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Tailored system to deliver behavioral intervention and manage data in randomized trials

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • Contributors:
      Department of Orthopedics and Physical Rehabilitation; Department of Medicine, Division of Preventive and Behavioral Medicine
    • الموضوع:
      2022
    • Collection:
      University of Massachusetts, Medical School: eScholarship@UMMS
    • نبذة مختصرة :
      BACKGROUND: The integrity of behavioral intervention trials depends on consistent intervention delivery, and uniform, comprehensive process data collection. It can be challenging in practice due to complex human interactions involved. OBJECTIVE: We sought to design a system to support the fidelity of intervention delivery and efficient capture of qualitative and quantitative process data for a telephone-delivered behavioral counseling intervention to increase physical activity and function after total knee replacement surgery. METHODS: A tailored system was designed to prompt the intervention coach in the delivery of a 5 step counseling protocol to support intervention fidelity across patients. System features included structured data components, automated data exchange functions, user-friendly data capture screens, and real-time surveillance reporting. The system structured the capture of patient goals and open-ended conversation. RESULTS: The system recorded intervention process data from each of 12 sessions held with the 92 intervention patients. During the trial, 992 telephone sessions were conducted, and more than 97% (4816/4960) of intervention process data fields were completed in the system. The coach spent 5-10 minutes preparing for each counseling call using system-generated summaries of historical data and 10-15 minutes entering intervention process data following each telephone session. CONCLUSIONS: This intervention delivery system successfully supported the delivery of a structured behavioral counseling intervention and collection of intervention process data. It addressed the unique needs of clinical behavioral intervention trials, and had promising potential to facilitate high-fidelity translation of the intervention to broad clinical practice and Web-based multicenter clinical trials in the future.
    • Relation:
      Link to Article in PubMed; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3636316/; J Med Internet Res. 2013 Apr 11;15(4):e58. doi:10.2196/jmir.2375. Link to article on publisher's site; 1438-8871 (Linking); http://hdl.handle.net/20.500.14038/30710; https://escholarship.umassmed.edu/faculty_pubs/99; 4276314; faculty_pubs/99
    • الرقم المعرف:
      10.2196/jmir.2375
    • الدخول الالكتروني :
      https://doi.org/10.2196/jmir.2375
      https://hdl.handle.net/20.500.14038/30710
      https://escholarship.umassmed.edu/faculty_pubs/99
    • Rights:
      This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
    • الرقم المعرف:
      edsbas.CD319B6B