To evaluate the efficacy of an adapted telehealth-based, health and wellness lifestyle program on promoting healthy lifestyle behaviors and improving health outcomes.
The purpose of this study is to evaluate the efficacy of an adapted telehealth-based, health and wellness lifestyle program (POWERS-TBI) on promoting healthy lifestyle behaviors and improving self-efficacy for healthy activities such as amount of physical activity, dietary/food intake, mental stimulation and activity, substance use, mindfulness/spirituality, social relationships, and/or leisure activities among persons with TBI and their caregivers. The treatment program will be delivered via the internet, along with ongoing telephone health coaching calls designed to motivate, problem-solve challenges, reinforce skills learned, and prevent relapse. The goals are to evaluate the impact of the treatment program on improving health outcomes for people with TBI. The investigators plan to accomplish this by evaluating the impact of the program using a case-control crossover design.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
62
The treatment program is interactive and will be delivered via the internet, along with ongoing telephone health coaching calls designed to motivate, problem-solve challenges, reinforce skills learned, and prevent relapse.
University of Alabama at Birmingham
Birmingham, Alabama, United States
Health Promoting Lifestyle Profile II
HPLP-II; Total scores and subscale scores are summed and divided by number of items on each scale respectively for an average, with higher scores indicating greater lifestyle behaviors
Time frame: Up to 13 months
Barriers to Physical Activity and Disability Survey
BPADS: Response choices (yes/no) for 31 items are summarized; 3 items are open-ended, higher scores indicate greater barriers
Time frame: Up to 13 months
Social Support and Exercise Support for Eating and Physical Activity Habits
SSES: Subscale scores are obtained for exercise support (ranging from 10 for friends and 10 for family to 80 for friends and 80 for family); higher scores indicate greater support
Time frame: Up to 13 months
Stages of Change Readiness and Treatment Engagement Scale
SOCRATES: Items are summed and averaged across each subscale: Recognition scores range from 7-35; Ambivalence scores range from 4-20; Taking Steps scale range from 8-40: Higher scores indicate greater motivation
Time frame: Up to 13 months
Patient Health Questionnaire-9 Item
PHQ-9: Scores are summed and range from 0 to 27, higher scores indicate greater depressive symptomatology
Time frame: Up to 13 months
Fatigue Severity Scale
FSS: Scores range from 9 to 63 with higher scores indicating greater fatigue
Time frame: Up to 13 months
Bodily Pain Index
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BPI: Scores for the Interference scale are summed and average for a mean (range 0 to 70) with higher scores indicating greater pain interference
Time frame: Up to 13 months
Craig Handicap Assessment Reporting Technique short form
CHARTsf: Suscales scores are summed and averaged for respective scales with higher scores indicating greater community integration
Time frame: Up to 13 months
Perceived Wellness Survey
PWS: A total score and subscale scores are calculated with a formula and range between 36 to 316 and average with higher scores indicating greater personal wellness
Time frame: Up to 13 months
Barriers to Health Activities among Disabled Persons scale
BHADP: Ratings are summed across each item for how interfering they are with health promotion (range of possible scores 18 to 72)
Time frame: Up to 13 months
Zarit Burden Scale
ZBS: Scores are summed (ranges 0 to 48) for a total scores, higher scores are indicative of greater burden
Time frame: Up to 13 months
Sociodemographic Characteristics
No abbreviation: Frequencies, summed total, or averages are reported to characterize the sample
Time frame: Up to 13 months