Evaluate Health Coaching Support in Technology-based Interventions for Meeting Health Goals

Study Overview
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Brief Summary
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This was a pilot evaluation conducted to test procedures for a possible future trial and provide preliminary insights regarding whether text messages sent to Veterans could help support nutrition and/or physical activity health goals. For the purposes of the pilot, the goal was to enroll one participant.

Detailed Description
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The investigators prepared procedures for a one-group pilot intended to evaluate the delivery of automated text messages to Veterans. Completion of this pilot will provide preliminary insights regarding the delivering automated text messages focused on nutrition and/or physical activity health goals, and potential impacts on outcomes like self-efficacy, goal commitment, and health confidence.

Official Title
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Evaluate Health Coaching Support in Technology-based Interventions for Goal Setting (PEC 15-470)

Conditions
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Chronic Disease Prevention

Intervention / Treatment
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* Behavioral: Text message


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient at designated VA site Ownership of a cellular phone Over age 18 Pre-screened by their primary care physician for study inclusion for medical contraindication to physical activity and diet change Exclusion Criteria: Patient outside designated VA site Non-ownership of a cellular phone Under age 18 Not pre-screened by their primary care physician for study inclusion for medical contraindication to physical activity and diet change or deemed ineligible to participate by primary care physician

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: One-group trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Text message<br>Participants receive text messages about healthy eating or physical activity. | Behavioral: Text message<br>* Two months of daily text messages to support meeting a health goal<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-efficacy: Healthful eating via Revised Eating Self-Efficacy Scale (ESES-R) | Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Healthful eating via Revised Eating Self-Efficacy Scale (ESES-R). Range: 1-10; higher values represent a better outcome. | Change from Baseline to 2 months | 
| Goal commitment: Healthful eating via the Hollenbeck, Williams, and Klein Goal Commitment Scale | Self-reported commitment to healthful diet and physical activity goals. Goal commitment - Healthful eating via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome. | Change from Baseline to 2 months | 
| Self-efficacy: Physical activity via the Self-efficacy for Exercise Behaviors Scale | Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Physical activity via the Self-efficacy for Exercise Behaviors Scale. Range: 1-5; higher values represent a better outcome. | Change from Baseline to 2 months | 
| Goal commitment: Physical activity via the Hollenbeck, Williams, and Klein Goal Commitment Scale | Self-reported commitment to healthful diet and physical activity goals. Goal commitment - Physical activity via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome. | Change from Baseline to 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health confidence: the Health Confidence Score | Self-reported confidence in patient engagement. Health Confidence. Range: 0-12; higher values represent a better outcome. | Change from Baseline to 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Disease prevention, Digital health, Text messaging