
M3 - Journal article
AN - SCOPUS:85150592812
SN - 1527-6546
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
ER -