Effect of chicken lof (low fat in 90 days): m-health application on lipid profile and body composition among dyslipedemia healthcare workers: a randomized controlled trial

Abstract

Background/ Objectives: Non-communicable disease has become public health concern and is associated with an unhealthy lifestyle and ageing. This present study was conducted to explore the effectiveness of “CHICKEN LOF”: M-health application on lipid profile and body composition among dyslipidemia healthcare workers of Phuket City Hospital, Thailand. Subjects/ Methods: This study was a randomized controlled trail with 4 serial measurements and it was conducted among full time dyslipidemia healthcare workers from “Phuket Care Project”, a 10, 000 bed hospital via home visitation in Phuket City Hospital, Thailand. A total of 80 participants participated and they were randomly assigned by a computer generator into either an intervention group or control group. The intervention group received “CHICKEN LOF”: M-Health Application and usual care, and the control group received only usual care. Outcomes were measured on day 30, 60 and 90 compared to baseline. Results: There were 40 participants (M11/F29) with the mean age of 33.9 years in the intervention group and 40 participants (M7/F33) with the mean age of 33.2 years in control group. All of the baseline characteristics were not statistically of significant difference. Significant changes were observed in intervention group on total knowledge (p=0.000), total attitude (p=0.001), total practice (p=0.000), HDL-C (p=0.002), weight (p=0.000), BMI (p=0.001), body fat percentage (p=0.029), bone mass (p=0.030), BMR (p=0.032) and total body water (p=0.027). In pairwise comparison, significant increase of knowledge, attitude and practice was found from the baseline to at day 30, 60 and 90 respectively. Conclusion: As healthy lifestyle has become important issue for personal health which can result many changes in daily life of every person, it is needed to aware and practice the healthy lifestyle measures. The findings of this present study concluded the objectives of the study that M-Health intervention: CHICKEN LOF created by combination of 3 communication theories for motivation change: expectancy theory, behavior change communication theory and Persuasion and reinforcement theory is effective on improving knowledge, attitude and practice on lipid profile and body composition modifying score including improving in blood lipid profile and body composition. Being the use of technology in conducting health promotion and education especially using mobile phone, board game application like this CHICKEN LOF will be attractive to users not only the awareness but also the change of self-management and self-monitoring for their daily healthy lifestyle.