Effectiveness of m-health technology-enabled physical activity program on physical activity adoption and adherence in people with hypertension in India: A randomized controlled trial protocol

Q1 Medicine Chronic Diseases and Translational Medicine Pub Date : 2023-12-06 DOI:10.1002/cdt3.101

Vidhi Thakar, Sureshkumar Kamalakannan, V. Prakash

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Abstract

Background

Exercise and medication have similar benefits in reducing blood pressure (BP); however, hypertension management initiatives primarily focus on medicines. This is due to scarce research on the effectiveness of implementation strategies for optimal exercise adoption and adherence. Smartphones were found to be effective in delivering hypertension care and increase exercise adherence. Despite this, only a small number of research projects in India have used smartphones as a strategy for managing hypertension.

Methods

We hypothesized that smartphone application-based care would lead to higher exercise adherence among adults (30–79 years) with hypertension compared to those who receive usual care. It will be a multicentric, randomized controlled, parallel-design, superiority clinical trial. The outcome assessor and data analyst will be blinded to group allocation. Participants in the intervention group will receive mobile application-based care for 6 weeks. Participants in the usual care group will receive a standard intervention. Both groups will receive the same number of follow-ups.

Results

The primary outcome is the difference in the proportion of people adherent to the recommended level of physical activity evaluated using an exercise adherence rating scale in the intervention group and the control group. Exercise adoption will be measured as the percentage of eligible participants in each study setting willing to initiate the exercise program. The secondary outcome includes differences in systolic and diastolic BP and self-management (evaluated using the Hypertension Self-Care Profile). The trial outcome will be accompanied by a process evaluation.

Conclusions

This research will inform about the comparative effectiveness of conventional and m-health interventions for exercise adoption and adherence in people with hypertension in resource-constrained settings.

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移动健康技术支持的体育锻炼计划对印度高血压患者采用和坚持体育锻炼的效果：随机对照试验方案

运动和药物在降低血压方面有相似的好处;然而，高血压管理举措主要侧重于药物。这是由于缺乏对最佳运动采用和坚持的实施策略有效性的研究。研究发现，智能手机在提供高血压护理和提高锻炼依从性方面很有效。尽管如此，印度只有少数研究项目使用智能手机作为控制高血压的策略。我们假设，与接受常规护理的高血压患者相比，基于智能手机应用程序的护理将使高血压成人(30-79岁)的运动依从性更高。这将是一项多中心、随机对照、平行设计、优势临床试验。结果评估者和数据分析师将不知道分组分配。干预组的参与者将接受为期6周的基于移动应用程序的护理。常规护理组的参与者将接受标准干预。两组将接受相同数量的随访。主要结果是使用运动依从性评定量表评估干预组和对照组中坚持推荐体力活动水平的人群比例的差异。运动采用将以每个研究环境中愿意开始锻炼计划的符合条件的参与者的百分比来衡量。次要结局包括收缩压和舒张压的差异和自我管理(使用高血压自我护理档案评估)。试验结果将伴随着过程评估。本研究旨在了解在资源受限的环境下，高血压患者采用和坚持锻炼的常规和综合健康干预措施的比较有效性。

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来源期刊

Chronic Diseases and Translational Medicine Medicine-General Medicine

CiteScore

6.70

自引率

0.00%

发文量

195

审稿时长

35 weeks

期刊介绍： This journal aims to promote progress from basic research to clinical practice and to provide a forum for communication among basic, translational, and clinical research practitioners and physicians from all relevant disciplines. Chronic diseases such as cardiovascular diseases, cancer, diabetes, stroke, chronic respiratory diseases (such as asthma and COPD), chronic kidney diseases, and related translational research. Topics of interest for Chronic Diseases and Translational Medicine include Research and commentary on models of chronic diseases with significant implications for disease diagnosis and treatment Investigative studies of human biology with an emphasis on disease Perspectives and reviews on research topics that discuss the implications of findings from the viewpoints of basic science and clinical practic.

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