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临床试验/NCT02882919
NCT02882919已完成不适用

Improving Teen Health With Health Information Technology

Carolyn McCarty2 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2016年10月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
300
试验地点
2
主要终点
Physical Activity

研究概览

简要总结

Health risk screening in adolescent primary care is infrequently performed and results are rarely followed by targeted intervention. In response to the need for screening-linked interventions, the study team has developed and optimized a web-based, electronic Personalized Motivational Feedback tool referred to as "Check Yourself v2.0" Based on motivational interviewing, a technique to mobilize personal change, Check Yourself is designed to promote healthy choices for the multiple behaviors relevant to adolescents.

详细描述

The proposed study is a randomized controlled trial that compares the effectiveness of Check Yourself v2.0 to usual care. The purpose of this study is to determine the impact of Check Yourself on reducing health risk behaviors and improving quality of care among adolescents receiving primary health care services relative to usual care.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
Single (Participant)

入排标准

年龄范围
13 Years 至 18 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Eligible adolescent participants will be13-18 years of age
  • Able to understand English.
  • Will have an appointment (or have a child with an appointment) with a participating medical practice.

排除标准

  • Adolescents will be excluded from the study
  • Participants do not meet age requirements
  • Do not have an appointment with a participating provider at a PSPRN clinic,
  • Lack the means to complete follow-up interviews (i.e., have neither telephone nor internet access)
  • Have a sibling who has been/is being enrolled in the study or have previously participated in our previous trial comparing Check Yourself to usual care
  • Not able to understand English.

结局指标

主要结局

Physical Activity

时间窗: 3 month

Adolescent self-reported days with \>60 minutes of physical activity in an average week in past 3 months. The physical activity scale includes 8 values: 0 (min) to 7 (max). Higher scores mean a better outcome.

Alcohol Consumption (frequency)

时间窗: 3 month

Adolescent self-reported number of days of alcohol consumption and number of drinks during a typical drinking episode in the prior month

Seat belt Use

时间窗: 3 month

Adolescent self-reported frequency of seat belt use in a car in past 3 months. . The seatbelt use scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a better outcome.

Condom Use and/or Birth Control Use

时间窗: 3 month

Adolescent self-reported condom use with sexual intercourse in past 3 months and/or use of birth control with last sexual intercourse. Two questions were used for this category. These questions were asked only to sexually active youth. The condom use scale includes 4 values: 1=always (min), 2=often, 3=sometimes, 4=never (max). Higher scores mean a worse outcome. The birth control scale includes 2 values: 0=no (min), 1=yes (max). Higher scores mean a better outcome.

Number of Health risk behaviors

时间窗: 3 months

The risk behavior scale includes 22 values: 0 (min) to 21 (max). Higher scores indicate a worse outcome. Endorsement of any of the following counts as 1 (moderate risk) or 2 (high risk) on the scale depending on response and participant: ≥2 sugar-sweetened beverages consumed during typical day; ≤3 servings fruits/vegetables consumed during typical day; ≤3 days with 60+ minutes exercise during typical week; texting while driving in past 3 months; ≤7 hrs of sleep during typical night; not "always" using seatbelt; not "always" using helmet when bicycling; having driven under the influence of substances; tobacco use; days alcohol consumption in last 30 days (risk based on age) and/or number of drinks per drinking episode (risk based on age \& sex); days marijuana consumption in last 30 days (risk based on age) and/or other drug use in past 3 months; not using birth control during last sexual intercourse and/or not "always" using a condom; \& score of ≥10 on PHQ-9 depression.

Sweetened Beverage Consumption

时间窗: 3 months

Adolescent self-reported sweetened beverages consumed in a typical day in past 3 months. The sweetened beverages scale includes 4 values: 0 (min), 1, 2, or 3+ (max) sweetened beverages per day. Higher scores mean a worse outcome.

Helmet Use

时间窗: 3 month

Adolescent self-reported frequency of helmet use while bicycling in past 3 months. The helmet use scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a better outcome.

Sleep

时间窗: 3 month

Adolescent self-reported hours of sleep on a typical night in past 3 months. . The sleep scale includes 13 values: 0 (min) to 12+ (max) hours of sleep per night. Higher scores mean a better outcome.

Marijuana and/or Other Drug Consumption

时间窗: 3 month

Adolescent self-reported number of days using marijuana in the past month and/or other drugs used in past 3 months. Two questions were used for this category. The marijuana frequency scale includes 31 values: 0 (min) to 30 (max) days in the past month. Higher scores mean a worse outcome. Adolescent self-reported use of other drugs in the past 3 months. The other drug score includes 2 values: 0=no (min) and 1=yes (max). Higher scores mean a worse outcome.

Depression

时间窗: 3 month

Adolescent self-reported depression as measured on the nine item Patient Health Questionnaire in past 2 weeks. The PHQ-9 depression scale includes 28 values: 0 (min) to 27 (max). Higher scores mean a worse outcome.

Texting while driving

时间窗: 3 month

Adolescent self-reported endorsement of texting while driving in past 3 months. This question is only asked among adolescents who drive a car. The texting while driving scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a worse outcome.

Driving with Impairment

时间窗: 3 month

Adolescent self-reported driving under the influence of a substance in past 3 months. This question was asked only of adolescents who drive a car. The driving with impairment scale includes 2 values: 0=no (min) and 1=yes (max). Higher scores mean a worse outcome

Fruit and Vegetable Consumption

时间窗: 3 month

Adolescent self-reported fruits and vegetables consumed in a typical day in past 3 months. The fruits and vegetables scale includes 6 values: 0 (min), 1, 2, 3, 4, or 5+ (max). Higher scores mean a better outcome.

Percent of risk behaviors counseled on during primary care appointment

时间窗: 1 day

Percent of adolescent-reported health risk behaviors discussed with the healthcare provider during the primary care visit adjusted for the total number of health risk behaviors reported at baseline.

Adolescent Satisfaction with Care

时间窗: 1 day

Adolescent satisfaction with care will be assessed using 1 item adapted from the consumer Assessment Of healthcare Providers and Systems (CAHPS) measure at 1 day follow up. The CAHPS scale includes 10 values: 1 (min) to 10 (max). Higher scores mean a better outcome.

Tobacco Use

时间窗: 3 month

Adolescent self-reported endorsement of tobacco use in past 3 months. The tobacco use scale includes 2 values: 0=no (min) or 1=yes (max). Higher scores mean a worse outcome.

次要结局

  • Adolescent Health Self -Efficacy(1 day)
  • Sleep(6 month)
  • Depression(6 month)
  • Fruit and Vegetable Consumption(6 month)
  • Number of Health risk behaviors(6 months)
  • Sweetened Beverage Consumption(6 month)
  • Physical Activity(6 month)
  • Alcohol Consumption(6 month)
  • Seat-belt Use(6 month)
  • Condom Use and or Birth Control Use(6 month)
  • Driving with Alcohol Impairment(6 month)
  • Tobacco Use(6 month)
  • Marijuana and/or Other Drug Consumption(6 month)
  • Helmet Use(6 month)
  • Readiness to Change Ruler(6 months)
  • Interval Receipt of Care(6 months)
  • Texting while driving(6 month)

研究者

发起方
Carolyn McCarty
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Carolyn McCarty

Research Associate Professor of Pediatrics, University of Washington and Investigator, Seattle Children's Research Institute

Seattle Children's Hospital

研究点 (2)

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