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A Physical Activity and Diet Just-in-Time Adaptive Intervention to Reduce Blood Pressure: The myBPmyLife Study Rationale and Design.


ABSTRACT:

Background

Smartphone applications and wearable devices are promising mobile health interventions for hypertension self-management. However, most mobile health interventions fail to use contextual data, potentially diminishing their impact. The myBPmyLife Study is a just-in-time adaptive intervention designed to promote personalized self-management for patients with hypertension.

Methods and results

The study is a 6-month prospective, randomized-controlled, remotely administered trial. Participants were recruited from the University of Michigan Health in Ann Arbor, Michigan or the Hamilton Community Health Network, a federally qualified health center network in Flint, Michigan. Participants were randomized to a mobile application with a just-in-time adaptive intervention promoting physical activity and lower-sodium food choices as well as weekly goal setting or usual care. The mobile study application encourages goal attainment through a central visualization displaying participants' progress toward their goals for physical activity and lower-sodium food choices. Participants in both groups are followed for up for 6 months with a primary end point of change in systolic blood pressure. Exploratory analyses will examine the impact of notifications on step count and self-reported lower-sodium food choices. The study launched on December 9, 2021, with 484 participants enrolled as of March 31, 2023. Enrollment of participants was completed on July 3, 2023. After 6 months of follow-up, it is expected that results will be available in the spring of 2024.

Conclusions

The myBPmyLife study is an innovative mobile health trial designed to evaluate the effects of a just-in-time adaptive intervention focused on improving physical activity and dietary sodium intake on blood pressure in diverse patients with hypertension.

Registration

URL: https://www.clinicaltrials.gov; Unique identifier: NCT05154929.

SUBMITTER: Golbus JR 

PROVIDER: S-EPMC10926831 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature

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Publications

A Physical Activity and Diet Just-in-Time Adaptive Intervention to Reduce Blood Pressure: The myBPmyLife Study Rationale and Design.

Golbus Jessica R JR   Jeganathan V Swetha E VSE   Stevens Rachel R   Ekechukwu Weena W   Farhan Zahera Z   Contreras Rocio R   Rao Nikhila N   Trumpower Brad B   Basu Tanima T   Luff Evan E   Skolarus Lesli E LE   Newman Mark W MW   Nallamothu Brahmajee K BK   Dorsch Michael P MP  

Journal of the American Heart Association 20240116 2


<h4>Background</h4>Smartphone applications and wearable devices are promising mobile health interventions for hypertension self-management. However, most mobile health interventions fail to use contextual data, potentially diminishing their impact. The myBPmyLife Study is a just-in-time adaptive intervention designed to promote personalized self-management for patients with hypertension.<h4>Methods and results</h4>The study is a 6-month prospective, randomized-controlled, remotely administered t  ...[more]

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