About: The EMPOWER-SUSTAIN e-Health Intervention to improve patient activation and self-management behaviours among individuals with Metabolic Syndrome in primary care: study protocol for a pilot randomised controlled trial

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About: The EMPOWER-SUSTAIN e-Health Intervention to improve patient activation and self-management behaviours among individuals with Metabolic Syndrome in primary care: study protocol for a pilot randomised controlled trial Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The EMPOWER-SUSTAIN e-Health Intervention to improve patient activation and self-management behaviours among individuals with Metabolic Syndrome in primary care: study protocol for a pilot randomised controlled trial
Creator	Abdul-Razak, Suraya Baharudin, Noorhida Daud, Maryam Fatimah Badlishah-Sham, Siti Isa, Mohamad Jamil, Nursuriati Mohd-Nawawi, Hapizah Nikmat, Azlina Ramli, Anis Syarif Mohamed-Yassin, Mohamed Yusoff, Hazman
Source	PMC
abstract	BACKGROUND: Epidemiological studies conducted in various parts of the world have clearly demonstrated that metabolic syndrome (MetS) is an increasing global health problem, not only in Western societies but also in Asian populations. Web-based and mobile phone-based self-management applications have been proven to be effective in improving self-management behaviour of patients with MetS components (i.e., diabetes or hypertension). However, evidence is lacking in terms of their effectiveness specifically for patients with MetS. The aim of this pilot study is to evaluate the feasibility and potential effectiveness of the EMPOWER-SUSTAIN Self-Management e-Health Intervention in improving activation and self-management behaviours among patients with MetS. This paper presents the study protocol. METHODS: A pilot randomised controlled trial will be conducted in a university primary care clinic. A total of 232 patients aged 18–60 years with MetS will be recruited; 116 will be randomised to receive the EMPOWER-SUSTAIN intervention for 6 months, and another 116 patients will continue with usual care. The EMPOWER-SUSTAIN intervention is a multifaceted chronic disease management strategy based on the Chronic Care Model and persuasive technology theory. It consists of training primary care physicians, nurses and patients to use the EMPOWER-SUSTAIN web-based self-management mobile app, strengthening the patient–physician relationship and reinforcing the use of relevant clinical practice guidelines to guide management and prescribing. The primary outcome is the mean change in patient activation score using the Patient Activation Measure short form Malay version (PAM-13-M) questionnaire. The secondary outcomes include the changes in waist circumference, body mass index, blood pressure, patient physical activity level, eating behaviour, perception of chronic illness care, satisfaction with patient–physician interaction, and perceived absolute 10-year cardiovascular disease risk. Feasibility of implementing the intervention will be evaluated. This includes acceptability of the intervention, estimating the likely rate of participant recruitment and retention, appropriateness of the outcome measures, calculation of sample size, and the intervention’s potential effectiveness. CONCLUSION: To our knowledge, this is the first study in Malaysia that aims to determine the feasibility of a multifaceted e-health intervention, as well as to indicate more useful aspects of this intervention for further exploration in a larger trial. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04120779. Registered on 9 October 2019, protocol version 1.
has issue date	2020-04-05(xsd:dateTime)
bibo:doi	10.1186/s13063-020-04237-x
has license	cc-by
sha1sum (hex)	0af4dde58a77d937a918f66595f7946e02d2a915
schema:url	https://doi.org/10.1186/s13063-020-04237-x
resource representing a document's title	The EMPOWER-SUSTAIN e-Health Intervention to improve patient activation and self-management behaviours among individuals with Metabolic Syndrome in primary care: study protocol for a pilot randomised controlled trial
has PubMed Central identifier	PMC7130454
schema:publication	Trials
resource representing a document's body	covid:0af4dde58a77d937a918f66595f7946e02d2a915#body_text
is schema:about of	named entity 'BACKGROUND' named entity 'EFFECTIVE' named entity 'HEALTH' named entity 'PROVEN' named entity 'SOCIETIES' named entity 'WORLD' named entity 'STUDY PROTOCOL' named entity 'GLOBAL HEALTH' named entity '28I' named entity 'THEIR' named entity 'EVIDENCE' named entity 'EPIDEMIOLOGICAL STUDIES' named entity 'FEASIBILITY' named entity 'METABOLIC SYNDROME' named entity 'APPLICATIONS' named entity 'HYPERTENSION' named entity 'EVALUATE' named entity 'ACTIVATION' named entity 'MOBILE PHONE' named entity 'PAPER' named entity 'HAVE' named entity 'PATIENTS' named entity 'TERMS' named entity 'VARIOUS' named entity 'INTERVENTION' named entity 'AIM' named entity 'POTENTIAL' named entity 'PARTS' named entity 'BEHAVIOUR' named entity 'HEALTH PROBLEM' named entity 'BASED' named entity 'PILOT STUDY ' named entity 'WESTERN' named entity 'EMPOWER' named entity 'DEMONSTRATED' named entity 'DIABETES' named entity 'BUT' named entity 'SUSTAIN' named entity 'WEB' named entity 'ASIAN' named entity 'IMPROVING' named entity 'POPULATIONS' named entity 'LACKING' named entity 'INCREASING' named entity 'COMPONENTS' named entity 'SELF-MANAGEMENT' named entity 'METS' named entity 'PRESENTS' named entity 'EFFECTIVENESS' named entity 'BEHAVIOURS' covid:arg/0af4dde58a77d937a918f66595f7946e02d2a915 named entity 'Western societies' named entity 'global health' named entity 'study protocol' named entity 'pilot study' named entity 'Covid-19 pandemic' named entity 'Malaysia' named entity 'absolute difference' named entity 'Likert scale' named entity 'e-health' named entity 'problem solving' named entity 'Malay language' named entity 'IBM' named entity 'medical history' named entity 'mobile app' named entity 'Malaysia' named entity 'PCPs' named entity 'Medical Research Council' named entity 'follow-up' named entity 'e-Health' named entity 'PCPs' named entity 'health outcomes' named entity 'Taiwan'

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