The goal of the MI field test is to assess users' overall satisfaction, usability and acceptability of the PRECIOUS system, and to explore if MI in combination with gamification principles is a feasible solution to foster adherence to PRECIOUS system. Moreover, it is pursued to trigger behavior change and build up motivation to maintain sustained change towards healthy lifestyles. The field test at University Hospital Vall d'Hebron will be carried out with morbidly obese pre-diabetic patients. This pilot test will serve to explore users' acceptance of PRECIOUS system in an early stage of its development. Considering that this is a pilot test, feedback and outcomes obtained will serve to refine and adjust PRECIOUS system concept and architecture.
The pilot test will recruit 30 morbidly obese pre-diabetic patient and they will be randomized into three groups: Group 1. Treatment as usual; Group 2. PRECIOUS system; Group 3. PRECIOUS system and Motivational Interviewing counseling. Researchers of this study will contact telephonically with potential participants and will ask for voluntary participation. Among those who agree, a face-to-face appointment at the reference hospital will be scheduled. In this appointment, general information on the study objectives and procedures will be offered. The length of intervention will be 3 months with the following scheduled follow-up appointments: week 2 (considering baseline as week 1), week 5, week 8 and week 12. In the follow-up appointments 2, 5 and 8, only doubts and questions regarding system use will be addressed (not specific measures will be collected). Two types of measures will be assessed: 1) Primary outcome measures (at the end of the test) to assess usability, satisfaction, user's acceptance, and effectiveness of PRECIOUS system; and 2) Secondary outcome measures (baseline and final assessment) to assess different aspects of lifestyle and health habits. In addition, all patients will use a device to record heart rate during 3 consecutive days (week 1 and 12).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
30
Bodyguard + Precious App. Short onsite training session on how to use the system.
Bodyguard + Precious App + Motivational Interviewing. Face to face counseling session followed by a short onsite training session on how to use the system.
Hospital Universitari Vall d'Hebron - Fundació Institut de Recerca Vall d'Hebron. Department of Psychiatry
Barcelona, Spain
Patients' subjective assessment of usability of the PRECIOUS system
o Numeric scale 0-10 \& 10 items, 5-point Likert Scale, 0-100
Time frame: At the end of the test (Session 5, week 12)
Satisfaction with the PRECIOUS system
o 16 Numeric scales 0-10
Time frame: At the end of the test (Session 5, week 12)
User's acceptance of the PRECIOUS system
o 4 Numeric scales 0-10, based on QUIS7
Time frame: At the end of the test (Session 5, week 12)
Effectiveness of the PRECIOUS system
o Difference between the control group and the intervention groups regarding engagement and adherence to targeted healthy habits based on MCID between groups of the PRECIOUS system.
Time frame: At the end of the test (Session 5, week 12)
Demographics and clinical data
o Ad hoc protocol (17 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Health-related quality of life
o SF12v2: 12 items
Time frame: Session 1 (week 1) and Session 5 (week 12)
Weight management
o S-Weight (5 items) \& P-Weight (34 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Severity of the core symptoms of Depression, Anxiety & Stress
o DASS (21 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Physical activity
o Data provided by the app
Time frame: Continuous measure (intervention groups)
Nutritional habits
o Data provided by the app
Time frame: Continuous measure (intervention groups)
Alcohol consumption
o Audit (10 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Tobacco use
o Fagerström (6 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Sleep quality
o Pittsburg Quality of Sleep index (18 items)
Time frame: Session 1 (week 1) and Session 5 (week 12)
Assessment of the motivational aspects of PRECIOUS
o 23 numeric scales 0-10
Time frame: Session 5 (week 12) Intervention groups
Bodyguard 2 device
Heart Rate Variability measurement
Time frame: Session 1 (week 1) and Session 5 (week 12)
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