Poster Abstracts

Eectiveness of a health promotion programme on self-

ecacy and practice of exercise in Chinese metabolic
syndrome population: a single-centre, open-label,
randomised controlled trial
Qun Wang, Sek Ying Chair, Eliza Mi Ling Wong

Abstract
Background The health promotion model (HPM) is widely used in promoting lifestyle changes. Metabolic syndrome, Published Online
the combination of multiple cardio-metabolic risk factors, has imposed heavy burden to the Chinese health-care October 30, 2016

system. Lifestyle intervention, especially exercise, is recommended as the primary intervention for management The Nethersole School
of Nursing, The Chinese
of metabolic syndrome. However, HPM has not been used in the population with metabolic syndrome. We assessed
University of Hong Kong,
the eectiveness of a health promotion programme guided by HPM on self-ecacy and practice of exercise in Chinese Hong Kong, China
people with metabolic syndrome. (Q Wang PhD; Prof S Y Chair PhD;
E M L Wong PhD)
Methods In this single-centre, randomised controlled trial, we recruited patients with metabolic syndrome following Correspondence to:
Dr Qun Wang, R 821, Esther Lee
the International Diabetes Federation denition from a general hospital in Shandong, China. All patients received
Building, The Nethersole School
usual care from the hospital. Patients were randomly assigned to either the control group (usual care) or the of Nursing, The Chinese
intervention group (consisting of usual care plus a 3-month health promotion programme, including a booklet, one University of Hong Kong, Hong
face-to-face education, and bi-weekly telephone calls). The randomisation was done through a computer-generated Kong, China
qunwang@cuhk.edu.hk
block randomisation list with a block size of four. Patients and the researchers were aware of group assignment.
Guided by the HPM, the primary outcomes of self-ecacy of exercise and practice exercise were measured using
the Self-rated Abilities of Health Practice subscale (SRAHP-E, seven-item, score range 028) and the Health Promoting
Lifestyle Prole subscale (HPLP-E, eight-item, score range 032), respectively. Data were collected at baseline
(T0), 1 month (T1), and 3 months (T2) by a research nurse who was blinded with the group assignment. We used the
generalised estimating equations (GEE) model to test the study hypotheses. The study was approved by the Joint
Chinese University of Hong KongNew Territories East Cluster Clinical Research Ethics Committee and the study
hospital, and was registered in the Chinese Clinical Trial Registry. A written informed consent was obtained from
each participant before data collection.

Findings Between April and October, 2014, we recruited 173 participants with metabolic syndrome, the mean age was
5562 years (SD 1065), and 85 (49%) were males. 86 participants were randomly assigned to the intervention group
and 87 to the control group. The demographic characteristics were well balanced between the two groups. At T0, the
mean SRAHP-E score was 1767 (SD 497) in the intervention group and 1699 (SD 699) in the control group
(p=0458); whereas the HPLP-E score was 1543 (SD 497) in the intervention group and 1732 in the control group
(p=0032). Both groups demonstrated continuous improvements in self-ecacy and practice of exercise at T1 and T2.
Moreover, the GEE models revealed signicant group-by-time interaction eects on self-ecacy (T2, p=0048) and
practice (T1, p=0019 and T2, p<0001).

Interpretation A HPM-based health promotion programme was eective in improving the self-ecacy and practice
of exercise in Chinese population with metabolic syndrome. This programme could be applied in practice to improve
the quality of care for this population of patients.

Funding None.
Contributors
QW, SYC, and EMLW designed the study. QW conducted data collection and data analysis. QW, SYC, and EMLW wrote the Abstract. All authors
have seen and approved the nal version of the Abstract for publication.
Declaration of interests
We declare no competing interests.

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