e-Mobile Tablet for People With Chronic Conditions

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-04-30

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Fibromyalgia Multiple Sclerosis Osteoarthritis Sjögren's Syndrome Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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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.

Group Type ACTIVE_COMPARATOR

Computer Tablet Group

Intervention Type BEHAVIORAL

A computer tablet application to set goals,self-monitor healthy behaviors, record condition-related symptom impact, and self-manage a problematic symptom.

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.

Group Type ACTIVE_COMPARATOR

Paper and Pencil Group

Intervention Type BEHAVIORAL

Use of paper and pencil diaries and worksheets to set goals, record condition-related symptom impact, and self-monitor behaviors.

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.

Group Type ACTIVE_COMPARATOR

Contact Control Group

Intervention Type BEHAVIORAL

Participants are prescribed an exercise program and given information on healthy eating.

Interventions

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Computer Tablet Group

A computer tablet application to set goals,self-monitor healthy behaviors, record condition-related symptom impact, and self-manage a problematic symptom.

Intervention Type BEHAVIORAL

Paper and Pencil Group

Use of paper and pencil diaries and worksheets to set goals, record condition-related symptom impact, and self-monitor behaviors.

Intervention Type BEHAVIORAL

Contact Control Group

Participants are prescribed an exercise program and given information on healthy eating.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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)

Exclusion Criteria

* 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

Minimum Eligible Age

18 Years

Maximum Eligible Age

76 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No