The Digital Version of Holistic Healthy Life Education(e2HLE)

The Hong Kong Polytechnic University150 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

150

Conditions

Hypertension

Interventions

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.

Eligibility

Sex: ALLMin age: 50 Years

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

Weight loss

Weight change from baseline to post-intervention (kg)

Time frame: 3 months

Secondary Outcomes

Intrinsic capacity

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

Time frame: 3 months

Heart rate variability

measured in milliseconds by Hera Leto system, which is a home-based digital system

Time frame: 3 months

Waist circumstance

Using a measuring tape (cm)

Time frame: 3 months

Blood pressure

Using a sphygmomanometer (mmHg)

Time frame: 3 months

Concentration of high density lipoprotein cholesterol (HDL)

Through blood test (mg/dL)

Time frame: 3 months

Concentration of blood glucose

Through blood test (mmol/L)

Time frame: 3 months

Concentration of triglycerides

Through blood test (mg/dL)

Time frame: 3 months

Visceral fat area

Measured by bioelectrical Impedance Analysis (Tanita) in units of area (cm2)

Time frame: 3 months

Chinese version of the Pittsburgh sleep quality questionnaire

measured by 19-item scale, a range of 0-21; higher scores indicate worse sleep quality)

Time frame: 3 months

Chinese version of WHO self-care scale

6-item scale for measuring self-care capacity; a range of 6 to 18, with a higher score indicating low self-care ability

Time frame: 3 months

Chinese version of Geriatric Depression Scale

15-item scale for measuring depression; a range of 0-15; a score of \>5 indicating depression

Time frame: 3 months

Chinese version of the Perceived Stress Scale

14-item scale for measuring stress level; a range from 0 to 56; a higher score indicates more perceived stress

Time frame: 3 months

Wong-Baker Face Pain Rating Scale

it measures pain severity with a range from 0 to 10

Time frame: 3 months

The Chinese version of the Brief Pain Inventory

It has 9 items measuring pain intensity

Time frame: 3 months

Chinese version of Medical Outcomes Study Social Support Survey

20-item, with a score ranging from 0 to 100, with a higher score indicating better perceived social support.

Time frame: 3 months

Chinese version of the General Self-efficacy Scale

10-item scale with a range from 10 to 40, with a higher score indicating more self-efficacy

Time frame: 3 months

Digital Health Literacy Scale

8-item scale with a range from 8 to 40, with higher scores indicating higher perceived eHealth literacy)

Time frame: 3 months

Chinese version of the Five facet mindfulness questionnaire

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

Time frame: 3 months

Mindfulness

30-item Chinese version of Nonattachment Scale (a total mean score from 0 to 6, with a higher average score corresponding to higher nonattachment)

Time frame: 3 months

Chinese version of Self-compassion Scale Short-Form

12-item scale; a total score between 16 and 80, a higher score indicating higher self-compassion)

Time frame: 3 months

Chinese version of Sense of Coherence Scale

13-item scale; a total score range from 13 to 91,a higher score indicating a stronger sense of coherence)

Time frame: 3 months

The Digital Version of Holistic Healthy Life Education(e2HLE)

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts