Achievement and Adherence to Behavioral Health Goals in the Setting of Patient-Directed Goal Choice
1 other identifier
interventional
50
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2020
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 27, 2019
CompletedFirst Posted
Study publicly available on registry
March 4, 2020
CompletedStudy Start
First participant enrolled
September 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2026
ExpectedApril 25, 2023
April 1, 2023
5.3 years
October 27, 2019
April 23, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
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
6 months after intervention initiation
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.
average of monthly measures at months 1-6.
Secondary Outcomes (4)
weight
6 months after intervention inititiation
cardiovascular risk
6 months after intervention initiation
experiential avoidance
6 months after intervention initiation
blood pressure
6 months after intervention initiation
Study Arms (1)
pilot of SMART-goal-setting health behavior decision tool
EXPERIMENTALparticipants will be asked to use a decision tool to choose and delineate SMART health behavior goals
Interventions
participants will be asked to use a decision tool to choose and delineate SMART health behavior goals
Eligibility Criteria
You may qualify if:
- females age 18-90
- who fall into one of the following categories:
- 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).
You may not qualify if:
- pregnancy
- type 1 diabetes
- a psychiatric diagnosis that precludes participation
- dementia
- under the care of another multi-disciplinary clinic.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hadassah Medical Organization, Jerusalem, Israel
Jerusalem, 91120, Israel
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Donna R Zwas, MD MPH
Hadassah Medical Organization
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Cardiologist
Study Record Dates
First Submitted
October 27, 2019
First Posted
March 4, 2020
Study Start
September 1, 2020
Primary Completion
December 30, 2025
Study Completion (Estimated)
June 30, 2026
Last Updated
April 25, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
- Time Frame
- upon publication
- Access Criteria
- GCP, upon request
Partially, with masking of psychological information, only to researchers with GCP upon request.