Actiband weram1100

The participants were provided with Bluetooth-enabled activity meters (TOSHIBA Actiband WERAM1100, Tokyo, Japan), Bluetooth-enabled sphygmomanometers (A&D UA-851PBT-C, Tokyo, Japan), and Bluetooth-enabled body weight scales (A&D UC-411PBT-C). All devices promptly uploaded measurement data over a wireless network to a cloud server. We constructed a health care system, called the MY PAGE SYSTEM, to help with self-management, wherein the participants could view their unified individual data [exercise strength, exercise time, step count, body weight (BW), and blood pressure (BP)] on a website accessed by individual passwords. Moreover, the participants received health guidance from a public health nurse twice a month on the phone. During the phone call, which lasted approximately 20 minutes, the public health nurse, who was familiar with the specific health guidance determined by the Ministry of Health, Labour and Welfare of Japan, gave the guidance using a coaching, mindfulness, and motivation interview. She instructed the individuals on at least one goal that could be achieved before the next instruction for each diet and exercise item, according to the stage of health behavior (SHB) of the subject. She could simultaneously access and share the subjects' “MY PAGE.” The MY PAGE SYSTEM is illustrated in Fig. 1.

Patients in the intervention group were provided with smartphones (Kyocera S301, Kyoto, Japan) programmed with the study-specific application, Bluetooth-enabled activity trackers (TOSHIBA Actiband WERAM1100, Tokyo, Japan), Bluetooth-enabled BP monitors (A&D UA-851PBT-C, Tokyo, Japan), and Bluetooth-enabled BW scales (A&D UC-411PBT-C). The measurements recorded in the activity meters, BW scales, and sphygmomanometer will be automatically collected and stored via the Internet. A movie filming a model of optimal exercise will be weekly delivered via “My Page.” The movie will be changed to step-up/step-down depending on his/her amount of physical activity in the previous week. Lifestyle guidance was provided by a public health nurse (call center) via a telephone call once a month, and concomitantly, each participant’s behavior modification stage was surveyed. Figure 1 shows the study’s flowchart.