Increased Risk for Cardiovascular DiseaseNCT02035254
A Multidisciplinary e-Health Program to Promote Regular Physical Activity
A study testing Web-based Wellness Program in people with Increased Risk for Cardiovascular Disease, run by McGill University at 1 site in Canada.
Trial summary
In this project, individuals at risk for cardiovascular disease who are looking to lose weight or increase your level of activity, are offered access to an online lifestyle management program. Read more about this study
- Who is it for?
- Ages 30 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Increased Risk for Cardiovascular Disease
- What is being tested?
- Web-based Wellness Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 93 participants
- Where
- 1 siteCanada
- Study dates
- Nov 2013to Dec 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Male or female between 30-75 years of age
- Sedentary (less than 2 hours of moderate physical activity/week)
- Have at least 1 modifiable risk factor for cardiovascular disease (e.g. elevated cholesterol, elevated blood pressure, current smoker, overweight)
- Provided written informed consent
- Have internet access
Who cannot join
- Not literate in English or French
- Have a health condition that would exclude the from being able to safely lose 10 lbs if their body mass index is > 27
- Cannot exercise daily at a moderate intensity for at least 30 minutes
- Are pregnant
- Cannot access the internet at least once per week.
Trial locations and contacts
1 site in 1 country.
Canada1 site
McGill Comprehensive Health Improvement Program
Montreal, Quebec, H2Y 2M5
About this study
Official title: Evaluating a Multidisciplinary e-Health Program to Promote Regular Physical Activity Among Individuals at Increased Risk of Cardiovascular Disease.
In this project, individuals at risk for cardiovascular disease who are looking to lose weight or increase your level of activity, are offered access to an online lifestyle management program.
Participants will use the website daily to improve their eating and exercise habits as well as other aspects of healthy living. They will be asked to participate in online challenges to motivate them to make lifestyle changes. Participants will meet with a health professional 3 times within the 6 month time period as well as receive monthly guidance and support by phone or email for the website.
Read the detailed description
While the control of cardiovascular risk factors is essential in the prevention of cardiovascular disease (CVD), significant treatment gaps exist. For instance, a recent study of Canadian adults filling prescriptions for hypertension or dyslipidemia demonstrated that the majority remained overweight and sedentary despite being at increased risk of developing CVD.
In Canada, there is currently a shortage of primary care physicians. Furthermore, many physicians have little training in helping their patients make healthy lifestyle changes such as losing weight or exercising regularly. Non-medical health professionals such as nurses, dieticians, psychologists, and kinesiologists are well trained in helping individuals modify their behaviour. However, they often do not have access to the health records of their patients or the clinical tools to translate healthy behaviours, such as increasing physical activity, into meaningful health outcomes, such as a reduction in blood lipids, blood glucose, blood pressure, or the future risk of CVD. A web-based e health program could offer a potential solution to fill the gap and support non-medical health professionals to become more effective at cardiovascular prevention.
The MyHealthCheckUp online wellness program has been designed by a multidisciplinary team to improve the health of individuals at minimal cost using a web-based approach. The program's scientifically validated disease models have been proven to be effective in clinical interventions to improve the health of individuals with active health issues, such as high cholesterol, hypertension, and obesity, as well as low-risk individuals who want to reduce their risk of future problems [2, 3]. The website also features educational modules and physical activity, weight loss, stress management, and sleep hygiene challenges.
The educational modules cover topics such as blood pressure management, smoking cessation, stress management, and weight loss. The physical activity challenge is designed to optimize health and wellness by promoting walking and other physical activity. As individuals or teams, participants track their physical activity online, and compete against each other or an avatar using a virtual route. The weight loss challenge is designed to promote healthy weight management through food and physical activity tracking as well as online information regarding lifestyle modification. The stress and sleep challenges are designed to help manage stress and improve sleep duration and quality.
The purpose of this study is to evaluate the impact of a web-based e-health intervention, used by non-medical health professionals, to improve the management of cardiovascular risk factors including hypertension, dyslipidemia, cigarette smoking, excess body weight, sedentary lifestyle, as well as sleep and stress problems.
Participants will be sent to a website where they will determine if they meet the eligibility criteria. If a subject meets the eligibility criteria, they will be assigned to be further evaluated at the McGill Comprehensive Health Improvement Program (CHIP) by one of the following health professionals: a nurse, dietician, kinesiologist, or psychologist (25 subjects assigned to each health professional). Half of the participants will be randomly assigned to start the intervention immediately (intervention group) and the other half will start the intervention after the 3-month assessment (wait-list control).
Initial Visit (approximately 45 minutes)
At the initial visit with the health professional, informed consent will be obtained and the following information will be collected: demographics, medical history and concomitant medication, height, weight, waist circumference, sitting blood pressure, and cholesterol and glucose blood tests Participants will also complete the following questionnaires: The Physical Activity Readiness Questionnaire, Perceived Stress Scale, Insomnia Severity Index, and the Center for Epidemiological Studies-Depression Scale.
Wait-List Control group
The participants who have been randomly assigned to the wait-list control group will be given general documentation regarding healthy eating and physical activity from Health Canada (usual care) during the initial visit with the health professional. After a waiting period of 3 months, these participants will undergo a re-evaluation with their health professional and will then start the intervention.
Intervention using the e-health Website
All participants will be given a unique temporary user name and password to access the MyHealthCheckUp website which is designed to assess and manage cardiovascular risk factors. They will also be provided with a pedometer for tracking daily steps. The health professionals will provide an overview of the website and discuss with the participants their specific goals.
After signing on to the site, participants will have the opportunity to complete disease specific health risk assessments. Participants will have access to educational modules with information relevant to a better understanding of hypertension, dyslipidemia, and diabetes and the impact of lifestyle changes. Participants will also be enrolled in one of two lifestyle management challenges designed to motivate the user to engage in regular exercise or lose weight. Other challenges will be available after one of these initial challenges has been completed. The challenges provide education and tracking tools to facilitate the participant's monitoring of their own progress.
Follow-up Visits
All participants will be scheduled for follow-up visits at CHIP at 3 and 6 months to have their cardiovascular risk factors re-assessed which includes blood tests and anthropometric information as evaluated in the initial session. The psychosocial measures (stress, sleep and depressed mood) will also be re-administered at the 3 and 6 month follow-up. All intervention subjects will also be contacted by their study health professional at months 1, 2, 4, and 5 either by phone or email (participant's preference) to discuss progress, barriers, and answer any questions. Wait control subjects will not be contacted by their health professional during the 3 month wait period.
Qualitative Evaluation of the e-health Intervention
Two focus groups, each with 10-12 patients, will be held following the intervention phase of this study. These focus group discussions will be facilitated to elicit in-depth feedback from users related to the website's acceptability and usability and to identify barriers and facilitators to using e-health approaches to modify lifestyle behaviours. The focus groups will be conducted by a trained moderator.
A brief patient satisfaction questionnaire will be done at the end of the study to qualitatively assess their satisfaction of the MyHealthCheckUp website.
- Being tested
- Web-based Wellness Program
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Web-based Wellness ProgramOther
Web-based educational modules and physical activity and/or health weight challenges
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | Web-based wellness program Receives: Other: Web-based Wellness Program |
| Wait control group | Other | Web-based wellness program after 3 month wait. Receives: Other: Web-based Wellness Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
10-year cardiovascular risk
Measured: 3 months
Secondary outcomes (5)
Sleep score
Score on the Insomnia Severity Index
Measured: 3 months
Stress Score
Score on the Perceived Stress Scale
Measured: 3-months
Blood lipids
Total cholesterol, LDL cholesterol and HDL cholesterol
Measured: 3 months
Blood pressure
Measured: 3 months
Body weight
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2014 (estimated)
- Study startNov 2013
- Primary completionDec 2014
- Study completionDec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Increased Risk for Cardiovascular DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 93 participants (actual)
Sponsor and investigators
- Lead sponsor
- McGill University
- Sponsor type
- University, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Responsible party
- Principal investigator, Steven Grover, MD, McGill University
- Investigators
- Steven Grover, MD, Principal investigator, McGill Comprehensive Health Improvement Program
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02035254
- Sponsor's protocol ID
- CHIP1401
- Status last verified
- Apr 2015
- First submitted
- 10 Jan 2014
- Last updated
- 8 Apr 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating a Multidisciplinary e-Health Program to Promote Regular Physical Activity Among Individuals at Increased Risk of Cardiovascular Disease.
- ClinicalTrials.gov ID
- NCT02035254
- Acronym / sponsor ID
- CHIP1401
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 93 participants (actual)
- Lead sponsor
- McGill UniversityUniversity, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Study start
- Nov 2013
- Primary completion
- Dec 2014 (actual)
- Study completion
- Dec 2014 (actual)
- First posted
- 14 Jan 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this project, individuals at risk for cardiovascular disease who are looking to lose weight or increase your level of activity, are offered access to an online lifestyle management program.
Participants will use the website daily to improve their eating and exercise habits as well as other aspects of healthy living. They will be asked to participate in online challenges to motivate them to make lifestyle changes. Participants will meet with a health professional 3 times within the 6 month time period as well as receive monthly guidance and support by phone or email for the website.
Detailed description
While the control of cardiovascular risk factors is essential in the prevention of cardiovascular disease (CVD), significant treatment gaps exist. For instance, a recent study of Canadian adults filling prescriptions for hypertension or dyslipidemia demonstrated that the majority remained overweight and sedentary despite being at increased risk of developing CVD.
In Canada, there is currently a shortage of primary care physicians. Furthermore, many physicians have little training in helping their patients make healthy lifestyle changes such as losing weight or exercising regularly. Non-medical health professionals such as nurses, dieticians, psychologists, and kinesiologists are well trained in helping individuals modify their behaviour. However, they often do not have access to the health records of their patients or the clinical tools to translate healthy behaviours, such as increasing physical activity, into meaningful health outcomes, such as a reduction in blood lipids, blood glucose, blood pressure, or the future risk of CVD. A web-based e health program could offer a potential solution to fill the gap and support non-medical health professionals to become more effective at cardiovascular prevention.
The MyHealthCheckUp online wellness program has been designed by a multidisciplinary team to improve the health of individuals at minimal cost using a web-based approach. The program's scientifically validated disease models have been proven to be effective in clinical interventions to improve the health of individuals with active health issues, such as high cholesterol, hypertension, and obesity, as well as low-risk individuals who want to reduce their risk of future problems [2, 3]. The website also features educational modules and physical activity, weight loss, stress management, and sleep hygiene challenges.
The educational modules cover topics such as blood pressure management, smoking cessation, stress management, and weight loss. The physical activity challenge is designed to optimize health and wellness by promoting walking and other physical activity. As individuals or teams, participants track their physical activity online, and compete against each other or an avatar using a virtual route. The weight loss challenge is designed to promote healthy weight management through food and physical activity tracking as well as online information regarding lifestyle modification. The stress and sleep challenges are designed to help manage stress and improve sleep duration and quality.
The purpose of this study is to evaluate the impact of a web-based e-health intervention, used by non-medical health professionals, to improve the management of cardiovascular risk factors including hypertension, dyslipidemia, cigarette smoking, excess body weight, sedentary lifestyle, as well as sleep and stress problems.
Participants will be sent to a website where they will determine if they meet the eligibility criteria. If a subject meets the eligibility criteria, they will be assigned to be further evaluated at the McGill Comprehensive Health Improvement Program (CHIP) by one of the following health professionals: a nurse, dietician, kinesiologist, or psychologist (25 subjects assigned to each health professional). Half of the participants will be randomly assigned to start the intervention immediately (intervention group) and the other half will start the intervention after the 3-month assessment (wait-list control).
Initial Visit (approximately 45 minutes)
At the initial visit with the health professional, informed consent will be obtained and the following information will be collected: demographics, medical history and concomitant medication, height, weight, waist circumference, sitting blood pressure, and cholesterol and glucose blood tests Participants will also complete the following questionnaires: The Physical Activity Readiness Questionnaire, Perceived Stress Scale, Insomnia Severity Index, and the Center for Epidemiological Studies-Depression Scale.
Wait-List Control group
The participants who have been randomly assigned to the wait-list control group will be given general documentation regarding healthy eating and physical activity from Health Canada (usual care) during the initial visit with the health professional. After a waiting period of 3 months, these participants will undergo a re-evaluation with their health professional and will then start the intervention.
Intervention using the e-health Website
All participants will be given a unique temporary user name and password to access the MyHealthCheckUp website which is designed to assess and manage cardiovascular risk factors. They will also be provided with a pedometer for tracking daily steps. The health professionals will provide an overview of the website and discuss with the participants their specific goals.
After signing on to the site, participants will have the opportunity to complete disease specific health risk assessments. Participants will have access to educational modules with information relevant to a better understanding of hypertension, dyslipidemia, and diabetes and the impact of lifestyle changes. Participants will also be enrolled in one of two lifestyle management challenges designed to motivate the user to engage in regular exercise or lose weight. Other challenges will be available after one of these initial challenges has been completed. The challenges provide education and tracking tools to facilitate the participant's monitoring of their own progress.
Follow-up Visits
All participants will be scheduled for follow-up visits at CHIP at 3 and 6 months to have their cardiovascular risk factors re-assessed which includes blood tests and anthropometric information as evaluated in the initial session. The psychosocial measures (stress, sleep and depressed mood) will also be re-administered at the 3 and 6 month follow-up. All intervention subjects will also be contacted by their study health professional at months 1, 2, 4, and 5 either by phone or email (participant's preference) to discuss progress, barriers, and answer any questions. Wait control subjects will not be contacted by their health professional during the 3 month wait period.
Qualitative Evaluation of the e-health Intervention
Two focus groups, each with 10-12 patients, will be held following the intervention phase of this study. These focus group discussions will be facilitated to elicit in-depth feedback from users related to the website's acceptability and usability and to identify barriers and facilitators to using e-health approaches to modify lifestyle behaviours. The focus groups will be conducted by a trained moderator.
A brief patient satisfaction questionnaire will be done at the end of the study to qualitatively assess their satisfaction of the MyHealthCheckUp website.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Other: Web-based Wellness ProgramWeb-based wellness program |
| Wait control group | Other | Other: Web-based Wellness ProgramWeb-based wellness program after 3 month wait. |
Who may qualify
- Ages
- 30 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female between 30-75 years of age
- Sedentary (less than 2 hours of moderate physical activity/week)
- Have at least 1 modifiable risk factor for cardiovascular disease (e.g. elevated cholesterol, elevated blood pressure, current smoker, overweight)
- Provided written informed consent
- Have internet access
Key exclusion criteria (5 listed)
- Not literate in English or French
- Have a health condition that would exclude the from being able to safely lose 10 lbs if their body mass index is > 27
- Cannot exercise daily at a moderate intensity for at least 30 minutes
- Are pregnant
- Cannot access the internet at least once per week.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Web-based Wellness ProgramWeb-based educational modules and physical activity and/or health weight challenges | Other | Intervention group, Wait control group |
Primary outcome
10-year cardiovascular risk
Time frame: 3 months
5 secondary outcomes
Sleep score
Time frame: 3 months
Stress Score
Time frame: 3-months
Blood lipids
Time frame: 3 months
Blood pressure
Time frame: 3 months
Body weight
Time frame: 3 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Steven Grover, MD principal investigator
McGill Comprehensive Health Improvement Program
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Web-based Wellness Program in people with Increased Risk for Cardiovascular Disease, run by McGill University at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
10-year cardiovascular risk (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2015.