Wearable Technology Driven Digital Health Coaching to Improve Lifestyle in Adults at Risk of Metabolic Conditions

What this Trial Is About

Researchers are studying how digital health coaching combined with wearable technology can help improve lifestyle behaviors to prevent and manage chronic conditions such as elevated blood pressure, obesity, prediabetes, type 2 diabetes, and hyperlipidemia. The trial focuses on addressing gaps in lifestyle intervention delivery by healthcare providers and explores scalable, personalized support through remote monitoring and feedback. The study is a mixed-methods, randomized trial aiming to evaluate these approaches in adults at risk or with these metabolic-related conditions. Participants are randomly assigned to one of three groups Group 1 receives a smart watch only Group 2 receives a smart watch plus access to a dashboard with a nudging system that sends motivational messages and Group 3 receives a smart watch, the dashboard with nudges, plus remote health coaching from a digital health coach for six months. All participants will wear the Fitbit smart watch for at least eight hours daily over six months while continuing their normal activities. Questionnaires on lifestyle, health, and quality of life are completed at baseline and at several intervals up to 12 months. Throughout the study, participants undergo blood tests if recent results are unavailable to assess blood glucose and lipids. They complete questionnaires at baseline, 3, 6, 9, and 12 months to measure lifestyle changes, quality of life, self-efficacy, and satisfaction with the intervention. Physical activity levels are tracked at baseline, 6, and 12 months. The trial includes safety monitoring and engagement assessments, with participants encouraged to maintain usual care with their healthcare providers. The total participation spans one year with ongoing data collection and follow-up.

WeArable teChnology daTa driVen digitAl healTh cOachINg (ACTIVATION)- A Mixed-methods Study