Mobile Health Dietary Intervention for Stroke and Diabetes
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new mobile app called PortionSize Ed to determine if it can help individuals who have recently experienced a stroke and have prediabetes or type 2 diabetes improve their diet. The app promotes a Mediterranean-style diet, which might reduce the risk of future strokes and enhance overall health. Participants will either receive full app access with dietitian support or use a basic version of the app. This trial suits those who have recently had a stroke, have prediabetes or type 2 diabetes, and are comfortable using a smartphone. As an unphased trial, it offers a unique opportunity to explore innovative dietary support through technology.
What prior data suggests that this mobile health dietary intervention is safe for stroke and diabetes patients?
Research has shown that following a Mediterranean diet can lower the risk of stroke and help manage diabetes. This diet includes plenty of fruits, vegetables, nuts, and healthy fats like olive oil. Studies indicate it can improve heart health and control blood sugar levels, benefiting people with diabetes or those who have had a stroke.
Regarding the PortionSize Ed app, specific safety data is not yet available. The study is in an early stage, so information about its safety is limited. However, as a diet guidance app, it is considered low-risk. Participants will also continue to receive standard stroke care, adding an extra layer of safety.
Overall, using the app to focus on a healthy diet appears safe and could help manage health after a stroke and with diabetes.12345Why are researchers excited about this trial?
Researchers are excited about the PortionSize Ed + MedDiet Support treatment because it offers a personalized and interactive approach to managing stroke recovery and diabetes. Unlike standard care, which typically involves basic app usage without feedback, this treatment provides tailored dietary feedback, educational videos, and virtual sessions with a dietitian. This comprehensive support could enhance patient engagement and adherence to dietary recommendations, potentially leading to better health outcomes.
What evidence suggests that the PortionSize Ed app is effective for improving diet in stroke patients with diabetes?
Studies have shown that following a Mediterranean diet can improve health for people with conditions like diabetes and stroke. Research indicates that this diet links to lower risks of heart disease and better control of blood sugar levels. Previous participants found it easier to maintain healthier eating habits, which is crucial for recovery and long-term health. In this trial, participants in the PortionSize Ed + MedDiet Support arm will use the PortionSize Ed app. This app helps people follow a Mediterranean-style diet by providing personalized feedback and support. Overall, this combination of diet and digital support could improve health measures like blood sugar, cholesterol, and blood pressure.13467
Are You a Good Fit for This Trial?
This trial is for adults aged 30-65 who've had a stroke recently and also have prediabetes or type 2 diabetes. They must be medically stable, able to eat and drink normally, use a smartphone, and commit to the study's 12-week duration. People with severe swallowing issues, cognitive impairments, or special dietary needs that conflict with a Mediterranean diet can't join.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Initial in-person assessments including blood tests, body composition measurements, and questionnaires
Intervention
Participants use the PortionSize Ed app with varying levels of support, including virtual dietitian sessions for the intervention group
Follow-up
Final in-person assessments to measure changes in health indicators and collect feedback on the app
Optional Long-term Follow-up
Participants may be monitored using medical records for long-term outcomes
What Are the Treatments Tested in This Trial?
Interventions
- PortionSize Ed + MedDiet Support
Trial Overview
The trial tests if an app called PortionSize Ed helps stroke survivors with prediabetes or type 2 diabetes follow a Mediterranean-style diet. It compares two groups: one using the app with dietitian support and another receiving standard care. Health indicators like blood sugar and cholesterol are measured before and after the intervention.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Full PortionSize Ed app access with personalized dietary feedback, educational videos, 3 virtual sessions with a registered dietitian (RDN), standard of care (for post-stroke with pre-diabetes or T2D) over 12 weeks.
Uses a basic version of the app without feedback or RDN support and receives usual care for stroke recovery for 12 weeks.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Hawaii
Lead Sponsor
Queen's Medical Center
Collaborator
Citations
Mobile Health Dietary Intervention for Stroke Survivors With ...
Objectives: This study aims to test whether a mobile app called PortionSize Ed can help adults who have had a recent stroke and also have ...
Mediterranean-Dash Intervention for Neurodegenerative ...
There is limited data, however, on whether these dietary patterns might be effective in slowing the cognitive decline that can occur after stroke. In this study ...
Mediterranean Diet and Health Outcomes in the SUN Cohort
Up to now the outcomes that have been evaluated in the SUN study related to MedDiet are: all-cause mortality, non-fatal and fatal cardiovascular ...
Stroke Survivor Adherence to the Mediterranean Diet
Abstract. Objective: To estimate adherence to the Mediterranean diet in a sample of chronic community-dwelling stroke survivors.
Mediterranean diets and diabetes - Dyson - 2021
Recent meta-analyses and reviews have reported that MD is associated with lower all-cause mortality, reduced CVD risk and improved glycaemia ...
Diet and stroke: recent evidence supporting a ...
There is evidence supporting an association between the Mediterranean diet pattern (both individual foods and full pattern) and decreased stroke risk.
7.
diabetesjournals.org
diabetesjournals.org/care/article/48/2/265/157575/Metformin-Treatment-With-or-Without-MediterraneanMetformin Treatment With or Without Mediterranean Diet for ...
Our results strongly support the use of MET as a safe and effective treatment to reduce the occurrence of diabetes and to rapidly reverse MetS.
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