Targeting Metabolic Syndrome From the Emergency Department Through Mixed-Methods: Pilot Trial

Summary

The objective of this study is to pilot a multifaceted, optimized intervention for metabolic syndrome (MetS) in emergency department patients to establish feasibility. Participants (n=20) will be randomized to intervention or control (usual care). The composite intervention will include an educational video outlining the adverse effects of MetS and the benefit of walking, a written exercise prescription with a defined goal of walking 150 minutes per week, a Fitbit accelerometer device, resources for healthy eating practices, periodic text message reminders, and an urgent referral to primary care and our health system's Healthy Me clinic for follow-up visit. Investigators hypothesize that this approach will change patient understanding and motivation to increase physical activity and healthy eating habits.

Eligibility

Inclusion Criteria:

* Ambulatory adults (18 years of age) presenting to the emergency department setting
* BMI 30 kg/m2
* Prior diagnosis of at least one additional comorbid component of metabolic syndrome: hypertension, hyperglycemia, dyslipidemia
* Clinical plan for discharge

Exclusion Criteria:

* Age \<18 years
* Pregnant patients
* Unable to safely ambulate (including patient or family perception of inability to safely ambulate)
* Lack of access to smart phone
* Unable or unwilling to wear Fitbit accelerometer device
* Unable to obtain informed consent

Conditions8

Locations1 site

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