Hypertension
Conditions
Keywords
healthy lifestyle
Brief summary
The digital version of Holistic Healthy Life Education (e2HLE) is a holistic, person-centric, multi-component and lifestyle modification intervention that we developed, alongside the WHO integrated care for older people (ICOPE) model and a home-based self-monitoring bio-signals system Hera Leto. This randomized controlled trial aims to evaluate the effectiveness of e2HLE intervention for achieving weight loss and enhancing self-care and intrinsic capacity (i.e. psychological and mental wellbeing, vitality and nutritional health) as well as improving cardio-metabolic profiles (e.g. blood pressure and lipid profile) compared to usual care.
Interventions
BEHAVIORALDigital version of Holistic Healthy Life Education
Participants need to attend a two-day workshop related to (1) health risk appraisal and self-care; (2) exercise, fitness and self-acupressure; (3) emotion and stress management; (4) the whole food plant-based (WFPB) diet; and (5) meditation and mindfulness practices, led by a multi-disciplinary team. Before the intervention commences, they will take pre-blood test and further receive the e2HLE with Hera Leto for three months. During the intervention, participants will attend (1) nine weekly workshops pertaining to WFPB diet, exercise, fitness and self-acupressure, and meditation and mindfulness and followed by weekly tele-counselling sessions; (2) three process evaluation practice sharing sessions in the format of focus group, making up a total of twelve sessions. The process evaluation practice sharing sessions will be audio-recorded; (3) mutual support networking platform will be held between case managers and participants within Hera Leto system.
OTHERWaitlist control
usual care first, then switch to receive the intervention
Sponsors
Yan Chai Hospital
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 50 years old or above, * able to use internet and tablet; * education level of primary or above; * understand Chinese and speak Cantonese; * have central obesity (waist circumference: male \>90 cm, female \>80 cm) and two of the following: (a) hypertension (systolic blood pressure ≥130 or diastolic blood pressure ≥85 mmHg, or treatment of previously diagnosed hypertension), (b) hyperglycemia (fasting plasma glucose ≥100 mg/dL (5.6 mmol/L) or (c) previously diagnosed type 2 diabetes), (d) hyperlipidemia (triglyceride concentrations ≥150 mg/dL (1.7 mmol/L), or treatment for this lipid abnormality); HDL cholesterol;40 mg/dL (1.03 mmol/L) in males and 50 mg/dL (1.29 mmol/L) in females, or treatment for this lipid abnormality), (e) BMI over 23; and chronic pain or bad mood caused by the psychosomatic disorder for no less than six months * have at least 2 of the following distressing symptoms due to psychosomatic or pain and stress symptoms, including physical and mental agitation, feeling tired, often crying, feeling angry/depressed, feeling isolated from family and friends, feeling great stress, insomnia, health is worse than before.
Exclusion criteria
* non-Chinese nationality or can't speak Cantonese; * participating in any cancer treatment; * will leave Hong Kong within a short period or the next three months; * participating in another experiment; living in or planning to live in a facility-care home; * cognitive difficulties (SPMSQ score equal to or lower than 4); * taking medications such as estrogenic, synthetic glucocorticoids, anti-steroids, and antiepileptic drugs which may affect cortisol levels.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight loss | 3 months | Weight change from baseline to post-intervention (kg) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate variability | 3 months | measured in milliseconds by Hera Leto system, which is a home-based digital system |
| Waist circumstance | 3 months | Using a measuring tape (cm) |
| Blood pressure | 3 months | Using a sphygmomanometer (mmHg) |
| Concentration of high density lipoprotein cholesterol (HDL) | 3 months | Through blood test (mg/dL) |
| Concentration of blood glucose | 3 months | Through blood test (mmol/L) |
| Concentration of triglycerides | 3 months | Through blood test (mg/dL) |
| Visceral fat area | 3 months | Measured by bioelectrical Impedance Analysis (Tanita) in units of area (cm2) |
| Chinese version of the Pittsburgh sleep quality questionnaire | 3 months | measured by 19-item scale, a range of 0-21; higher scores indicate worse sleep quality) |
| Chinese version of WHO self-care scale | 3 months | 6-item scale for measuring self-care capacity; a range of 6 to 18, with a higher score indicating low self-care ability |
| Chinese version of Geriatric Depression Scale | 3 months | 15-item scale for measuring depression; a range of 0-15; a score of \>5 indicating depression |
| Intrinsic capacity | 3 months | WHO ICOPE tool including five domains: cognitive, locomotor, sensory, vision, and psychological capacity. A total score ranges from 0 to 6, a higher score indicating a poor intrinsic capacity |
| Wong-Baker Face Pain Rating Scale | 3 months | it measures pain severity with a range from 0 to 10 |
| The Chinese version of the Brief Pain Inventory | 3 months | It has 9 items measuring pain intensity |
| Chinese version of Medical Outcomes Study Social Support Survey | 3 months | 20-item, with a score ranging from 0 to 100, with a higher score indicating better perceived social support. |
| Chinese version of the General Self-efficacy Scale | 3 months | 10-item scale with a range from 10 to 40, with a higher score indicating more self-efficacy |
| Digital Health Literacy Scale | 3 months | 8-item scale with a range from 8 to 40, with higher scores indicating higher perceived eHealth literacy) |
| Chinese version of the Five facet mindfulness questionnaire | 3 months | 20-item scale; each facet score is the average of the four items, ranging from 1 to 5, with higher scores indicating higher mindfulness levels |
| Mindfulness | 3 months | 30-item Chinese version of Nonattachment Scale (a total mean score from 0 to 6, with a higher average score corresponding to higher nonattachment) |
| Chinese version of Self-compassion Scale Short-Form | 3 months | 12-item scale; a total score between 16 and 80, a higher score indicating higher self-compassion) |
| Chinese version of Sense of Coherence Scale | 3 months | 13-item scale; a total score range from 13 to 91,a higher score indicating a stronger sense of coherence) |
| Chinese version of the Perceived Stress Scale | 3 months | 14-item scale for measuring stress level; a range from 0 to 56; a higher score indicates more perceived stress |
Countries
Hong Kong
Contacts
Primary ContactAngela Leung, PhD
Backup ContactHuilin Cheng, PhD
Outcome results
None listed