The Nourish Protocol: A digital health randomized controlled trial to promote the DASH eating pattern among adults with hypertension.
The Nourish Protocol: A digital health randomized controlled trial to promote the DASH eating pattern among adults with hypertension.
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DOI:
10.1016/j.cct.2021.106539
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发表时间:
2021-10
影响因子:
2.2
通讯作者:
Steinberg DM
中科院分区:
文献类型:
--
作者:
Miller HN;Berger MB;Askew S;Kay MC;Hopkins CM;Iragavarapu MS;de Leon M;Freed M;Barnes CN;Yang Q;Tyson CC;Svetkey LP;Bennett GG;Steinberg DM
Over 100 million adults in the United States have hypertension. The DASH (Dietary Approaches to Stop Hypertension) eating pattern is an evidence-based first-line treatment option for hypertension; however, adherence to the DASH eating pattern at a population level remains low. To address this gap, we will implement Nourish, a randomized controlled efficacy trial that will leverage a commercially-available smartphone application and evidence-based behavior change principles to improve adherence to the DASH eating pattern among adults with hypertension. The Nourish trial is a two-arm, 12-month randomized control trial that will enroll adults (N=300) with hypertension, defined as a systolic blood pressure of 120-159 mmHg; a diastolic blood pressure of 80-99 mmHg; and/or adults on blood pressure-lowering medication. Nourish will test the efficacy of a digital health intervention, as compared to the attention control arm, on DASH eating pattern adherence and blood pressure. Intervention components will include skills training, self-monitoring, personalized feedback, and responsive coaching. The primary outcome of the trial is 6-month changes in adherence to the DASH eating pattern, as measured by 24-hour dietary recalls. Millions of Americans remain in need of effective behavioral interventions to manage and improve their hypertension and its adverse consequences. The ubiquity of smartphones offers a promising approach to disseminate the DASH eating pattern. By leveraging these widely used smartphone applications, combined with evidence-based behavior change principles and the DASH eating plan, Nourish will demonstrate the effectiveness of a digital health intervention to improve DASH adherence, and ultimately, to reduce blood pressure.
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