Preliminary Effect of a Health Information Literacy Enhancement Program for Individuals With Metabolic Syndrome

NCT07051733 | Enrolling By Invitation

• 1 other identifier: Z2023SY119
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the preliminary effect of a health-information literacy promotion program for individuals with Metabolic Syndrome (including its subtypes) based on the Health Empowerment Theory. The study aims to answer the following questions: Does the intervention improve health information literacy among study participants? Does the intervention lead to better health outcomes, including weight, waist circumference, BMI control, and metabolic health indicators (blood pressure, blood glucose, glycated hemoglobin, and blood lipids)? Participants will: Undergo the intervention program for 6 weeks (face to face and online) and will be assessed regularly to monitor changes in their health information literacy and health outcomes.

Conditions

Metabolic Syndrome (MetS)

Outcome Measures

Primary Outcomes (1)

• Health Information Literacy

  Health information literacy (HIL) is essential to assist individuals in health decision-making. In this study, health information literacy will be measured using the Health Information Literacy Self-rating Scale.A 5-point Likert scale was used, with scores ranging from 1-5 for 'strongly disagree' to 'strongly agree', and a total scale score ranging from 29-145, with higher scores indicating higher levels of health information literacy. In the original study, the Cronbach's α coefficient for HILSS was 0.847, and the Cronbach's α coefficients for the dimensions.

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks).

Secondary Outcomes (6)

• Health Literacy

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks).

• Chronic Patient Self-Management Questionnaire

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks)

• Health Problem-Solving

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks)

• Chronic Illness Resources

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks)

• Health-related Quality of Life

  Measurements will be taken once before the formal intervention and once after the intervention ends (at 6 weeks)

Study Arms (1)

Health Information Literacy Enhancement Group

EXPERIMENTAL

A 6-week intervention programme was implemented for the health information literacy enhancement group, once a week, with each intervention lasting 30-40min, to enable the study participants to actively practice healthy behaviours through intervention techniques such as health awareness awakening, social resource building, and health-related skill empowerment, in order to enhance the health information literacy of the study participants, and ultimately to enable the study participants to perceive health in a programmatic manner.

Behavioral: Health Information Literacy Enhancement

Interventions

Health Information Literacy Enhancement BEHAVIORAL

Participants will undertake a six-week programme to enhance their health information literacy. The specific details are as follows: 1. Capacity Building on Health Information Management via Health Education Based on the Health Empowerment Theory: ① Strengthening skills related to Health Information Literacy; ② Training on Medication Management Skills; ③ Practice of Self-Monitoring Skills; ④ Education on Diet and Exercise Management Knowledge. 2. Health Behavior Motivation Management Based on the Health Empowerment Theory: ① Personalized Goal Setting; ② Behavioral Incentives and Feedback; ③ Construction of Peer Support Networks; ④ Demonstration Effect of Role Models. 3. Health Management Support System Based on the Health Empowerment Theory: ① Online Dynamic Monitoring; ② Family-Community Collaborative Support; ③ Digital Monitoring Platform; ④ Continuous Supply of Resources.

Health Information Literacy Enhancement Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 18 years old
• Patients diagnosed with metabolic syndrome (meeting ≥3 criteria):
• Waist circumference ≥ 90 cm (men) / ≥ 85 cm (women)
• Fasting glucose ≥ 6.1 mmol/L or OGTT 2h-glucose ≥ 7.8 mmol/L and/or diabetes treatment
• Blood pressure ≥ 130/85 mmHg and/or hypertension treatment
• Fasting triglycerides (TG) ≥ 1.70 mmol/L
• Fasting HDL-C \< 1.04 mmol/L
• Individuals with ≥1 metabolic abnormality not meeting full metabolic syndrome criteria
• Cognitively aware with literacy skills and voluntary participation

You may not qualify if:

• Severe hepatic/renal dysfunction, cancer, or life-threatening diseases
• Mental disorders, visual/hearing impairments, or intellectual disabilities

Sponsors & Collaborators

• Meihua Ji: lead
• The Luhe Teaching Hospital of the Capital Medical University: collaborator

Study Sites (1)

Li Yuan Community Health Service Center in Tongzhou District, Beijing

Beijing, Beijing Municipality, 101121, China

Location

Related Publications (5)

• Zhang Y, Zhang Z, Xu M, Aihemaitijiang S, Ye C, Zhu W, Ma G. Development and Validation of a Food and Nutrition Literacy Questionnaire for Chinese Adults. Nutrients. 2022 May 5;14(9):1933. doi: 10.3390/nu14091933.

  PMID: 35565900 RESULT

• Hill-Briggs F, Gemmell L, Kulkarni B, Klick B, Brancati FL. Associations of patient health-related problem solving with disease control, emergency department visits, and hospitalizations in HIV and diabetes clinic samples. J Gen Intern Med. 2007 May;22(5):649-54. doi: 10.1007/s11606-006-0091-2.

  PMID: 17443373 RESULT

• Glasgow RE, Toobert DJ, Barrera M Jr, Strycker LA. The Chronic Illness Resources Survey: cross-validation and sensitivity to intervention. Health Educ Res. 2005 Aug;20(4):402-9. doi: 10.1093/her/cyg140. Epub 2004 Nov 30.

  PMID: 15572438 RESULT

• Luo N, Liu G, Li M, Guan H, Jin X, Rand-Hendriksen K. Estimating an EQ-5D-5L Value Set for China. Value Health. 2017 Apr;20(4):662-669. doi: 10.1016/j.jval.2016.11.016. Epub 2017 Feb 9.

  PMID: 28408009 RESULT

• Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, Mockbee J, Hale FA. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005 Nov-Dec;3(6):514-22. doi: 10.1370/afm.405.

  PMID: 16338915 RESULT

MeSH Terms

Conditions

Metabolic Syndrome

Condition Hierarchy (Ancestors)

Insulin Resistance; Hyperinsulinism; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Officials

• Meihua Ji, PhD

  Capital Medical University School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: June 2, 2025
• First Posted: July 4, 2025
• Study Start: May 8, 2025
• Primary Completion: September 1, 2025
• Study Completion: September 1, 2025
• Last Updated: September 5, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)