Activity and Nutrition Trial in Lupus to Energize and Renew
Activity and Nutrition Trial in Lupus to Energize and Renew
Participants from the Fatigue and Lifestyle Physical Activity and SLE Study will be
 approached to enroll in a 6 week pilot intervention. This study will look at the barriers and
 facilitators to increasing physical activity, improving dietary/nutritional intake, and
 improving sleep.This study will offer support and information for people with SLE to increase
 their physical activity, improve their dietary/nutritional intake, and improve their sleep
 and will utilize a smartphone application to self-monitor changes in these behaviors.
Description of ANTLER pilot intervention: a 6 week intensive program which combines the
 following goals

 -  Ability of participants to utilize a smart phone application for self-monitoring
 behavior change of physical activity, fruit/vegetable consumption, and sleep. This would
 include entering data on fruit/vegetable consumption, hours of sleep and monitoring
 feedback.

 -  Ability of participants to wear Actigraph accelerometer 24 hours/day and complete a
 sleep log for measurement of physical activity and sleep.

 -  Ability of Nutrition Data System for Research (NDSR) software to collect adequate
 nutrition data.

 The intervention is a unique combination of two individual counseling sessions and the
 utilization of a combination of a smartphone application and the use of a Fitbit physical
 activity monitor. The individual sessions will provide a tailored personalized intervention
 including problem-solving and goal setting for increasing physical activity, consumption of
 more fruits and vegetables, and getting more sleep. Healthy Lifestyle Coaches (RN or Exercise
 Physiologist) will be responsible for conducting the individual sessions for a limited
 caseload of participants.

 Individual sessions will

 -  utilize motivational interviewing techniques to enhance motivation for meeting
 individualized physical activity, dietary/nutritional and sleep goals

 -  identify specific barriers and supports leading to tailored intervention to increase
 program success (The Arthritis Comprehensive Treatment Assessment)

 -  provide emotional support

 Self-monitoring of behavior change

 -  On a daily basis, participants will log fruit/vegetable consumption and hours of sleep
 via a smartphone application and receive feedback

 -  On a daily basis, participants will monitor their physical activity via the Fitbit and
 receive feedback on the smartphone.

 Online activities will include communication between the client and coach in between and
 after scheduled intervention visits.
Inclusion Criteria:

 -  1) meet at least 4 of 11 ACR classification criteria for definite SLE 2) at least 18
 years of age, 3) BMI between 14 and 40 kg/m2, 4) able to ambulate at least household
 distances (50ft), 5) ability to complete the dietary recall assessment, and 6) able to
 provide informed consent.

 After informed consent is obtained, a medical record review will determine whether there is
 a history of uncontrolled diabetes mellitus or cardiovascular disease. Potential
 participants will be asked to complete the PAR-Q to determine restriction in physical
 activity. Blood pressure will be assessed and potential participants will be excluded if
 SBP>160 or DBP >110.

 Exclusion Criteria:

 -  Does not meet inclusion criteria