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Cardiovascular DiseasesGET FITNCT03720327

The Effects of a Mobile Health Intervention and Health Coach Text Messaging on Cardiovascular Risk of Older Adults

A study testing Get FIT and Get FIT+ in people with Cardiovascular Diseases and Cardiovascular Risk Factor, run by University of California, Irvine at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study, "Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older Adults", will test a mobile-health based intervention which includes use of a Fitbit activity tracker for 3 months, a smartphone application that tracks daily food intake, and one 45 minute counseling session to create personal goals… Read more about this study

Who is it for?
Ages 60 years and older
What is being tested?
Get FIT and Get FIT+
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
5 sitesUnited States
Study dates
10 Jan 2019to 12 Mar 2022
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 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • aged 60 or greater
  • at intermediate (10-20%) or high risk (>20%) of developing cardiovascular disease (as measured by Framingham Risk Assessment Tool)
  • poor eating behaviors (as measured by Block Fruit/Vegetable/Fiber Screener)
  • reduced physical activity (as measured by Block Adult Physical Activity Screener)

Who cannot join

  • cognitive impairment (as measured by Mini-Cog) that impairs ability to understand consent process, surveys, or use of mobile health devices
  • chronic drug use
  • end stage renal, liver, or pulmonary disease
  • current active cancer (i.e., undergoing active treatment for cancer)
  • gastrointestinal disease which requires a special diet (e.g. Crohn's, celiac, etc).

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • University of California, Irvine Federally Qualified Health Clinic

    Anaheim, California, 92801

  • The Regents of the University of California, Irvine - Institute for Clinical & Translational Science (ICTS)

    Irvine, California, 92697-3959

  • University of California, Irvine Medical Clinic (Gottschalk)

    Irvine, California, 92697

  • The University of California, Irvine Medical Center

    Orange, California, 92697-3298

  • University of California, Irvine Federally Qualified Health Clinic

    Santa Ana, California, 92701

Other trials in United States

About this study

Official title: Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older Adults

This study, "Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older Adults", will test a mobile-health based intervention which includes use of a Fitbit activity tracker for 3 months, a smartphone application that tracks daily food intake, and one 45 minute counseling session to create personal goals and provide patient education by a health coach; versus Get FIT+ (the same items) plus personalized text messages focusing on participant's activity and nutrition progress as monitored in the app, from the health coach for 3 months. The investigators will measure the impact on participant's diet, physical activity, clinical outcomes, psychosocial well-being, and engagement.

Read the detailed description

This study, "Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older Adults", will test 2 behavioral interventions in community-dwelling older adults (age ≥ 60 years) at intermediate and high risk of cardiovascular disease.

  1. Get FIT: use of a Fitbit activity tracker, smartphone application to track daily food intake, one 45 minute counseling session to create personal goals and provide patient education by a health coach; vs.
  2. Get FIT+: use of a Fitbit activity tracker, smartphone application to track daily food intake, one 45 minute counseling session to create personal goals and provide patient education by a health coach, and personalized push-only text messages from the health coach based on participant's progress as monitored electronically in the application.

Each intervention lasts 3 months, with outcomes measured at baseline, 3 months, and 6 months.

Being tested
Get FIT, Get FIT+
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Get FITBehavioural

    The Get FIT arm includes use of a free commercially available smartphone application to track daily food intake for 3 months; use of a Fitbit activity tracker for 3 months; and one 45 minute behavioral counseling session to set personal goals and provide education by a health coach.

  • Get FIT+Behavioural

    The Get FIT+ arm includes use of a free commercially available smartphone application to track daily food intake for 3 months; use of a Fitbit activity tracker for 3 months; one 45 minute behavioral counseling session to set personal goals and provide education by a health coach; and personalized text messaging for 3 months by a health coach. The health coach will have access to these participants' daily food and activity data through the smartphone application, and will monitor progress and send push-only text messages to participants in this group based on the participant's goals and progress in the areas of physical activity, nutrition, and weight loss.

Study groups in NCT03720327
Study groupRoleWhat they receive
Get FITActive comparatorThe Get FIT intervention
Receives: Behavioral: Get FIT
Get FIT+ExperimentalThe Get FIT+ intervention, which includes push-only personalized text messages from a health coach.
Receives: Behavioral: Get FIT+

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline adherence to recommended self-care behaviors at 3 months and 6 months

    The Medical Outcomes Study Specific Adherence Scale measures patient adherence to 8 recommended health behaviors (3 items on specific diet/nutrition, 1 item on smoking cessation, 1 item on alcoholic beverages, 1 item on taking prescribed medications, 1 item on regular exercise, 1 item on weight/fluid, 1 item on symptom management). Participants circle the answer that best corresponds to their behavior in the last 4 weeks ("None of the time; 1-A little of the time; 2-Some of the time; 3-A good bit of the time; 4-Most of the time; 5-All of the time"). Scoring is the average of the items for a total specific adherence score.

    Measured: baseline, 3 months, 6 months

  2. Change from Baseline diet patterns at 3 months and 6 months

    3-Day Food Record (ASA24); data from self-recorded diet as entered in smartphone application (My Fitness Pal©)

    Measured: baseline, 3 months, 6 months

  3. Change from baseline physical activity levels at 3 months and 6 months

    data from Fitbit activity tracker as recorded in smartphone application (My Fitness Pal©)

    Measured: baseline, 3 months, 6 months

Secondary outcomes (22)
  1. change from baseline in HgA1c

    HgA1c as obtained by venous puncture and blood analysis

    Measured: baseline, 3 months, 6 months

  2. Change from baseline in Anxiety and Depression symptoms

    Anxiety and depression symptoms as measured by the Hospital Anxiety and Depression Scale (HADS). Subscale scores of Anxiety (range 0-21; lower scores representing "normal" scores) and Depression (range 0-21; lower scores representing "normal" scores).

    Measured: baseline, 3 months, 6 months

  3. Change from baseline in patient activation

    Patient activation as measured by the Patient Activation Measure

    Measured: baseline, 3 months, 6 months

  4. Change from Baseline height in centimeters

    height in centimeters as measured by stadiometer

    Measured: baseline, 3 months, 6 months

  5. Change from baseline weight in kilograms

    weight in kilograms as measured by professional beam scale

    Measured: baseline, 3 months, 6 months

  6. Change from baseline body composition-area

    body composition-area (cm2) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  7. Change from baseline body composition-Bone Mineral Content (BMC)

    body composition - BMC (g) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  8. Change from baseline body composition-Bone Mineral Density (BMD)

    body composition - BMD (g/cm2) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  9. Change from baseline body composition-Fat mass

    body composition - fat mass (g) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  10. Change from baseline body composition-Lean mass

    body composition - lean mass (g) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  11. Change from baseline body composition-Total Mass

    body composition - total mass (g) as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  12. Change from baseline body composition-% fat

    body composition - % fat as measured by dual-energy x-ray absorptiometry (DEXA)

    Measured: baseline, 6 months

  13. Change from baseline in blood pressure

    blood pressure as measured by calibrated aneroid sphygmomanometer

    Measured: baseline, 3 months, 6 months

  14. Change from baseline in High-Density Lipoproteins (HDL)

    HDL as obtained by venous puncture and blood analysis

    Measured: baseline, 3 months, 6 months

  15. Change from baseline in Low-Density Lipoproteins (LDL)

    LDL as obtained by venous puncture and blood analysis

    Measured: baseline, 3 months, 6 months

  16. Change from baseline in Triglycerides

    Triglycerides as obtained by venous puncture and blood analysis

    Measured: baseline, 3 months, 6 months

  17. Change from baseline in total cholesterol score

    total cholesterol score as obtained by venous puncture and blood analysis (HDL+LDL+0.2*triglycerides=total)

    Measured: baseline, 3 months, 6 months

  18. change from baseline in quality of life

    quality of life as measured by the Quality of Life Short Form version 20

    Measured: baseline, 3 months, 6 months

  19. change from baseline in patterns of use of clinic attendance

    patient patterns of use as measured by clinic attendance

    Measured: baseline, 3 months, 6 months

  20. change from baseline in patterns of use of mHealth

    patient patterns of use as measured by use of mHealth

    Measured: baseline, 3 months, 6 months

  21. change from baseline in patterns of use of Retention

    patient patterns of use and engagement as measured by Retention (drop out rate and time of drop out)

    Measured: baseline, 3 months, 6 months

  22. cost effectiveness

    Cost effectiveness of the intervention as calculated by the sum of costs of training, staff salary, frequency/duration of counseling sessions, follow up visits, real time feedback

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2018
  2. Study start10 Jan 2019
  3. Primary completion12 Mar 2022
  4. Study completion12 Mar 2022

Resources

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized to one of two groups for the study duration (3 months): 1. control group (Get FIT); 2. intervention group (Get FIT+).
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03720327
Sponsor's protocol ID
R21AG053162; HS#2016-2713
Other IDs
R21AG053162
Acronym
GET FIT
Status last verified
Nov 2022
First submitted
9 Oct 2018
Last updated
18 Nov 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Demiris G, Thompson H, Boquet J, Le T, Chaudhuri S, Chung J. Older adults' acceptance of a community-based telehealth wellness system. Inform Health Soc Care. 2013 Jan;38(1):27-36. doi: 10.3109/17538157.2011.647938. Epub 2012 May 9.

    PubMed 22571733
  • Schneider KM, O'Donnell BE, Dean D. Prevalence of multiple chronic conditions in the United States' Medicare population. Health Qual Life Outcomes. 2009 Sep 8;7:82. doi: 10.1186/1477-7525-7-82.

    PubMed 19737412
  • WRITING GROUP MEMBERS; Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, Ferguson TB, Ford E, Furie K, Gillespie C, Go A, Greenlund K, Haase N, Hailpern S, Ho PM, Howard V, Kissela B, Kittner S, Lackland D, Lisabeth L, Marelli A, McDermott MM, Meigs J, Mozaffarian D, Mussolino M, Nichol G, Roger VL, Rosamond W, Sacco R, Sorlie P, Roger VL, Thom T, Wasserthiel-Smoller S, Wong ND, Wylie-Rosett J; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation. 2010 Feb 23;121(7):e46-e215. doi: 10.1161/CIRCULATIONAHA.109.192667. Epub 2009 Dec 17. No abstract available.

    PubMed 20019324
  • Lin JS, O'Connor E, Whitlock EP, Beil TL. Behavioral counseling to promote physical activity and a healthful diet to prevent cardiovascular disease in adults: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2010 Dec 7;153(11):736-50. doi: 10.7326/0003-4819-153-11-201012070-00007.

    PubMed 21135297
  • Parekh AK, Goodman RA, Gordon C, Koh HK; HHS Interagency Workgroup on Multiple Chronic Conditions. Managing multiple chronic conditions: a strategic framework for improving health outcomes and quality of life. Public Health Rep. 2011 Jul-Aug;126(4):460-71. doi: 10.1177/003335491112600403.

    PubMed 21800741
  • Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002 Oct 16;288(15):1909-14. doi: 10.1001/jama.288.15.1909.

    PubMed 12377092
  • Kouris I, Mougiakakou S, Scarnato L, Iliopoulou D, Diem P, Vazeou A, Koutsouris D. Mobile phone technologies and advanced data analysis towards the enhancement of diabetes self-management. Int J Electron Healthc. 2010;5(4):386-402. doi: 10.1504/IJEH.2010.036209.

    PubMed 21041177
  • Chomutare T, Fernandez-Luque L, Arsand E, Hartvigsen G. Features of mobile diabetes applications: review of the literature and analysis of current applications compared against evidence-based guidelines. J Med Internet Res. 2011 Sep 22;13(3):e65. doi: 10.2196/jmir.1874.

    PubMed 21979293
  • Courtney KL, Demiris G, Rantz M, Skubic M. Needing smart home technologies: the perspectives of older adults in continuing care retirement communities. Inform Prim Care. 2008;16(3):195-201. doi: 10.14236/jhi.v16i3.694.

    PubMed 19094406
  • Hayes DK, Denny CH, Keenan NL, Croft JB, Sundaram AA, Greenlund KJ. Racial/Ethnic and socioeconomic differences in multiple risk factors for heart disease and stroke in women: behavioral risk factor surveillance system, 2003. J Womens Health (Larchmt). 2006 Nov;15(9):1000-8. doi: 10.1089/jwh.2006.15.1000.

    PubMed 17125418
  • Ford ES, Ajani UA, Croft JB, Critchley JA, Labarthe DR, Kottke TE, Giles WH, Capewell S. Explaining the decrease in U.S. deaths from coronary disease, 1980-2000. N Engl J Med. 2007 Jun 7;356(23):2388-98. doi: 10.1056/NEJMsa053935.

    PubMed 17554120
  • Maruthur NM, Wang NY, Appel LJ. Lifestyle interventions reduce coronary heart disease risk: results from the PREMIER Trial. Circulation. 2009 Apr 21;119(15):2026-31. doi: 10.1161/CIRCULATIONAHA.108.809491. Epub 2009 Apr 6.

    PubMed 19349322
  • Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM; American Heart Association. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension. 2006 Feb;47(2):296-308. doi: 10.1161/01.HYP.0000202568.01167.B6.

    PubMed 16434724
  • Elmer PJ, Obarzanek E, Vollmer WM, Simons-Morton D, Stevens VJ, Young DR, Lin PH, Champagne C, Harsha DW, Svetkey LP, Ard J, Brantley PJ, Proschan MA, Erlinger TP, Appel LJ; PREMIER Collaborative Research Group. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med. 2006 Apr 4;144(7):485-95. doi: 10.7326/0003-4819-144-7-200604040-00007.

    PubMed 16585662
  • Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L; INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004 Sep 11-17;364(9438):937-52. doi: 10.1016/S0140-6736(04)17018-9.

    PubMed 15364185

Questions about this trial

What is this clinical trial studying?

A study testing Get FIT and Get FIT+ in people with Cardiovascular Diseases and Cardiovascular Risk Factor, run by University of California, Irvine at 5 sites in United States.

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 4 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 18 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. 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?

Change from Baseline adherence to recommended self-care behaviors at 3 months and 6 months (time frame: baseline, 3 months, 6 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03720327, which also lists 56 linked publications.

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 18 Nov 2022.

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