Targeting Metabolic Syndrome From the Emergency Department Through Mixed-Methods: Pilot Trial

N/ARecruitingNCT07119658

Indiana University20 enrolled

Overview

The objective of this study is to pilot a multifaceted, optimized intervention for metabolic syndrome (MetS) in emergency department patients to establish feasibility. Participants (n=20) will be randomized to intervention or control (usual care). The composite intervention will include an educational video outlining the adverse effects of MetS and the benefit of walking, a written exercise prescription with a defined goal of walking 150 minutes per week, a Fitbit accelerometer device, resources for healthy eating practices, periodic text message reminders, and an urgent referral to primary care and our health system's Healthy Me clinic for follow-up visit. Investigators hypothesize that this approach will change patient understanding and motivation to increase physical activity and healthy eating habits.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hypertension Hyperglycemia Dyslipidemia Metabolic Syndrome

Interventions

Composite intervention to address MetSBEHAVIORAL

The composite intervention includes six components: 1. All patients will be provided a Fitbit Charge device at ED discharge with instructions to wear on their wrist for study duration. 2. Participants in the intervention group will first watch a brief (\~5 minute) educational video outlining the adverse effects of MetS and the benefit of walking, via iPad tablet. 3. Participants in the intervention group will also be given accompanying written "exercise prescription" encouraging them to walk 150 minutes per week. 4. Reminder texts encouraging continued walking behavior (i.e. "Remember to get in your steps!") will be sent to the intervention group, at approximate 2-3x/week intervals for the 3-month follow-up period. 5. The intervention group will also be provided written resources for healthy eating practices upon ED discharge. 6. All intervention group participants will receive referrals into primary care clinic and the Eskenazi Health "Healthy Me" Program for follow-up.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Ambulatory adults (18 years of age) presenting to the emergency department setting * BMI 30 kg/m2 * Prior diagnosis of at least one additional comorbid component of metabolic syndrome: hypertension, hyperglycemia, dyslipidemia * Clinical plan for discharge Exclusion Criteria: * Age \<18 years * Pregnant patients * Unable to safely ambulate (including patient or family perception of inability to safely ambulate) * Lack of access to smart phone * Unable or unwilling to wear Fitbit accelerometer device * Unable to obtain informed consent

Outcomes

Primary Outcomes

Mean daily steps

Investigators will collect activity data utilizing a Fitbit accelerometer device. The primary outcome will be the mean number of daily steps averaged from 3 months of monitoring, compared between groups.

Time frame: From enrollment to the end of the 3 month study period

Secondary Outcomes

Minutes of moderate to vigorous physical activity

Investigators will collect activity data utilizing a Fitbit accelerometer device. As a secondary outcome, investigators will measure and compare minutes of moderate to vigorous physical activity (MVPA), as this metric will incorporate intensity of activity.

Time frame: From enrollment to the end of the 3 month study period

Psychometric survey: the Dietary Screener Questionnaire

Participants will complete the Dietary Screener Questionnaire survey at baseline and 3-months.