None listed
Conditions
Brief summary
The aims of the project is to examine: 1) the effect of a weight management smartphone application (app) for people living with chronic illnesses on participants’ body weight (primary outcome), Body Mass Index (BMI), activity level, mood and quality of life (secondary outcomes). 2) participants’ appraisal and perceived benefits of the app, and frequency of app use. Project aims: To examine: 1) the effect of a weight management smartphone application (app) for people living with chronic illnesses on participants’ body weight (primary outcome), Body Mass Index (BMI), activity level, mood and quality of life (secondary outcomes). 2) participants’ appraisal and perceived benefits of the app, and frequency of app use. Why is this study needed? Being overweight or obese are major risk factors for many chronic diseases, such as diabetes and cardiovascular diseases, and are dramatically on the rise in urban and rural settings. There are weight loss apps available, but few randomised controlled trials (RCTs) have been conducted to evaluate the effectiveness of these apps. Few apps adopted an evidence-based and theory-based approach in its development. Method: A pilot RCT of an interactive ‘Weight Management Wellness App’. 76 patients who have a diagnosis of chronic illness with BMI greater than or equal to 25 kg/m2 will be randomly allocated to intervention or control groups. The app is developed based on cognitive behavioural therapy (CBT) principles. It contains video, text information, podcast, weight tracker, mood tracker, daily activity tracker, daily questionnaires and resources locator. Outcomes measured at baseline, 6-week, 3-months and 6-months, include: body weight, BMI, activity level, mood and quality of life. Benefits and translation: This study generates reliable evidence using a rigorous RCT design to evaluate an app which contains unique feature – adopting principles of CBT in weight management. This study addresses current gap in information quality and lack of theory underpinning current weight management apps in app stores. The app could reach out to people living with chronic illness with weight management issues, and help reduce the weight- associated comorbidities, thus leading to an enhanced quality of life and minimise the long-term burden of chronic diseases on healthcare system.
Interventions
A pilot RCT of an interactive ‘Weight Management Wellness App’. 76 patients who have a diagnosis of chronic illness with BMI greater than or equal to 25 kg/m2 will be randomly allocated to intervention or control groups. The intervention consists of a "Weight Management Wellness" app which is developed based on cognitive behavioural therapy (CBT) principles. It contains video, text information, podcast, weight tracker, mood tracker, daily activity tracker, daily questionnaires. The CBT program offers four evidence-based psychological modules that users can complete via the app at their convenience. The program was designed by Canadian clinical psychologists who are on the project research team. The four modules in the CBT programs are: CBT model of overeating, Eating guidelines / Food records, Alternate pleasurable activities and Problem Solving. The videos in the app were recorded to cover each of the modules, and the podcasts have the same contents with the videos, so that users can listen to them when they don't have time to watch the videos. The participants will be asked to access the app daily for "mood tracker", "daily activity tracker" and "daily questionnaire" components for 3 months, they will also be asked to complete the four CBT modules in the app for the first 6 weeks. Each module is expected to take between one to two hours over a week period to complete. Participants adherence will be examined weekly by the research team using google analytics. Participants not engaging with the app for the week will be contacted by teephone or email to discuss any issues pertaining to adherence. Phone and email support will be available as needed for the entire duration of the study.
Sponsors
Study design
Eligibility
Inclusion criteria
1) Have one or more chronic diseases, e.g. diabetes, asthma, cardiovascular disease and mental illness. 2) Considered as overweight or obese according to WHO definition: A person with a BMI of 30 or more is considered obese and a BMI equal to or more than 25 is considered overweight; 3) Aged 18 years or above; 4) Proficient in English; 5) Have access to iPhone, iPad or Android phone or tablet computer
Exclusion criteria
1) Self-report a diagnosis of severe mental illness 2) Currently pregnant or planning on becoming pregnant during the intervention.