Tailored Messaging to Reduce Sodium Intake

NCT ID: NCT03099343

Last Updated: 2019-06-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-21

Study Completion Date

2019-04-26

Brief Summary

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The proposed study will determine the effectiveness of a mobile application location-based tailored notification message system in helping hypertensive patients reduce dietary sodium intake and feel more confident in following a low sodium diet.

Detailed Description

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People with high blood pressure often get advice to lower their salt or sodium intake. High dietary sodium intake is linked to high blood pressure, stroke, heart failure and kidney disease. U.S. federal guidelines advocate daily sodium intake of less than 2,300 milligrams (mg). The estimated average sodium intake for Americans is 3,400 mg per day. In recent years, consumption of processed and restaurant foods has substantially increased. More than 75% of sodium in the average U.S. diet now comes from these sources.

The mobile application will deliver tailored messages based on the user's location and previously identified high-sodium food items that they commonly consume.

This 8-week research study at Visit 1 or baseline will consent and randomize 50 eligible adults with high blood pressure to use the mobile application daily or to follow their usual eating pattern with no access to the application.

All participants will be asked to complete four surveys at baseline and Week 8: Block Food Frequency Questionnaire, Block Sodium Screener, Self-care Confidence in following a Low Sodium Diet and the Automated Self-administered 24-Hour Dietary Recall survey. All participants will be asked to provide a baseline and end of study 24-hour urine collection, regularly provide home blood pressure measurements and urine dipstick tests every two weeks.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Location-based Tailored Messaging

Participants receive location-based tailored messaging via a mobile application throughout the 8-week research study.

Group Type EXPERIMENTAL

Location-based Tailored Messaging

Intervention Type BEHAVIORAL

The mobile application works by providing tailored messages targeted to participant locations that can help individuals to choose lower sodium foods.

Control Group

Participants follow their usual eating pattern and will not have access to the application throughout the 8-week research study.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Location-based Tailored Messaging

The mobile application works by providing tailored messages targeted to participant locations that can help individuals to choose lower sodium foods.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* \> 18 years of age
* Hypertension
* Use of anti-hypertensive therapy for at least 3 months, with stable anti-hypertensive therapy (medication type and dose) for at least 2 weeks
* Daily sodium intake of \>2,000 mg with sodium to kcal ratio \> 1, estimated via Food Frequency Questionnaire
* Ownership and use of an Apple iPhone

Exclusion Criteria

* Chronic Kidney Disease
* Heart Failure
* Systolic Blood Pressure \>180 mm Hg
* Diastolic Blood Pressure \>110 mm Hg
* Use of a loop diuretic or corticosteroid
* Insulin dependent diabetes mellitus
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Agency for Healthcare Research and Quality (AHRQ)

FED

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Scott L. Hummel

MD MS Assistant Professor Internal Medicine Cardiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Scott L Hummel, MD, MS

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Michael P Dorsch, PharmD, MS

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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Michigan Medicine, University of Michigan

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

References

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Alhashimi L, Cordwin DJ, Dandu C, Hummel SL, Dorsch MP. Patient self-assessment of urine dipsticks to estimate sodium intake in patients with hypertension. Clin Nutr ESPEN. 2022 Oct;51:295-300. doi: 10.1016/j.clnesp.2022.08.011. Epub 2022 Aug 12.

Reference Type DERIVED
PMID: 36184219 (View on PubMed)

Dorsch MP, Cornellier ML, Poggi AD, Bilgen F, Chen P, Wu C, An LC, Hummel SL. Effects of a Novel Contextual Just-In-Time Mobile App Intervention (LowSalt4Life) on Sodium Intake in Adults With Hypertension: Pilot Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020 Aug 10;8(8):e16696. doi: 10.2196/16696.

Reference Type DERIVED
PMID: 32663139 (View on PubMed)

Dorsch MP, An LC, Hummel SL. A Novel Just-in-Time Contextual Mobile App Intervention to Reduce Sodium Intake in Hypertension: Protocol and Rationale for a Randomized Controlled Trial (LowSalt4Life Trial). JMIR Res Protoc. 2018 Dec 7;7(12):e11282. doi: 10.2196/11282.

Reference Type DERIVED
PMID: 30530462 (View on PubMed)

Other Identifiers

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HUM00123069

Identifier Type: -

Identifier Source: org_study_id

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