Predict + Protect Study: Exploring the Effectiveness of a Predictive Health Education Intervention on the Adoption of Protective Behaviors Related to ILI
Predict + Protect: A Randomized Controlled Trial Exploring the Effectiveness of a Predictive Health Education Intervention on the Adoption of Protective Behaviors Related to Influenza-like Illness (ILI)
1 other identifier
interventional
17,043
1 country
1
Brief Summary
The goal of this prospective, digital randomized controlled trial is to evaluate the effectiveness of a predictive ILI detection algorithm and associated alerts during influenza season for adults living in the contigent United States. The main study objectives are to assess the effectiveness of predictive ILI detection algorithm and associated alerts on protective behaviors related to ILI and assess the accuracy of a predictive ILI detection algorithm using participant self-reported ILI symptoms and diagnosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 19, 2024
CompletedFirst Posted
Study publicly available on registry
January 29, 2024
CompletedStudy Start
First participant enrolled
February 12, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 5, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 6, 2024
CompletedSeptember 19, 2024
September 1, 2024
6 months
January 19, 2024
September 9, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary objective of this study is to assess the effectiveness of a predictive ILI detection algorithm and associated alerts on ILI-related health and behavioral outcomes
The difference between the predictive alert and the no predictive alert groups in the proportion of cohort members who performed any target health behavior 1-4 (i.e. performed at least one of: reduced spread, tested, sought medical attention, or was treatment adherent)
Through study completion, approximately 10 months
Secondary Outcomes (1)
The secondary objective is to assess the accuracy of an ILI detection algorithm using self-reported symptoms and ILI diagnosis
Through study completion, approximately 10 months
Other Outcomes (1)
The exploratory objective is to assess differences in effectiveness between the four groups on ILI-related health and behavioral outcomes
Through study completion, approximately 10 months
Study Arms (4)
Proactive ILI content & Predictions
EXPERIMENTALParticipants will receive predictive alerts, reactive content after reporting symptoms or receiving an asymptomatic prediction, and ILI-related health educational content
No Proactive ILI content & Predictions
EXPERIMENTALParticipants will receive predictive alerts and reactive content after reporting symptoms or receiving an asymptomatic prediction, but will not receive proactive ILI content
Proactive ILI content & No Predictions
EXPERIMENTALParticipants will not receive predictive alerts or reactive content after reporting symptoms but will receive proactive ILI content
No Proactive ILI content & No Predictions
EXPERIMENTALParticipants will not receive predictive alerts or reactive content after reporting symptoms or proactive ILI content
Interventions
Participants receive ILI-related education, feedback, and opportunities to self-monitor ILI symptoms, in addition they also receive alerts about potential ILI illness, and reactive and personalized content about protective health behaviors.
Participants receive alerts about potential ILI illness, and reactive and personalized content about protective health behaviors.
Participants receive ILI-related education, feedback, and opportunities to self-monitor ILI symptoms.
Participants will not receive predictive alerts or reactive content after reporting symptoms or proactive IILI-related health educational content
Eligibility Criteria
You may qualify if:
- Member of the Evidation platform
- years or older
- Lives in the U.S.
- Currently owns and uses a consumer wearable activity tracker (Apple Watch, Garmin, or Fitbit) linked to their Evidation account
- Meets data density requirements for wearable data: Steps and heart rate data present for 15% of the last 60 days (or no fewer than 2 total days for Evidation accounts less than 60 days old)
You may not qualify if:
- Does not have an Evidation account
- Not 18 years or older
- Does not live in the U.S.
- Does not have an activity tracker linked to their Evidation account
- Enrolled in an Evidation supported ILI monitoring and engagement program, or clinical study (e.g., FluSmart)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Evidation Health
San Mateo, California, 94402, United States
Related Publications (18)
Wiemken TL, Khan F, Puzniak L, Yang W, Simmering J, Polgreen P, Nguyen JL, Jodar L, McLaughlin JM. Seasonal trends in COVID-19 cases, hospitalizations, and mortality in the United States and Europe. Sci Rep. 2023 Mar 8;13(1):3886. doi: 10.1038/s41598-023-31057-1.
PMID: 36890264BACKGROUNDTokars JI, Olsen SJ, Reed C. Seasonal Incidence of Symptomatic Influenza in the United States. Clin Infect Dis. 2018 May 2;66(10):1511-1518. doi: 10.1093/cid/cix1060.
PMID: 29206909BACKGROUNDTemple DS, Hegarty-Craver M, Furberg RD, Preble EA, Bergstrom E, Gardener Z, Dayananda P, Taylor L, Lemm NM, Papargyris L, McClain MT, Nicholson BP, Bowie A, Miggs M, Petzold E, Woods CW, Chiu C, Gilchrist KH. Wearable Sensor-Based Detection of Influenza in Presymptomatic and Asymptomatic Individuals. J Infect Dis. 2023 Apr 12;227(7):864-872. doi: 10.1093/infdis/jiac262.
PMID: 35759279BACKGROUNDMezlini A, Shapiro A, Daza EJ, Caddigan E, Ramirez E, Althoff T, Foschini L. Estimating the Burden of Influenza-like Illness on Daily Activity at the Population Scale Using Commercial Wearable Sensors. JAMA Netw Open. 2022 May 2;5(5):e2211958. doi: 10.1001/jamanetworkopen.2022.11958.
PMID: 35552722BACKGROUNDShapiro A, Marinsek N, Clay I, Bradshaw B, Ramirez E, Min J, Trister A, Wang Y, Althoff T, Foschini L. Characterizing COVID-19 and Influenza Illnesses in the Real World via Person-Generated Health Data. Patterns (N Y). 2020 Dec 13;2(1):100188. doi: 10.1016/j.patter.2020.100188. eCollection 2021 Jan 8.
PMID: 33506230BACKGROUNDHunter V, Shapiro A, Chawla D, Drawnel F, Ramirez E, Phillips E, Tadesse-Bell S, Foschini L, Ukachukwu V. Characterization of Influenza-Like Illness Burden Using Commercial Wearable Sensor Data and Patient-Reported Outcomes: Mixed Methods Cohort Study. J Med Internet Res. 2023 Mar 23;25:e41050. doi: 10.2196/41050.
PMID: 36951890BACKGROUNDMerrill MA, Safranchik E, Kolbeinsson A, Gade P, Ramirez E, Schmidt L, Foshchini L, Althoff T. Homekit2020: A benchmark for time series classification on a large mobile sensing dataset with laboratory tested ground truth of influenza infections. Proceedings of Machine Learning Research LEAVE UNSET:1-22, 2023.
BACKGROUNDMayer C, Tyler J, Fang Y, Flora C, Frank E, Tewari M, Choi SW, Sen S, Forger DB. Consumer-grade wearables identify changes in multiple physiological systems during COVID-19 disease progression. Cell Rep Med. 2022 Apr 19;3(4):100601. doi: 10.1016/j.xcrm.2022.100601. eCollection 2022 Apr 19.
PMID: 35480626BACKGROUNDNestor B, Hunter J, Kainkaryam R, Drysdale E, Inglis JB, Shapiro A, Nagaraj S, Ghassemi M, Foschini L, Goldenberg A. Machine learning COVID-19 detection from wearables. Lancet Digit Health. 2023 Apr;5(4):e182-e184. doi: 10.1016/S2589-7500(23)00045-6. No abstract available.
PMID: 36963907BACKGROUNDRosenstock, I. M. (2000). Health Belief Model. In A. E. Kazdin (Ed.), Encyclopedia of psychology (Vol. 4, pp. 78-80). Oxford University Press.
BACKGROUNDZewdie A, Mose A, Sahle T, Bedewi J, Gashu M, Kebede N, Yimer A. The health belief model's ability to predict COVID-19 preventive behavior: A systematic review. SAGE Open Med. 2022 Jul 22;10:20503121221113668. doi: 10.1177/20503121221113668. eCollection 2022.
PMID: 35898953BACKGROUNDMercadante AR, Law AV. Will they, or Won't they? Examining patients' vaccine intention for flu and COVID-19 using the Health Belief Model. Res Social Adm Pharm. 2021 Sep;17(9):1596-1605. doi: 10.1016/j.sapharm.2020.12.012. Epub 2020 Dec 30.
PMID: 33431259BACKGROUNDGutierrez F, Wolfe J. Using the Health Belief Model to improve influenza vaccination rates. JAAPA. 2022 Oct 1;35(10):46-47. doi: 10.1097/01.JAA.0000873832.52485.65.
PMID: 36165548BACKGROUNDRichardson KM, Jospe MR, Saleh AA, Clarke TN, Bedoya AR, Behrens N, Marano K, Cigan L, Liao Y, Scott ER, Guo JS, Aguinaga A, Schembre SM. Use of Biological Feedback as a Health Behavior Change Technique in Adults: Scoping Review. J Med Internet Res. 2023 Sep 25;25:e44359. doi: 10.2196/44359.
PMID: 37747766BACKGROUNDMcCambridge J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2014 Mar;67(3):267-77. doi: 10.1016/j.jclinepi.2013.08.015. Epub 2013 Nov 22.
PMID: 24275499BACKGROUNDMansournia MA, Higgins JP, Sterne JA, Hernan MA. Biases in Randomized Trials: A Conversation Between Trialists and Epidemiologists. Epidemiology. 2017 Jan;28(1):54-59. doi: 10.1097/EDE.0000000000000564.
PMID: 27748683BACKGROUNDLaFave SE, Granbom M, Cudjoe TKM, Gottsch A, Shorb G, Szanton SL. Attention control group activities and perceived benefit in a trial of a behavioral intervention for older adults. Res Nurs Health. 2019 Dec;42(6):476-482. doi: 10.1002/nur.21992. Epub 2019 Oct 24.
PMID: 31647125BACKGROUNDLee JL, Foschini L, Kumar S, Juusola J, Liska J, Mercer M, Tai C, Buzzetti R, Clement M, Cos X, Ji L, Kanumilli N, Kerr D, Montanya E, Muller-Wieland D, Ostenson CG, Skolnik N, Woo V, Burlet N, Greenberg M, Samson SI. Digital intervention increases influenza vaccination rates for people with diabetes in a decentralized randomized trial. NPJ Digit Med. 2021 Sep 17;4(1):138. doi: 10.1038/s41746-021-00508-2.
PMID: 34535755BACKGROUND
Related Links
- Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD). Past Seasons Estimated Influenza Disease Burden
- Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD). Past Seasons Estimated Influenza Disease Burden
- Centers for Disease Control and Prevention. COVID Data Tracker.
- Centers for Disease Control and Prevention, Office of Public Health Data, Surveillance, and Technology. 2023. RESP-NET Interactive Dashboard.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ernesto H.N. Ramirez, PhD
Evidation
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Participants will be blinded to their study participation status, participants will not be asked to take any action to enroll in the study.
- Purpose
- PREVENTION
- Intervention Model
- FACTORIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 19, 2024
First Posted
January 29, 2024
Study Start
February 12, 2024
Primary Completion
August 5, 2024
Study Completion
September 6, 2024
Last Updated
September 19, 2024
Record last verified: 2024-09