Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: A Lifestyle Intervention Supported by Mobile Health Technologies to Improve the Cardiometabolic Risk Profile of Individuals at Risk for Cardiovascular Disease and Type 2 Diabetes.
Brief Summary: Cardiovascular diseases are the leading cause of death among Canadians. In those with diabetes, cardiovascular complications are responsible for more than 70% of deaths. While there is much interest in identifying and treating risk factors, the exact biological mechanisms, their measurement and optimal ways to prevent and manage them are poorly understood.

Physical activity and regular exercise can prevent diabetes and effectively manage risk factors, but most Canadians do not exercise enough to beneficially manage risk. Tailored exercise prescribed by a family physician has shown promise as a means to increase fitness and reduce risk, but optimal implementation practices remain unknown - especially in rural and remote communities with reduced access to healthcare. Mobile health technologies have proved to be a beneficial tool to achieve blood pressure and blood glucose control in patients with diabetes. These technologies may address the limited access to health interventions in rural and remote regions. However, the potential as a tool to support exercise-based prevention activities unknown.

Therefore, this study was undertaken to investigate the effects of a tailored exercise prescription alone or supported by mobile health technologies to improve cardiovascular risk factors in rural community-dwelling adults at risk for cardiovascular disease and type 2 diabetes.

Adults with cardiovascular risk factors were recruited from rural communities and randomized to either: 1) an intervention group receiving an exercise prescription and devices for monitoring of risk factors with a smartphone data portal equipped with a mobile health application; or 2) an active control group receiving only an exercise prescription.

It was hypothesized that the intervention group would reduce their risk to a greater extent than the active control group following 12 weeks, and that these improvements would be better maintained in the intervention group at 24 and 52 weeks compared to the active control group.


Options:
A: Arm Label: SMS Short Message Service Arm plus Prescription; Type: EXPERIMENTAL; Interventions: Behavioral: SMS- Short Messaging Service | Arm Label: Standard Prescriptions and Counselling; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: SMS- Short Messaging Service; Assigned to Arm(s): SMS Short Message Service Arm plus Prescription
B: Arm Label: Enhanced usual care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Enhanced usual care | Arm Label: Informational SMS-text; Type: EXPERIMENTAL; Interventions: Behavioral: Informational SMS-text, Behavioral: Enhanced usual care | Arm Label: Interactive SMS-text; Type: EXPERIMENTAL; Interventions: Behavioral: Informational SMS-text, Behavioral: Interactive SMS-text, Behavioral: Enhanced usual care | Intervention Type: BEHAVIORAL; Name: Informational SMS-text; Assigned to Arm(s): Informational SMS-text, Interactive SMS-text | Intervention Type: BEHAVIORAL; Name: Interactive SMS-text; Assigned to Arm(s): Interactive SMS-text | Intervention Type: BEHAVIORAL; Name: Enhanced usual care; Assigned to Arm(s): Enhanced usual care, Informational SMS-text, Interactive SMS-text
C: Arm Label: text message medication reminders; Type: EXPERIMENTAL; Interventions: Behavioral: text message medication reminders | Arm Label: control; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: text message medication reminders; Assigned to Arm(s): text message medication reminders
D: Arm Label: Exercise Prescription + Mobile Health; Type: EXPERIMENTAL; Interventions: Behavioral: Mobile Health, Behavioral: Exercise Prescription | Arm Label: Exercise Prescription; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Exercise Prescription | Intervention Type: BEHAVIORAL; Name: Mobile Health; Assigned to Arm(s): Exercise Prescription + Mobile Health | Intervention Type: BEHAVIORAL; Name: Exercise Prescription; Assigned to Arm(s): Exercise Prescription, Exercise Prescription + Mobile Health

Answer: D