Feasibility, user experiences, and preliminary effect of Conversation Cards for Adolescents© on collaborative goal-setting and behavior change: protocol for a pilot randomized controlled trial

Autor: M. Kebbe, A. Farmer, M. P. Dyson, S. D. Scott, T. L. F. McHugh, S. Lappa, H. Rajani, T. Ladha, B. Islam, L. Jacoby, F. Nasir, K. Talwar, J. L. Wincott, M. Zhang, G. D. C. Ball
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Pilot and Feasibility Studies, Vol 5, Iss 1, Pp 1-11 (2019)
Druh dokumentu: article
ISSN: 2055-5784
DOI: 10.1186/s40814-019-0533-3
Popis: Abstract Background Adolescents and providers can benefit from practical tools targeting lifestyle modification for obesity prevention and management. We created Conversation Cards for Adolescents© (CCAs), a patient-centered communication and behavior change tool for adolescents and providers to use in clinical practice. The purpose of our study is to (i) assess the feasibility of CCAs in a real-world, practice setting to inform full-scale trial procedures, (ii) assess user experiences of CCAs, and (iii) determine the preliminary effect of CCAs on changing behavioral and affective-cognitive outcomes among adolescents. Methods Starting in early 2019, this prospective study is a nested mixed-methods, theory-driven, and pragmatic pilot randomized controlled trial with a goal to enroll 50 adolescents (13–17 years old) and 9 physicians practicing at the Northeast Community Health Centre in Edmonton, Alberta, Canada. Adolescents will collaboratively set one S.M.A.R.T. (specific, measurable, attainable, realistic, timely) goal with their physician to implement over a 3-week period; however, only those randomized to the experimental group will use CCAs to inform their goal. Outcome assessments at baseline and follow-up (3 weeks post-baseline) will include behavioral, affective-cognitive, and process-related outcomes. Discussion In examining the feasibility, user experiences, and preliminary effect of CCAs, our study will add contributions to the obesity literature on lifestyle modifications among adolescents in a real-world, practice setting as well as inform the scalability of our approach for a full-scale effectiveness randomized controlled trial on behavior change. Trial registration ClinicalTrials.gov Identifier: NCT03821896.
Databáze: Directory of Open Access Journals
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