Mobile Health Dietary Intervention for Stroke Survivors With Prediabetes or Type 2 Diabetes

Description

Study Visits:

Baseline Visit (Week 0) at UHCC – All Participants:

* Consent form signed and randomization to a study group
* Fingerstick blood test to measure HbA1c and lipid levels
* Height, weight, blood pressure, and body composition measurements using DXA, BIA, and 3D Optical Scan
* Questionnaires: Demographics, physical activity (IPAQ-SF), Mediterranean Diet adherence (MEDAS), and current medications
* PortionSize Ed app training and 3-day food logging using the app
* Pregnancy test (urine) for participants of childbearing potential
* Counseling with the registered dietitian (~30-60 minutes) (Intervention only)
* Receive study stipend ($50)

Week 6 Visit, Virtual Visit:

* Follow-up questionnaires and review of app engagement (Intervention only)
* Counseling with the registered dietitian (~30-60 minutes) (Intervention only)
* Review of medications and dietary services received
* Self-reported adherence and barriers to diet change (Intervention only)
* Receive study stipend ($60)

Week 12 Visit at UHCC – All Participants:

* Repeat body composition measurements (DXA, BIA, 3DO)
* Repeat fingerstick blood tests (HbA1c and lipids)
* Final questionnaires and MEDAS
* Final 3-day food record
* Satisfaction and usability surveys
* Counseling with the registered dietitian (~30-60 minutes) (Intervention only)
* Return study iPhone (if applicable)
* Receive study stipend ($90)

Between visits for intervention group only:

* Log one day food intake per week (~10-15 minutes)
* Text weekly dietary goal (~5 minutes)
* Watch a short nutrition video each week (~3 minutes)
* Weekly reminders to complete a 1-day food log/week between study visits

Between visits for Active Comparator Group:

• Basic version of the app (no real-time feedback or counseling) and continue usual care, including the My Stroke Recovery Guide.

Length of Time in this Study:

Participation in this study will last approximately 12 weeks