Check Yourself Study

NCT02360410 | Completed

• 1 other identifier: 6 R40MC26817-01-01
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study is a randomized controlled trial that compares the effectiveness of an electronic personalized health screening app incorporating motivational feedback (i.e., "Check Yourself") to usual care. The purpose of this study is to determine whether Check Yourself is more effective than usual care in reducing health risk behaviors and improving quality of care among adolescents receiving primary health care services.

Conditions

Health Risk Behaviors; Health Care Services Quality of Care

Outcome Measures

Primary Outcomes (2)

• Number of Health risk behaviors

  Total count health-risk behaviors at 3-month follow-up (Score range= 0-13) adjusted by total number of baseline risk behaviors (with risk cut-off): ≥2 sugar-sweetened beverages consumed/day; ≤3 servings fruits/vegetables consumed/day; ≤3 days with 60+ minutes exercise during typical week; ≥3 hours of screen time during typical school day; ≤7 hours of sleep during typical night; not "always" using seatbelt; not "always" using helmet when bicycling; having driven under the influence of substances; days of alcohol consumption in last 30 days (risk based on age: ≥1 day/30 days (ages 13-15), ≥2 days/30 days (ages 16-17), or ≥3 days/30 days (age 18)) and/or number of drinks/drinking episode (risk based on age and sex: ≥3 (Girls 13-17; Boys 13), ≥4 (Girls 18; Boys 14-15), or ≥5 (Boys 16-18)); any tobacco use; any marijuana/other drugs use; not using birth control during last sexual intercourse and/or not "always" using a condom; and ≥10 score on PHQ-9.

  3 months

• Number of risk behaviors counseled on during primary care appointment

  Number of adolescent-reported high risk health risk behaviors discussed with the healthcare provider during the primary care visit (Score range: 0-13) adjusted for the total number of health risk behaviors reported at baseline. Receipt of counseling/discussion assessed using an adapted version of the Adolescent Report of the Visit (AROV). The AROV includes counseling on the following behaviors: 1) sweetened beverage consumption; 2) fruit/vegetable consumption; 3) physical activity amount; 4) screen time (i.e., watching TV, playing video games, surfing the web, or texting); 5) sleep duration; 6) seat belt use; 7) helmet use while bicycling; 8) drinking/using drugs while driving; 9) alcohol use; 10) tobacco use; 11) marijuana and/or other drug use; 12) condom and/or birth control use; 13) depression and moods.

  1 day

Secondary Outcomes (4)

• Adolescent Satisfaction with Care

  1 day

• Interval Receipt of Care

  3 months

• Motivation for Health Behavior Change

  1 day

• Specific Health Risk Behavior Change

  3 months

Other Outcomes (2)

• Adolescent Perceived Support from their Primary Care Provider

  1 day

• Adolescent Health Self-Efficacy

  1 day

Study Arms (2)

Check Yourself App With Feedback

EXPERIMENTAL

Adolescents complete Check Yourself, an electronic health screening app and receive personalized, motivational feedback on their health behaviors prior to their primary care appointment. Key components of Check Yourself include the provision of age normative feedback, goal setting strategies, and strategies to highlight discrepancies. Primary care providers receive a summary report of health risk behaviors from Check Yourself prior to their adolescent patient's primary care appointment.

Behavioral: Check Yourself App with Feedback

Usual Care

NO INTERVENTION

Participants are asked to complete health risk screening on a tablet computer. No personalized feedback is provided to adolescents and primary care providers do not receive a summary report of the adolescent's health risk behaviors.

Interventions

Check Yourself App with Feedback BEHAVIORAL

Check Yourself App With Feedback

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Eligible individuals will be 13-18 years old who have an appointment to see a provider at a participating clinic and will be able to read and comprehend English.

You may not qualify if:

• Individuals will be excluded from the study if:
• they do not meet age requirements,
• do not have an appointment at a participating clinic,
• lack the means to complete follow-up interviews (i.e., has neither telephone not internet access),
• have a sibling who has/is being enrolled in the study and/or
• are not able to read or comprehend English.

Sponsors & Collaborators

• Laura Richardson: lead

Study Sites (1)

Seattle Children's Hospital

Seattle, Washington, 98105, United States

Location

Related Publications (1)

• Richardson LP, Zhou C, Gersh E, Spielvogle H, Taylor JA, McCarty CA. Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting: A Randomized Clinical Trial. JAMA Netw Open. 2019 May 3;2(5):e193581. doi: 10.1001/jamanetworkopen.2019.3581.

  PMID: 31074815 DERIVED

MeSH Terms

Conditions

Health Risk Behaviors

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Laura P Richardson, MD MPH

  Seattle Children's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor of Pediatrics, University of Washington and Investigator, Seattle Children's Research Institute

Study Record Dates

• First Submitted: February 5, 2015
• First Posted: February 10, 2015
• Study Start: February 1, 2015
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: April 18, 2018

Record last verified: 2018-04

Locations

US (1)