Digital Intervention for behaviouR changE and Chronic disease prevenTION (DIRECTION): Study protocol for a randomized controlled trial of a web-based platform integrating nutrition, physical activity, and mindfulness for individuals with obesity

被引：2

作者：

Orsso, Camila E. ^{[1
]}

Gormaz, Teresita ^{[1
]}

Valentine, Sabina ^{[1
]}

Trottier, Claire F. ^{[1
]}

de Sousa, Iasmin Matias ^{[1
]}

Ferguson-Pell, Martin ^{[2
]}

Johnson, Steven T. ^{[3
]}

Kirkham, Amy A. ^{[4
]}

Klein, Douglas ^{[5
]}

Maeda, Nathanial ^{[2
,6
]}

Mota, Joao F. ^{[7
,8
]}

Neil-Sztramko, Sarah E. ^{[9
]}

Quintanilha, Maira ^{[1
]}

Salami, Bukola Oladunni ^{[10
]}

Prado, Carla M. ^{[1
]}

机构：

[1] Univ Alberta, Dept Agr Food & Nutr Sci, Li Ka Shing Ctr Hlth Innovat 2 021, Edmonton, AB T6G 2E1, Canada

[2] Univ Alberta, Edmonton Clin Hlth Acad 2 545, Fac Rehabil Med, Edmonton, AB T6G 2G3, Canada

[3] Athabasca Univ, Fac Hlth Disciplines, Peace Hills Trust Tower,12th Floor, Athabasca, AB T5J 3S8, Canada

[4] Univ Toronto, Fac Kinesiol & Phys Educ, 100 Devonshire Pl, 422, Toronto, ON M5S 2C9, Canada

[5] Univ Alberta, Fac Med & Dent, Dept Family Med, 6-60G Univ Terrace, Edmonton, AB T6G 2E1, Canada

[6] My Viva Inc, 3728 91 St NW, Edmonton, AB T6E 5M3, Canada

[7] Univ Fed Goias, Fac Nutr, BR-74605080 Goiania, GO, Brazil

[8] Univ Coll Cork, Sch Microbiol, Dept Med, APC Microbiome Ireland, Cork T12 YT20, Ireland

[9] McMaster Univ, Fac Hlth Sci, Dept Hlth Res Methods Evidence & Impact, 175 Longwood Ave S,Suite 210A, Hamilton, ON, Canada

[10] Univ Calgary, Cumming Sch Med, 3380 Hosp Dr, Calgary, AB T2N 4N1, Canada

来源：

METHODS | 2024年 / 231卷

关键词：

Digital health platform; Behavioural change; Obesity intervention; Chronic disease prevention; Weight loss; WEIGHT-LOSS; BODY-WEIGHT; RISK; VALIDATION; MANAGEMENT; 5-PERCENT; OUTCOMES; ADULTS;

D O I：

10.1016/j.ymeth.2024.09.009

中图分类号：

Q5 [生物化学];

学科分类号：

071010 ; 081704 ;

摘要：

Excess body weight, suboptimal diet, physical inactivity, alcohol consumption, sleep disruption, and elevated stress are modifiable risk factors associated with the development of chronic diseases. Digital behavioural interventions targeting these factors have shown promise in improving health and reducing chronic disease risk. The Digital Intervention for behaviouR changE and Chronic disease prevenTION ( DIRECTION ) study is a parallel group, two-arm, randomized controlled trial evaluating the effects of adding healthcare professional guidance and peer support via group-based sessions to a web-based wellness platform (experimental group, n = 90) compared to a self-guided use of the platform (active control group, n = 90) among individuals with a body mass index (BMI) of 30 to <35 kg/m(2)and aged 40-65 years. Obesity is defined by a high BMI. The web-based wellness platform employed in this study is My Viva Plan (MVP)(R), (R), which holistically integrates nutrition, physical activity, and mindfulness programs. Over 16 weeks, the experimental group uses the web-based wellness platform daily and engages in weekly online support group sessions. The active control group exclusively uses the web- based wellness platform daily. Assessments are conducted at baseline and weeks 8 and 16. The primary outcome is between-group difference in weight loss (kg) at week 16, and secondary outcomes are BMI, percent weight change, proportion of participants achieving 5% or more weight loss, dietary intake, physical activity, alcohol consumption, sleep, and stress across the study. A web-based wellness platform may be a scalable approach to promote behavioural changes that positively impact health. This study will inform the development and implementation of interventions using web-based wellness platforms and personalized digital interventions to improve health outcomes and reduce chronic disease risk among individuals with obesity.

引用

页码：45 / 54

页数：10

共 77 条

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