Utilising technology for Diet & Exercise Change In complex chronic conditions across Diverse Environments (U-DECIDE)

Dietary and lifestyle interventions are key management strategies for individuals with metabolic syndrome. Advances in technologies have provided new opportunities to utilise technology-assisted lifestyle interventions to improve the management of metabolic syndrome by addressing the current barriers to service delivery. Whilst technology-assistance is generally beneficial for individuals with complex chronic disease within a research setting, the broader utilisation and implementation across a health service remains untested. The purpose of the research program is to co-design, implement and evaluate the feasibility of an integrated, technology-assisted, patient-centred, lifestyle intervention model of care to support dietary change and increase physical activity in patients at significant cardiometabolic risk. To address the project aims, we propose to undertake a feasibility study, randomised controlled trial of 300 adults with complex chronic conditions at increased metabolic risk who will be randomised 3:1 to either a technology-assisted lifestyle intervention or standard care over 26 weeks. We anticipate that the use of technology can address the current barriers to service delivery and reach a wider number of patients.