University of Massachusetts Medical School Faculty Publications

Title

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

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Orthopedics and Physical Rehabilitation

Date

4-11-2013

Document Type

Article

Medical Subject Headings

Database Management Systems; Medical Informatics Applications; Randomized Controlled Trials; Intervention Studies; Arthroplasty, Replacement, Knee; Motor Activity

Disciplines

Behavior and Behavior Mechanisms | Clinical Epidemiology | Community Health and Preventive Medicine | Health and Medical Administration | Health Information Technology | Health Services Administration | Orthopedics

Abstract

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.

Comments

Citation: J Med Internet Res. 2013 Apr 11;15(4):e58. doi: 10.2196/jmir.2375. Link to article on publisher's site

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.

Related Resources

Link to Article in PubMed

PubMed ID

23579207