Using Health Information Technology to Improve Health Behaviors and Promote Cardiovascular Health Among Adolescent and Young Adult Cancer Survivors
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiovascular Disease
- Sponsor
- Washington University School of Medicine
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Change in body mass index (BMI)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Health information technology (HIT) has the potential to improve the quality, efficiency, consistency, and availability of cancer survivor care. PREVENT is a novel HIT tool designed by our team for adolescents (12-19 years). PREVENT aggregates and displays the American Heart Association's (AHA) Life Simple 7 cardiovascular health (CVH) risk factors and provides tailored, evidence-based, behavior change recommendations inclusive of community resources that are delivered to overweight/obese adolescents at the point-of-care to improve CVH. The investigators seek to expand this tool for patients beyond 19 years of age to increase this tool's reach to the entire adolescent and young adult (AYA) age range and then evaluate its effectiveness among AYA cancer survivors.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in body mass index (BMI)
Time Frame: At baseline and 3-months
Collected from patient's medical record.
Change in minutes of physical activity
Time Frame: At baseline and 3-months
Physical activity will be measured using a triaxial accelerometer (Actigraph GT3X+, Actigraph of Ft. Walton Beach, FL). The participant will be instructed to wear the accelerometer on an elasticized belt, on the left mid-axillary line. The Actigraph is one of the most common accelerometers used for scientific purposes. Participants will be encouraged to wear the accelerometer 24-hours per day for at least 7-days, including 2 weekend days.
Change on patient's attitudes toward behavior change
Time Frame: At baseline and 3-months
A survey (6-question) administered to patients will assess attitudes toward and readiness for behavior change. Questions are asked using a 5-point Likert scale (range: 0-30) with a higher score indicating more positive attitudes.
Change in food intake behaviors
Time Frame: At baseline and 3-months
Patient-reported food intake behaviors (fruit and vegetable intake, whole grains, sugar-sweetened beverages and snacking behaviors) are collected using a brief Health Behavior \& Attitudes Survey.
Secondary Outcomes
- Provider's satisfaction of PREVENT tool: survey(3-months)
- Change on patient's average systolic and diastolic blood pressure(At baseline and 3-months)
- Change in patient's cholesterol(At baseline and 3-months)
- Fidelity of PREVENT tool implementation(0-3 months)
- Provider's motivation for sustained use of PREVENT tool(3-months)
- Change in patients' satisfaction of PREVENT tool: survey(Within 48 hours of clinic visit and at 3-months)
- Change in patient's fasting blood glucose(At baseline and 3-months)