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- Ensaio Clínico NCT04352179
Evaluation of Patient Education Simulations to Promote Health and Wellness
Evaluation of Patient Education Simulations to Promote Health and Wellness in Patients With Chronic Disease
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
The overarching goal of the pilot study is to assess the acceptability and potential efficacy of the participant education simulation on changes in participants with chronic diseases' lifestyle behaviors as well as motivation and self-efficacy to change.
The primary objective is to examine the acceptability (satisfaction, usability) of using virtual simulations to deliver participant education and counseling for adopting healthy lifestyle behaviors among a sample of four healthcare providers and 60 participants with chronic disease. The secondary objectives include examining changes in lifestyle behaviors (e.g., healthy eating, physical activity) one-month following the use of the participant education simulations in a sample of 60 participants with chronic disease (e.g. cancer, cardiovascular disease, diabetes, stroke, arthritis) and to explore the potential mediators (e.g. motivation and self-efficacy) of the simulation effects on the changes in participants' lifestyle behaviors.
Participants will communicate with a virtual human, Linda, by selecting from a dynamic menu of dialogue options. Once the learner chooses a dialogue option, they see the virtual human respond by providing personalized feedback and give users an opportunity to revise their choice. In this study, the simulations will be a bundle of four topic-based conversations with Linda, which include fitness and nutrition, smoking cessation, alcohol use, distress and anxiety.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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New York
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New York, New York, Estados Unidos, 10016
- NYU Langone Health
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Age 18 years or older;
- Have a diagnosis of a chronic disease (e.g., osteoarthritis, coronary artery disease, chronic obstructive pulmonary disease, asthma, diabetes, hypertension, stroke, and congestive heart failure) as indicated by self-report or review of the electronic medical record; and
- Receiving care within the NYU Langone Health Network (e.g., Faculty Group Practices and ambulatory care centers, NYU Winthrop Surgical Associates)
Exclusion Criteria:
- Are unable to give informed consent
- Refuse to participate
- Any active terminal illness, mental incompetence, or uncontrolled psychiatric illness. These exclusions were based on the premise that the presence of any of these conditions would dominate the subject's perception of lifestyle management of their chronic disease.
- Unable to speak and read in English. Patients that are unable to speak and read in English will be excluded from the proposed project because the simulations are being developed in English only. Once we demonstrate the initial efficacy of this tool, future simulations will be developed in languages other than English. Despite the language restrictions, no exclusion will be made based on patient racial/ethnic origin.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Outro
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Virtual Education Simulation
All participants will have access to the virtual education simulations.
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The simulations will be developed using Kognito's proprietary Conversation Platform. In this pilot study, the simulations will be a bundle of four topic-based conversations with Linda, a virtual peer with a chronic disease. The four wellness topics are:
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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Number of participants who were unsatisfied and satisfied by use of virtual simulations for education delivery and counseling
Prazo: Immediately post-simulation (Day 0)
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A Usability Questionnaire will be used for participants to rate how much they agree or disagree with 14 questions as they relate to the participants' conversation with the virtual coach.
Choices for each question range include: strongly disagree, somewhat disagree, somewhat agree, and strongly agree.
No numerical scale is used.
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Immediately post-simulation (Day 0)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
Change in score of Alcohol Abstinence Self-Efficacy (AASE) Scale
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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The AASE Scale consists of 40 situations that lead some people to drink.
Participants mark answers which reflect how tempted they may be to drink in each situation at the present time.
The answers choices range from 0 (not at all) to 4 (extremely).
The range of score is 0-160.
The higher the score, the higher the temptation to drink.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Score of Short Portable Mental Status Questionnaire (SPMSQ)
Prazo: Baseline (Day 0)
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10 questions will be asked to the participants.
All responses must be given without reference to calendar, newspaper, birth certificate, or other aid to memory.
The total number of errors based on the answers to the 10 questions will be recorded as the score.
The lower the score, the better.
0-2 errors = Intact Intellectual Functioning, 3-4 errors = Mild Intellectual Impairment, 5-7 errors = Moderate Intellectual Impairment, 8-10 errors = Severe Intellectual Impairment.
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Baseline (Day 0)
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Change in score of Smoking Abstinence Self-Efficacy Questionnaire (SASEQ)
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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The SASEQ consists of 6 situations that lead some people to smoke.
Participants mark answers which reflect how confident they feel that they will not smoke in each situation.
The answer choices range from 0 (certainly) to 4 (certainly not).
The range of score is 0-24.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Score of Patient Health Questionnaire-8 (PHQ-8)
Prazo: Baseline (Day 0)
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PHQ-8 consists of 8 problem situations.
The questionnaire asks the participants how often they have been bothered by each problem over the last 2 weeks.
The total score ranges from 0-12, with categories of psychological distress being: none (0-2), mild (3-5), moderate (6-8), and severe (9-12).
Therefore, the lower the score, the better.
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Baseline (Day 0)
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Change in amount of days of physical activity
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Three types of physical activity will be reported on: vigorous, moderate, and walking.
Participants will report how many days they did vigorous physical activities (like heavy lifting, digging, aerobics, or fast bicycling), how many days they did moderate (carrying light loads, bicycling at a regular pace, doubles tennis), and how many days they walked for at least 10 minutes during the last 7 days.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Change in Score of Self Efficacy Fruits and Vegetables Questionnaire
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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This questionnaire consists of 10 statements.
The participant must rate how confident they are about each of the statements.
The responses range from 0 (not at all sure) to 3 (very sure).
The total score ranges from 0-30.
The higher the score, the more confident the participant is about incorporating fruits and vegetables into their lifestyle.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Change in Score of Self Efficacy Exercising Questionnaire
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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This questionnaire consists of 11 statements.
The participant must rate how confident they are about each of the statements.
The responses range from 0 (not at all sure) to 3 (very sure).
The total score ranges from 0-30.
The higher the score, the more confident the participant is about incorporating exercise into their lifestyle.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Change in Intrinsic Motivation for Eating Fruits and Vegetables
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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In the format of a questionnaire, participants are asked to indicate the extent to which each reason is true for them, using a 7-point scale.
Why they eat fruits and vegetables (from a list of 17 reasons).
Each individual question is assessed separately, so no total range is given.
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Change in Intrinsic Motivation for Exercising
Prazo: Baseline (Day 0), Day 30 +/- 7 days post-intervention
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In the format of a questionnaire, participants are asked to indicate the extent to which each reason is true for them, using a 7-point scale.
Why they choose to exercise (from a list of 15 reasons).
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Baseline (Day 0), Day 30 +/- 7 days post-intervention
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Self Efficacy in Seeking Mental Health Treatment (SESMHC)
Prazo: Immediately post-simulation (Day 0)
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This questionnaire consists of 9 statements.
Participants are asked to rate how confident they are about each of the statements.
Their responses range from 0 (no confidence) to 4 (complete confidence).
The total score ranges from 0-36.
The higher the score, the more confident the participant is about seeking mental health care.
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Immediately post-simulation (Day 0)
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Antoinette Shoenthaler, EdD, NYU Langone Health
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 19-00460
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Prazo de Compartilhamento de IPD
Critérios de acesso de compartilhamento IPD
Tipo de informação de suporte de compartilhamento de IPD
- Protocolo de estudo
- Plano de Análise Estatística (SAP)
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