Effects of an internet interactive empowerment-based self-management protocol on physiological indicators in adults with metabolic syndrome

ISRCTN ISRCTN95637143
DOI https://doi.org/10.1186/ISRCTN95637143
Submission date
01/07/2021
Registration date
05/07/2021
Last edited
02/02/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Metabolic syndrome is the medical term for a combination of diabetes, high blood pressure (hypertension) and obesity.
Poor control of metabolic syndrome may lead to serious disease, complications, and even life-threatening health problems. The study aims to explore the effects of the internet interactive empowerment-based self-management protocol on adults with metabolic syndrome.

Who can participate?
Adults aged 18 years or above, with metabolic syndrome.

What does the study involve?
Participants will be randomly allocated to the experimental group or the control group.
The experimental group received the internet interactive empowerment-based self-management protocol for 6 weeks and usual care. The website consisted of a home page; a system manual; health education, basic information, self-awareness, and self-management pages; participants’ personal self-management history records; and a health professional contact page.
The control group received internet self-management health education and usual care for 6 weeks.

What are the possible benefits and risks of participating?
The possible benefits are the internet interactive empowerment-based self-management protocol can improve the physiological outcomes, and there are no obvious risks.

Where is the study run from?
Chi-Mei medical center (Taiwan)

When is the study starting and how long is it expected to run for?
October 2016 to October 2018

Who is funding the study?
Chi-Mei medical center (Taiwan)

Who is the main contact?
Chia-Chi Kuo, kuochiachi@yahoo.com.tw

Contact information

Dr Chia-Chi Kuo
Scientific

No.901
Zhonghua Rd.
Yongkang Dist.
Tainan
71101
Taiwan

ORCiD logoORCID ID 0000-0003-2194-9007
Phone +886-0935437462
Email kuochiachi@yahoo.com.tw

Study information

Study designTwo-group pretest-posttest double-blind pilot randomized controlled trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Internet/virtual
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleEffects of an internet interactive empowerment-based self-management protocol on physiological indicators in adults with metabolic syndrome: Pilot study
Study objectivesThe internet interactive empowerment-based self-management intervention group can significantly reduce body weight, body mass index, and waist circumference in adults with metabolic syndrome more than the control group.
Ethics approval(s)Approved 14/10/2016, Institutional review board of Chi-Mei medical center (No.901, Zhonghua Rd., Yongkang Dist., Tainan City 710, Taiwan; +886(6)2812811#53720; csr2930@mail.chimei.org.tw), ref: 10502-008
Health condition(s) or problem(s) studiedIntervention effects on reduction of body weight, body mass index, and waist circumference in adults with metabolic syndrome.
InterventionThis pilot randomized controlled trial had a two-group, pretest-posttest (at 6th week and 3rd month), double-blind (participants and outcome assessors) design randomized block design. Convenience sampling was used to recruit 16 participants with metabolic syndrome from a medical center in southern Taiwan. A randomized block design was used to assign participants to the experimental and comparison groups (n=8/group) with an allocation ratio of 1:1.

The experimental group received the internet interactive empowerment-based self-management protocol for 6 weeks and usual care. The website consisted of a home page; a system manual; health education, basic information, self-awareness, and self-management pages; participants’ personal self-management history records; and a health professional contact page.

The comparison group received internet self-management health education and usual care for 6 weeks.
Intervention typeBehavioural
Primary outcome measureAt baseline, week 6, and week 12:
1. Body weight (kg)
2. Waist circumference (cm)
3. Body mass index (kg/m²)
Secondary outcome measuresMeasured by blood test unless noted at baseline, week 6, and week 12:
1. Fasting glucose
2. Glycated hemoglobin
3. Total cholesterol level
4. Triglyceride level
5. High-density lipoprotein cholesterol levels
6. Blood pressure (mmHG, sphygmomanometer)
Overall study start date14/10/2016
Completion date05/10/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants30
Total final enrolment18
Key inclusion criteria1. Metabolic syndrome with three or more of the following conditions:
1.1. Waist circumference ≥90cm for males or ≥80cm for females
1.2. Triglycerides ≥150mg/dl
1.3. High-density lipoprotein cholesterol <40mg/dl for males or <50mg/dl for females
1.4. Blood pressure ≥130/85 mmHg
1.5. Fasting glucose ≥100mg/dl
2. Age ≥20 years
3. No visual or hearing impairment or psychological disorder
4. Conscious state and ability to communicate in Mandarin or Taiwanese
5. Literacy with at least a primary school education
6. Weekly internet browsing at home
Key exclusion criteria1. Using medication for hyperlipidemia, hypertension, or diabetes
2. Other serious metabolic complications, such as kidney failure with hemodialysis or heart failure
Date of first enrolment02/03/2018
Date of final enrolment13/07/2018

Locations

Countries of recruitment

  • Taiwan

Study participating centre

Chi-Mei medical center
No.901
Zhonghua Rd.
Yongkang Dist.
Tainan City
710
Taiwan

Sponsor information

Chi Mei Medical Center
Hospital/treatment centre

No.901
Zhonghua Rd.
Yongkang Dist.
Tainan
71101
Taiwan

Phone +886(6)2812811#52652
Email cmh4000@mail.chimei.org.tw
Website https://www.chimei.org.tw/main/cmh_department/top/54000_index.html
ROR logo "ROR" https://ror.org/02y2htg06

Funders

Funder type

Hospital/treatment centre

Chi Mei Medical Center
Private sector organisation / Other non-profit organizations
Location
Taiwan

Results and Publications

Intention to publish date31/12/2022
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.

Editorial Notes

02/02/2022: The intention to publish date has been changed from 15/07/2021 to 31/12/2022.
05/07/2021: Trial’s existence confirmed by the Institutional review board of Chi-Mei Medical Center.