Health Behavior Nudge Strategies for Chronic Disease Patients: the Study of Hypertension and Type 2 Diabetes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Economics, Behavioral
- Sponsor
- Lin Han
- Enrollment
- 133
- Locations
- 1
- Primary Endpoint
- Self-management behavior
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This study is conducted from the perspective of behavioral economics, where individuals often display bounded rationality in decision-making, opting for habitual choices rather than those most advantageous to themselves. Nudge strategies can utilize individuals' cognitive and motivational shortcomings to influence behavior. Therefore, the study first examines the decision-making biases present in patients with hypertension (HP) and type 2 diabetes mellitus (T2DM) regarding the maintenance of healthy behaviors based on individuals' bounded rationality; subsequently, it develops an intervention program to encourage healthy behaviors in HP and T2DM patients alongside nudge strategies; finally, it assesses the intervention effects of the program on blood pressure, blood glucose, and health behaviors in HP and T2DM patients.
Detailed Description
The study was conducted in Lanzhou City, Gansu Province, China. The research selected two communities of similar scale and level, recruiting 133 patients with HP and T2DM. A six-month quasi-experimental study was performed, where the intervention group implemented nudging strategies while the control group received standard community nursing. By measuring the patients\' blood pressure and blood glucose levels, and utilizing the Diabetes Self-Care Scale, Hypertension Self-Management Behavior rang Scale，Patient Activation Measure，Short-Form Health Survey, Activity of Daily Living Scale to assess the behavioral changes in both groups, validated the intervention effect of the nudging strategy on the health behaviors of patients with HP and T2DM.
Investigators
Lin Han
prof
LanZhou University
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years
- •Previously diagnosed with hypertension, type 2 diabetes, or hypertension combined with type 2 diabetes
- •Able to use mobile phones or other electronic devices
- •Informed consent
Exclusion Criteria
- •Patients who are pregnant or breastfeeding;
- •Patients with severe diabetes, hypertension complications, or other serious illnesses;
- •Patients with hearing or vision impairments;
- •Patients with cognitive impairments or mental illnesses;
- •Patients with acute complications.
Outcomes
Primary Outcomes
Self-management behavior
Time Frame: Baseline, 3rd month, 6th month
The self-management behaviors of T2DM patients were evaluated using the Diabetes Self-Care Scale (DSCS), encompasses six dimensions: dietary control, regular exercise, medication adherence, blood glucose monitoring, foot care, and management of high/low blood sugar, consisting of a total of 26 items rated on a 5-point Likert scale, with higher total scores reflecting greater levels of the behaviors. The self-management behaviors of hypertensive patients were assessed using the Chinese Self-Management Behavior Assessment Scale for Hypertensive Patients, which includes six dimensions and 33 items: exercise management, health monitoring, work and rest management, emotional management, medication management, and dietary management, all rated on a 5-point Likert scale, with a minimum score of 33 and a maximum of 165. The higher scores mean a better outcome. These scales are answered by patients according to their actual situation.
Secondary Outcomes
- Activity of Daily Living(Baseline, 3rd month, 6th month)
- Life quality(Baseline, 3rd month, 6th month)
- Blood pressure(BP)(Baseline, 3rd month, 6th month)
- Blood sugar(Baseline, 3rd month, 6th month)
- Body Mass Index(BMI)(Baseline, 3rd month, 6th month)
- Patient Activation Measure(Baseline, 3rd month, 6th month)