The Avoiding Diabetes Thru Action Plan Targeting Pilot Randomized Control Trial
| Status: | Completed |
|---|---|
| Conditions: | Endocrine, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 90 |
| Updated: | 5/5/2014 |
| Start Date: | November 2011 |
| End Date: | April 2014 |
| Contact: | Devin Mann, MD, MS |
| Email: | dmann@bu.edu |
| Phone: | 617-638-8021 |
Avoiding Diabetes Thru Action Plan Targeting (ADAPT): A Pilot Randomized Control Trial of an Electronic Medical Record Embedded Prediabetes Shared Goal Setting Tool in Primary Care
The goal of this randomized control trial is to study the impact of an electronic health
record embedded tool's ability to facilitate shared provider-patient goal setting to promote
lifestyle behavior change and prevent diabetes in primary care.
record embedded tool's ability to facilitate shared provider-patient goal setting to promote
lifestyle behavior change and prevent diabetes in primary care.
The ADAPT (Avoiding Diabetes Thru Action Plan Targeting) trial is an innovative study that
leverages persuasive technology to enhance the lifestyle behavior change counseling efficacy
of primary care providers. Using principles of behavior change theory and persuasion
technology, the multidisciplinary design team utilized in-depth interviews and in-vivo
usability testing to produce a prototype diabetes prevention counseling system embedded in
the electronic health record. The core element of the tool is a streamlined shared goal
setting module within the electronic health record system. The system also utilizes a
pre-encounter patient behavior change goals elicitation survey to help tailor the goal
setting session to patient preferences and encourage shared decision making. The patients
also interact with a website that collects their longitudinal behavior change data and
visualizes their progress over time and in comparison to other study members. The ADAPT
system utilizes the influential powers of goal setting, tailoring, reminders, social
comparisons, testimonials and other methods to integrate evidence based behavior change
principles and persuasion techniques into routine primary care clinical encounters. If
successful, the ADAPT system may represent an adaptable and scalable technology-enabled
behavior change tool for all primary care providers.
leverages persuasive technology to enhance the lifestyle behavior change counseling efficacy
of primary care providers. Using principles of behavior change theory and persuasion
technology, the multidisciplinary design team utilized in-depth interviews and in-vivo
usability testing to produce a prototype diabetes prevention counseling system embedded in
the electronic health record. The core element of the tool is a streamlined shared goal
setting module within the electronic health record system. The system also utilizes a
pre-encounter patient behavior change goals elicitation survey to help tailor the goal
setting session to patient preferences and encourage shared decision making. The patients
also interact with a website that collects their longitudinal behavior change data and
visualizes their progress over time and in comparison to other study members. The ADAPT
system utilizes the influential powers of goal setting, tailoring, reminders, social
comparisons, testimonials and other methods to integrate evidence based behavior change
principles and persuasion techniques into routine primary care clinical encounters. If
successful, the ADAPT system may represent an adaptable and scalable technology-enabled
behavior change tool for all primary care providers.
Inclusion Criteria:
- prediabetes
Exclusion Criteria:
- age<18
- diabetes
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Mount Sinai Med Ctr Founded in 1852, The Mount Sinai Hospital is a 1,171-bed, tertiary-care...
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