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NCT Number: NCT05798442

The Impact of Using a Smartphone Health Application in the Improvement of Cardiovascular Disease Risk Factors

This study investigates the effectiveness of Mobile health application (mHealth apps) in the improvement of cardiovascular disease risk factors including metabolic and behavioral factors. The app will be tested on patients with any of the modifiable risk factors of CVD such as hypertension, obesity, hyperlipidemia, and impaired glycemic control/type 2 diabetes mellitus .

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Key information

About this study

The investigators aim in this study to reduce the risk of cardiovascular disease in patients with hypercholesterolemia, diabetes, obesity and hypertension. This will be achieved by motivating healthy lifestyle among the participants such as increasing physical activity and intake of healthy diet and reducing alcohol and tobacco consumption. The tool which will be used to motivate healthy lifestyle is a smartphone application which will be specifically designed to motivate behavioral change. Thus, the investigators hypothesis is that participants who have full access to the mobile application will show improved healthy lifestyle, reduced blood pressure, cholesterol and glucose and reduced BMI compared to the participants who don't have access to the mobile application.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Presentation with at least one of the following metabolic abnormalities:
  • Hypertensions (systolic blood pressure ≥ 130 mmHg and/or diastolic blood pressure ≥ 85 mmHg)
  • Obesity (waist circumference ≥ 80 cm (women) or ≥ 94 cm (men) and BMI ≥ 25 kg/m2)
  • Dyslipidemia (triglycerides ≥ 1.7 mmol/L or/and HDL-cholesterol ≤ 1.29 mmol/L (women) or ≤ 1.02 mmol/L (men) or/and LDL-Cholesterol > 5.18 mmol/L, serum total cholesterol ≥ 5.2 mmol/l)
  • Impaired glycemia/type 2 diabetes (fasting plasma glucose ≥ 5.6 mmol/L)
  • Arabic or English language speaking and able to read and write in one of these languages
  • Possession of a smart mobile phone Willing to utilize a mobile application for CVD management.

Exclusion criteria

  • A history of stroke, myocardial infarction or any related cardiovascular complications Complicated diabetes mellitus e.g., Proliferative diabetic retinopathy, end-stage renal disease
  • Unavailability of a smartphone or any reason that will not allow the participant to use the app properly. (such as; difficulty or inability to use mobile applications, unavailability of network services…etc.).
  • Medical conditions that restrain the participant to be physically active.
  • High chance of loss to follow up at the FAMCO clinic (due to upcoming travel, temporary employment and thus eligibility to be treated at the clinic, irregular visits due to distance from home…etc.)

Treatment and study plan

smartphone health application (Opulse)

Other

The Opulse app will be designed as a multifunction app that targets the modification of the behavioral and metabolic risk factors and provides comprehensive interventions for healthy diet, physical activity and smoking cessation among smokers.

Primary outcomes

  1. Reduced blood cholesterol and triglycerides levels

    Time frame: 18 months

    Immunoassay based-method will be used to measure lipid profile in the blood samples collected from the study participants. Lipids will be measured in millimole/Liter This outcome will be achieved when the Participants lipid profile is reduced compared to the initial values (measured at the beginning of the study)

    The assessment will be base don the ranges below:

    Total Cholesterol (mmol/L): < 5.2 / TG (mmol/L): (0 - 2.3) / LDL-C (mmol/L): < 2.59 / HDL-C (mmol/L): > 1.68 (Female) >1.45 (Male)

  2. Reduced blood glucose levels

    Time frame: 18 months

    Glucometer devices for fasting blood glucose and for glycated hemoglobin will be used to asses the improvement in impaired glycemia.

    Participants who achieve this outcome would have reduced blood glucose compared to the initial values (measured at the beginning of the study)

    The following measures will be used to asses the glycemic state of the pateints

    Fasting blood glucose: (Norma < 5.6 mmol/L), (Impaired glycemia/type 2 diabetes ≥ 5.6 mmol/L) Glycated hemoglobin (HbA1c): (Normal < 5.7 %), (> 6.5 Diabetes)

  3. Normalized blood pressure

    Time frame: 18 months

    systolic blood pressure and diastolic blood pressure of the participants will measured throughout the study using sphygmomanometer

    The measures below will be used to assess the improvement in the blood pressure of the participants Hypertension: systolic blood pressure ≥ 130 mmHg and/or diastolic blood pressure ≥ 85 mmHg Normal blood pressure: systolic: < 120 mm Hg/ diastolic < 80 mm Hg

  4. Reduced BMI and visceral obesity

    Time frame: 18 months

    Anthropometric measurements (height, weight, waist and hip circumferences) will be taken from the participants throughout the study.

    Body Mass Index (BMI) will be measured using the formula BMI = weight(kg)/height(m2).

    Desired BMI is in the range of 18.5 to 24.9, A BMI of 25.0 or more is overweight

    Visceral obesity will be assed by measuring the waist-to-hip ratio Female: > 0.85 No visceral obesity, < 0.85 existing visceral obesity Male: > 1.0 No visceral obesity, < 1.0 existing visceral obesity

Secondary outcomes

  1. Increased physical activity and increased intake of healthy diet

    Time frame: 18 months

    The daily physical activity will will be measured by pedometer feature of the mobile application in the form of number of foot steps.

    Intake of healthy diet will also be assessed using the mobile application by counting the number of vegetables/fruits servings per day.

    The overall increase in the physical activity and intake of healthy diet will be assessed during the study visits (every 4 months) using a standardized validated questionnaires namely "Dubasi questionnaire on dietary intake and physical activity". This questionnaire is based on likert score (Dubasi, S.K., et al., Questionnaire to assess adherence to diet and exercise advices for weight management in lifestyle-related diseases. J Family Med Prim Care, 2019. 8(2): p. 689-694.)

  2. Reduced alcohol consumption and tobacco smoking

    Time frame: 18

    The reduction in alcohol consumption and tobacco smoking will be assessed using Standardized validated questionnaires The Fagerström test for Nicotine Dependence which asses the intensity of physical addiction to nicotine Alcohol Use Disorders Identification Test (AUDIT) questionnaire

Study contacts

Contact information is provided by the study sponsor or research team.

Amani Alkhaifi, PhD

CONTACT

[email protected]

+96899245544

Hana Alsumri, PhD

CONTACT

[email protected]

+96895085861

Sponsors and collaborators

Lead sponsor

Sultan Qaboos University

Other

Collaborators

  • Ministry of Higher Education, Research and Innovation

Registry information

Official study title

The Impact of Using a Smartphone Health Application in the Improvement of Cardiovascular Disease Risk Factors in the Omani Population; Prospective Randomized Clinical Trial

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Apr 4, 2023
Registry last updated
Apr 4, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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