Examining the Usability of Computer Tablets to Promote Symptom Self-management and Engagement in Healthy Behaviors in Adults With Chronic Conditions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Changes From Baseline in Physical Activity
研究概览
简要总结
Maintaining a healthy diet and engaging in routine physical activity may help decrease severity of symptoms, prevent secondary conditions, and slow functional decline in people with disabling neuromusculoskeletal conditions. However, people with these conditions face many health barriers to engaging in healthy behaviors. With the advent of portable technologies, such as smart phones, tablets and PDAs, there is a need to explore whether these technologies can help people with disabling conditions to stay motivated and overcome barriers to engaging in healthy behaviors.
详细描述
The overarching goal of this mixed methods, comparative effectiveness randomized controlled pilot study is to evaluate whether goal setting, self-monitoring, and barrier management using a computer tablet can increase physical activity behavior, improve nutritional habits, and promote health-related quality of life in people with disabling neuromusculoskeletal conditions. Our hypothesis is that, in comparison to the standard care contact control group, participants in both the tablet group and the paper and pencil group will yield significant improvements in healthy behaviors,with the tablet group yielding significantly larger increases.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 76 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Physician-confirmed diagnosis of a neuro-musculoskeletal condition or disease of the nerves, muscles, and/or bones that results in functional limitations
- •Physician consent to engage in home exercise/physical activity program
- •Regularly inactive (i.e., engaging in 90 minutes or less of purposeful physical activity each week)
- •Scoring ≤17 mental composite and ≤16 physical composite on the Global Health Questionnaire.
- •Have internet access (i.e., home, library or other WiFi location)
排除标准
- •If the only disabling condition reported is not considered a neuro-musculoskeletal disease
- •Have hand-motor function impairments that would limit use of the tablet
- •Often engage in healthy eating habits
- •Are frequent fallers (i.e., more than 3 falls per month)
- •Have a diagnoses of chronic obstructive pulmonary disease, serious mental health disorder, chronic heart failure, myocardial infarction, and other unstable/severe cardiovascular conditions, and uncontrolled diabetes mellitus (e.g., admission to the hospital within the past 6 months for uncontrolled diabetes)
- •Have severe cognitive deficits
- •Reports consistently tracking and monitoring health behaviors
- •Unable to effectively use the tablet technology during the pre-intervention usability demonstration
研究组 & 干预措施
Computer Tablet Group
Participants will first meet once with a trained health education specialist. During this meeting the health education specialist will work with the participant in setting constructive and manageable goals and how to achieve them safely. Participants will then receive weekly follow-up phone calls to discuss progression and/or possible trouble-shooting strategies. Participants will be asked to set goals related to increasing self managing health behaviors. Participants will be encouraged to self-monitor goals, behaviors and symptoms using a computer tablet.
干预措施: Computer Tablet Group (Behavioral)
Paper and Pencil Group
Participants will first meet once with a trained health education specialist. During this meeting the health education specialist will work with the participant in setting constructive and manageable goals and how to achieve them safely. Participants will then receive weekly follow-up phone calls to discuss progression and/or possible trouble-shooting strategies. Participants will be asked to set goals related to increasing self managing health behaviors. Participants will be encouraged to self-monitor goals, behaviors and symptoms using a paper-pencil diary.
干预措施: Paper and Pencil Group (Behavioral)
Contact Control Group
Participants will first meet once with a health education specialist. During this meeting the health education specialist will provide general information about engaging in healthy behaviors. Information will primarily focus on the benefits of engaging in healthy behaviors and safety precautions. Participants will then receive weekly follow-up phone calls to discuss various health topics.
干预措施: Contact Control Group (Behavioral)
结局指标
主要结局
Changes From Baseline in Physical Activity
时间窗: Outcomes were administered immediately before the intervention and again 6-weeks later
Physical Activity and Disability Survey-Revised was administered to assess physical activity behavior. Scores can range from -2.7493 to 3.3671. Higher scores on the Physical Activity and Disability Survey-Revised indicates increased physical activity levels.
次要结局
- Changes From Baseline in Self-Report Physical Function(Outcomes were administered immediately before the intervention and again 6-weeks later)
- Changes From Baseline in Weight(Outcomes were administered immediately before the intervention and again 6-weeks later)
- Changes From Baseline in Self-Efficacy(Outcomes were administered immediately before the intervention and again 6-weeks later)
- Changes From Baseline in 6-minute Walking Test(Outcomes were administered immediately before the intervention and again 6-weeks later)
研究者
Matthew Plow
Assistant Professor
Case Western Reserve University