- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04623190
Using Health Information Technology to Improve Health Behaviors and Promote Cardiovascular Health Among Adolescent and Young Adult Cancer Survivors
24. august 2022 opdateret af: Washington University School of Medicine
Health information technology (HIT) has the potential to improve the quality, efficiency, consistency, and availability of cancer survivor care.
PREVENT is a novel HIT tool designed by our team for adolescents (12-19 years).
PREVENT aggregates and displays the American Heart Association's (AHA) Life Simple 7 cardiovascular health (CVH) risk factors and provides tailored, evidence-based, behavior change recommendations inclusive of community resources that are delivered to overweight/obese adolescents at the point-of-care to improve CVH.
The investigators seek to expand this tool for patients beyond 19 years of age to increase this tool's reach to the entire adolescent and young adult (AYA) age range and then evaluate its effectiveness among AYA cancer survivors.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
26
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
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Missouri
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Saint Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
20 år til 39 år (Voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Patient eligibility criteria
- Aged 20-39 years
- Prior diagnosis of pediatric cancer (diagnosed <21 years of age).
- Not receiving active therapy for their cancer
- Receiving care from the Pediatric Hematology/Oncology staff and physicians at St. Louis Children's Hospital, the St. Louis Children's Specialty Care Center, Siteman Cancer Center's Lifelong Outcomes Clinic at Siteman South County
- At risk for poor CVH (BMI ≥ 25 kg/m^2)
- Ability to understand and willingness to sign an IRB approved written informed consent document (or that of legally authorized representative, if applicable).
Provider eligibility criteria.
-All providers and clinic staff (physicians, nurses, clinic staff, clinic research associates) in the Pediatric Hematology/Oncology program at St. Louis Children's Hospital and the CSCC or in the Siteman Cancer Center's Lifelong Outcomes Clinic at Siteman South County are eligible to participate.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: Providers
-All eligible providers will be sent questionnaires electronically to their email at baseline and follow-up.
Providers will be invited to attend a training session to educate them on the PREVENT tool at baseline.
The providers will be delivering the PREVENT tool.
|
-PREVENT is a novel Health Information Technology tool designed to promote physical activity and healthy food intake among overweight/obese patients at the point of care.
PREVENT automates the delivery of personalized, evidence-based behavior change recommendations and provides an interactive map of community resources to help providers link patients to resources in their community.
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Aktiv komparator: Patients - Wait-List Control
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-Will receive routine clinical care.
After completion of follow-up measures, control participants will receive a behavior change prescription via the PREVENT tool
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Eksperimentel: Patients - PREVENT Tool
|
-PREVENT is a novel Health Information Technology tool designed to promote physical activity and healthy food intake among overweight/obese patients at the point of care.
PREVENT automates the delivery of personalized, evidence-based behavior change recommendations and provides an interactive map of community resources to help providers link patients to resources in their community.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Ændring i madindtagsadfærd
Tidsramme: Ved baseline og 3 måneder
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Patientrapporteret madindtagsadfærd (frugt- og grøntsagsindtag, fuldkorn, sukkersødede drikkevarer og snackadfærd) er indsamlet ved hjælp af en kort sundhedsadfærds- og holdningsundersøgelse.
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Ved baseline og 3 måneder
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Change in minutes of physical activity
Tidsramme: At baseline and 3-months
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Physical activity will be measured using a triaxial accelerometer (Actigraph GT3X+, Actigraph of Ft.
Walton Beach, FL).
The participant will be instructed to wear the accelerometer on an elasticized belt, on the left mid-axillary line.
The Actigraph is one of the most common accelerometers used for scientific purposes.
Participants will be encouraged to wear the accelerometer 24-hours per day for at least 7-days, including 2 weekend days.
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At baseline and 3-months
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Change in body mass index (BMI)
Tidsramme: At baseline and 3-months
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Collected from patient's medical record.
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At baseline and 3-months
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Change on patient's attitudes toward behavior change
Tidsramme: At baseline and 3-months
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A survey (6-question) administered to patients will assess attitudes toward and readiness for behavior change.
Questions are asked using a 5-point Likert scale (range: 0-30) with a higher score indicating more positive attitudes.
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At baseline and 3-months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Udbyderens tilfredshed med PREVENT-værktøjet: undersøgelse
Tidsramme: 3 måneder
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En undersøgelse (15-spørgsmål) vil vurdere udbyderens tilfredshed med fem aspekter af sundhedsinformationsteknologi: indhold, nøjagtighed, format, brugervenlighed og aktualitet.
Spørgsmål stilles på en 5-punkts Likert-skala (interval: 15-75) med en højere score, der indikerer større tilfredshed
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3 måneder
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Change in patients' satisfaction of PREVENT tool: survey
Tidsramme: Within 48 hours of clinic visit and at 3-months
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Within 48 hours of clinic visit and at 3-months
|
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Change on patient's average systolic and diastolic blood pressure
Tidsramme: At baseline and 3-months
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Collected from patient's medical record
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At baseline and 3-months
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Change in patient's cholesterol
Tidsramme: At baseline and 3-months
|
Collected from patient's medical record
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At baseline and 3-months
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Change in patient's fasting blood glucose
Tidsramme: At baseline and 3-months
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Collected from patient's medical record
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At baseline and 3-months
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Provider's motivation for sustained use of PREVENT tool
Tidsramme: 3-months
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-A survey (12-questions) will assess provider's intent to change their behavior and continue using PREVENT were adapted from Legare's CPD Reaction Questionnaire.
Questions are asked using a 7-point Likert scale (range: 12-84) with a higher score indicating greater motivation for sustained use.
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3-months
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Fidelity of PREVENT tool implementation
Tidsramme: 0-3 months
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-Fidelity will be measured using direct observation of patient-provider interactions while using the PREVENT tool.
A direct observation checklist will be used by the observer to determine the number of interactions with the PREVENT tool that were implemented as intended.
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0-3 months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Samarbejdspartnere
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
23. juni 2021
Primær færdiggørelse (Faktiske)
25. marts 2022
Studieafslutning (Faktiske)
25. marts 2022
Datoer for studieregistrering
Først indsendt
2. november 2020
Først indsendt, der opfyldte QC-kriterier
3. november 2020
Først opslået (Faktiske)
10. november 2020
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
25. august 2022
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
24. august 2022
Sidst verificeret
1. august 2022
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 202011075
Plan for individuelle deltagerdata (IPD)
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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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