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| ID | Type | Description | Link |
|---|---|---|---|
| NSTC-111-2314-B-A49A-507-MY3 | Other Grant/Funding Number | National Science and Technology Council |
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| Name | Class |
|---|---|
| National Cheng-Kung University Hospital | OTHER |
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The goal of this cluster randomized controlled trial is to evaluate the effects of a smartphone-based Healthy Lifestyle (HLS) intervention on firefighters' mental and physical health in firefighters in Tainan, Taiwan. The main questions it aims to answer are:
Researchers will compare firefighters receiving the smartphone-based HLS intervention to those receiving usual care to determine whether the intervention leads to improved health and fitness outcomes over 3 to 6 months.
Participants will:
Anticipated outcomes are improvements in mental and physical health among firefighters receiving the intervention compared to the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | ||
| Healthy Lifestyle APP Intervention (Traditional Chinese Version) | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Healthy Lifestyle Application (Traditional Chinese Version) | Behavioral | A firefighter-oriented Healthy Lifestyle Application (Traditional Chinese Version) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | The participants will maintain a quiet sitting posture for at least five minutes, and the measurement will be taken on a healthy arm without any prior surgery or disease. The blood pressure measuring device will be calibrated and will automatically take three measurements, with a one-minute interval between each. The average blood pressure value will be recorded. | 3 to 6 months after the intervention starts |
| Depressive Symptoms | The participants will be asked to complete questionnaires measuring depressive symptoms, which includes the Beck Depression Inventory for Primary Care (BDI-PC) and the Patient Health Questionnaire (PHQ-9). Questions related to self-harm thoughts have been removed from these instruments to eliminate the need for further referrals. Higher scores indicate greater depressive symptoms. | Before the intervention and 3 to 6 months after the intervention starts |
| Posttraumatic Stress Disorder Symptoms | The participants will be asked to complete a Posttraumatic Stress Disorder Checklist (PCL-5) questionnaire which measures posttraumatic stress disorder symptoms. Questions related to self-harm thoughts have been removed from these instruments to eliminate the need for further referrals. Higher scores indicate greater depressive symptoms. | Before the intervention and 3 to 6 months after the intervention starts |
| Body Mass Index (BMI) | The body mass index (BMI) will be calculated by dividing the weight in kilograms by the square of the height in meters. The height will be self-reported before the intervention and measured to the nearest 0.1 cm while standing upright using a tape measure 3 to 6 months post-intervention, and the weight will be self-reported before the intervention, and measured to the nearest 0.1 kg with a weighing scale 3 to 6 months post-intervention. | Before the intervention and 3 to 6 months after the intervention starts |
| Measure | Description | Time Frame |
|---|---|---|
| NT-proBNP | Biochemical parameters will be measured by the Cobas h 232 blood testing system (F. Hoffmann-La Roche AG, Basel, Switzerland) with the fingertip blood of participants with hypertension. | 3 to 6 months after the intervention starts |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hsiao-Jou Yu | Contact | +8862-28267000 | 65109 | s309109008@nycu.edu.tw |
| Chen-Yu Huang | Contact | +8862-28267000 | 65036 | cyh.md12@nycu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Fan-Yun Lan Assistant Professor, MD. Ph.D. | National Yang Ming Chiao Tung University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Yang Ming Chiao Tung University | Recruiting | Taipei | 112 | Taiwan |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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| Smoking Habit | The investigators will ask if the participants had quit or stopped using tobacco in a questionnaire to verify their smoking habits. | Before the intervention and 3 to 6 months after the intervention starts |
| Mediterranean Diet Pattern | The investigators will utilize a Traditional Chinese version of the Mediterranean Diet Score (MDS), consisting of 14 binary questions to determine adherence to the Mediterranean diet pattern. | Before the intervention and 3 to 6 months after the intervention starts |
| Overall Physical Activity Levels | The investigators will assess overall physical activity levels over the past 6 months using a Chinese version of a validated physical activity rating (PA-R) questionnaire which our team translated. | Before the intervention and 3 to 6 months after the intervention starts |
| Total weekly hours spent sitting | The investigators will ask the participant with the question "Indicate the total number of hours sitting per week" | Before the intervention and 3 to 6 months after the intervention starts |
| Average daily hours of sleep | The investigators will ask the participant with the question "Please indicate the total hours of actual sleep in a typical 24-hour period in week" | Before the intervention and 3 to 6 months after the intervention starts |
| Frequency of siestas per week | The investigators will ask the participant with the question "How many times do you take a nap per week?" | Before the intervention and 3 to 6 months after the intervention starts |
| Glycated Hemoglobin | Biochemical parameters will be measured by the cobas b 101 blood testing system (F. Hoffmann-La Roche AG, Basel, Switzerland) with the participants fingertip blood after a 8-hour fasting. | 3 to 6 months after the intervention starts |
| Lipid Profile | Biochemical parameters will be measured by the cobas b 101 blood testing system (F. Hoffmann-La Roche AG, Basel, Switzerland) with the participants fingertip blood after a 8-hour fasting. | 3 to 6 months after the intervention starts |
| C-reactive protein(CRP) | Biochemical parameters will be measured by the cobas b 101 blood testing system (F. Hoffmann-La Roche AG, Basel, Switzerland) with the participants fingertip blood after a 8-hour fasting. | 3 to 6 months after the intervention starts |
| Physical Performance | The participants will provide their semi-annual evaluation reports, including performance metrics in standing long jump, overhead back toss, deadlift, cliffhanger pull-up, 6-meter out-and-back run, farmer's walk, and 1,500-meter run | In the latter half of 2025 |