# Effects of mHealth Practice Patterns on Improving Metabolic Syndrome Using the Information–Motivation–Behavioral Skills Model

## TL;DR

This study shows that consistent mHealth practices improve metabolic syndrome by promoting better health behaviors and reducing risk factors.

## Contribution

The study introduces a novel application of the IMB model with GBTM and GEE to analyze mHealth practice patterns and their impact on metabolic syndrome.

## Key findings

- Participants showed improved health behaviors, with increased healthy eating scores and physical activity rates.
- The mean number of metabolic syndrome risk factors decreased significantly over the 24-week study period.
- Continuous mHealth practice patterns were associated with better outcomes in managing metabolic syndrome.

## Abstract

Chronic diseases contribute to 68% of global mortality, highlighting the importance of early detection and management of conditions such as metabolic syndrome. Effective lifestyle interventions, particularly through mobile health (mHealth), have shown potential in promoting health and reducing cardiometabolic risk. This study utilized mHealth data from public health centers in South Korea, targeting adults with risk factors for metabolic syndrome. The Intervention-Motivation-Behavioral skills (IMB) theoretical model was applied to categorize participants’ practice patterns over time using the Group-Based Trend Model (GBTM). And the Generalized Estimating Equations (GEE) methodology was applied to confirm the effective practice patterns for improving metabolic syndrome. Data were collected over 24 weeks. The dataset encompasses life-log data capable of capturing changes in intervention, self-report surveys, and clinical measurements, all linked to personal identification keys and thereby integrated. Participants demonstrated improved health behaviors, with the healthy eating score increasing from 5.0 to 6.4 and physical activity rates rising from 41.5% to 59%. Health risk factors decreased significantly, with the mean number of risk factors dropping from 2.4 to 1.4. The percentage of subjects with three or more metabolic syndrome components decreased from 42.3% in the initial period to 19.2% in the final period. Practice patterns by IMB components were classified into three categories: continuous type, late decline type, and early decline type. Improvements in health behavior and metabolic syndrome were observed in the continuous type of each IMB component. The mHealth interventions were confirmed to be positively associated with improved health behavior and management of metabolic syndrome in the continuous practice patterns of IMB.