Achievement and Adherence to Behavioral Health Goals in the Setting of Patient-Directed Goal Choice
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-90
SponsorHadassah Medical Organization
About this trial
Health care decisions should include patients' health outcome goals and care preferences so as to enable a unified set of individualized patient outcome goals, rather than disparate disease-specific goals that do not reflect patient choice and commitment. This study utilizes a skilled professional interview and a simple tablet-based tool to enable patient choice of health behavior goals. The tool guides the patient to choose a specific, measurable, attainable, realistic and time-based (SMART) goal. The hypothesis of this study is that the implementation this patient choice tool will increase the likelihood of patient adherence to the goal and increase patient self efficacy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
females age 18-90
undergone cardiovascular event (myocardial infarction, percutaneous coronary intervention, or stroke,) or
who have an active cardiac symptom (e.g. chest pain or arrhythmia) or
have three or more active risk factors (i.e. diabetes, hypertension, hyperlipidemia, peripheral artery disease, current smoker, family history of premature coronary disease, gestational diabetes, pregnancy-induced hypertension/pre-eclampsia, or obesity).
Disqualifiers
pregnancy
type 1 diabetes
a psychiatric diagnosis that precludes participation
dementia
Trial design
Design model
Single group
Treatments tested in this trial
Decision tool
Behavioralparticipants will be asked to use a decision tool to choose and delineate SMART health behavior goals
Treatment groups
50 Participants
are divided into 1 treatment groupGroup A: pilot of SMART-goal-setting health behavior decision toolExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
health self efficacy
self report measure adapted from Moore and McBride 2009 that consists of 2 questions, on a scale of 0-10, how much do i want change and how much am I capable of change, with 10 reflecting higher self efficacy
Time frame
6 months after intervention initiation2
goal adherence
Goal Attainment Scale for rehabilitation. This is scaled from -3 to +2, with +2 representing goal attainment far beyond anticipated, 0 representing goal achievement and -2 representing worsening. Higher is better.
Time frame
average of monthly measures at months 1-6.Secondary outcomes
1
weight
kg
Time frame
6 months after intervention inititiation2
cardiovascular risk
hebrew adapted Healthy Heart Score which includes assessment of physical activity, nutrition behaviors, smoking and alcohol consumption
Time frame
6 months after intervention initiation3
experiential avoidance
Brief Experiential Avoidance Questionnaire This is a 15 item scale with answers that range from 1-6 with scores ranging from 15-90 with higher scores reflecting more avoidance
Time frame
6 months after intervention initiation4
blood pressure
systolic and diastolic blood pressure
Time frame
6 months after intervention initiationSponsors and contacts
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Source ClinicalTrials.gov