Motivation-Audit-Positive Psychology Intervention Study
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Endocrine |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 100 |
| Updated: | 4/17/2018 |
| Start Date: | April 18, 2017 |
| End Date: | October 8, 2018 |
Developing a Group-based Positive Psychology and Physical Activity Intervention in Patients With Metabolic Syndrome: Qualitative Research Phase
Specific Aim #1: To identify, through qualitative research, deficits in positive emotional
states (e.g., positive affect, optimism) and associated barriers to completing health
behaviors, like physical activity and healthy eating, in patients with metabolic syndrome
(MetS).
Hypothesis: Participants will be able to complete semi-structured interviews, providing
information about their positive emotional states, linking the presence of positive emotions
to better adherence to health-related behaviors, and identifying additional barriers (e.g.,
logistic, motivational) to completing such behaviors.
states (e.g., positive affect, optimism) and associated barriers to completing health
behaviors, like physical activity and healthy eating, in patients with metabolic syndrome
(MetS).
Hypothesis: Participants will be able to complete semi-structured interviews, providing
information about their positive emotional states, linking the presence of positive emotions
to better adherence to health-related behaviors, and identifying additional barriers (e.g.,
logistic, motivational) to completing such behaviors.
This qualitative interview study will focus on the development of a novel positive psychology
(PP) and motivational interviewing (MI) intervention that is adapted for patients with MetS.
For this phase, participants will be primary care patients recruited through Massachusetts
General Hospital's research opt-in program (Research Options Direct to You [RODY]). We will
complete phone interviews with patients (n=20) with MetS within two weeks of enrollment in
the study.
In this project, we hope to do the following:
1. Identify, through qualitative research, deficits in positive emotional states in primary
care patients with MetS.
2. Examine potential links between positive emotional deficits and impaired health
behaviors (low physical activity, unhealthy dietary patterns), as well as links between
positive emotional states and successful health behaviors.
3. Identify other barriers to health behavior completion, such as social support and
neighborhood resources.
4. Explore strategies to enhance positive emotional states in MetS patients and inquire
about the utility of potential PP exercises in these patients.
5. Ask participants for feedback about intervention delivery preferences (e.g., session
length, time of day, duration of intervention).
6. Develop a preliminary PP-MI based group intervention using the above information.
(PP) and motivational interviewing (MI) intervention that is adapted for patients with MetS.
For this phase, participants will be primary care patients recruited through Massachusetts
General Hospital's research opt-in program (Research Options Direct to You [RODY]). We will
complete phone interviews with patients (n=20) with MetS within two weeks of enrollment in
the study.
In this project, we hope to do the following:
1. Identify, through qualitative research, deficits in positive emotional states in primary
care patients with MetS.
2. Examine potential links between positive emotional deficits and impaired health
behaviors (low physical activity, unhealthy dietary patterns), as well as links between
positive emotional states and successful health behaviors.
3. Identify other barriers to health behavior completion, such as social support and
neighborhood resources.
4. Explore strategies to enhance positive emotional states in MetS patients and inquire
about the utility of potential PP exercises in these patients.
5. Ask participants for feedback about intervention delivery preferences (e.g., session
length, time of day, duration of intervention).
6. Develop a preliminary PP-MI based group intervention using the above information.
Inclusion Criteria:
- Both of the two MetS components most strongly related to MetS outcomes and most
sensitive to lifestyle change:
- elevated abdominal obesity (waist circumference >102 cm in men or >88 cm in women)
- If waist circumference is not available, body mass index (BMI) will be used as a
surrogate measure based on prior research (BMI ≥29.1 kg/m2 for men and 27.2 kg/m2 for
women).
AND
- elevated blood pressure (systolic ≥130 and/or diastolic ≥85 mm Hg or be on blood
pressure medication).
- Plus ≥1 additional MetS component:
- Serum triglycerides ≥150 mg/dL
- High-density lipoprotein (HDL) cholesterol <40 mg/dL in men or <50 mg/dL in women
- Fasting plasma glucose >100mg/dL.
- Suboptimal physical activity defined as <150 minutes/week moderate intensity activity,
which represents less than national-level recommendations.
Exclusion Criteria:
- Inability to speak/read English
- Cognitive deficits impeding ability to participate or provide informed consent
(measured by a 6-item screen)
- Illness likely to lead to death in the next 6 months per PCP
- Current treatment for cancer, liver, or renal disease
- Pregnancy
- Documented severe mental illness (e.g., psychosis, suicidality)
- No telephone access
- Inability to be physically active
- Diabetes or known or suggested cardiac disease, given that this is a primary
prevention study.
We found this trial at
1
site
185 Cambridge Street
Boston, Massachusetts 02114
Boston, Massachusetts 02114
617-724-5200
Phone: 617-724-2047
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