Accepted for/Published in: JMIR Research Protocols
Date Submitted: Dec 14, 2022
Date Accepted: Feb 16, 2023
My Health, My Life, My Way, an Inclusive Online Self-Management Program for People with Disabilities and Living with Chronic Conditions: Protocol for a Multiphase Optimization Strategy Study
ABSTRACT
Background:
Individuals with disabilities and chronic health conditions require self-management programs that are accessible, sustainable, inclusive, and adaptable. Health coaching is an effective approach for improving behavioral changes in self-management. Health coaching combined with telehealth technology has the potential to improve the overall quality and access to health services.
Objective:
This protocol outlines the study design for implementing the My Health, My Life, My Way intervention. The study will assess the feasibility, acceptability, and preliminary efficacy of the intervention for people with disabilities and optimize it.
Methods:
The My Health, My Life, My Way study is a four-arm randomized controlled trial evaluating the delivery of a 6-month intervention of telecoaching, inclusive educational content, and technology access for 200 individuals with chronic conditions and physical disabilities. This study uses the engineering-inspired Multiphase Optimization Strategy (MOST) framework to evaluate intervention components and whether a combination or lack of individual elements influences behavior. Participants will be randomized to one of four study arms: 1) scheduled coaching calls and gamified rewards, 2) no scheduled coaching calls and gamified rewards, 3) scheduled coaching calls and flat rewards, 4) no scheduled coaching calls and flat rewards.
Results:
The My Health, My Life, My Way study was approved by the university’s institutional review board, and recruitment and enrollment will begin in May 2023. This clinical trial protocol was developed based on the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013 Statement.
Conclusions:
The My Health, My Life, My Way study will help optimize and improve our understanding of the feasibility and efficacy of a web-based self-management program for people with chronic conditions and physical disabilities. The My Health, My Life, My Way intervention has the potential to become a scalable and novel method to successfully manage chronic conditions in people with disabilities. Clinical Trial: ClinicalTrials.gov NCT05481593; https://clinicaltrials.gov/ct2/show/NCT05481593.
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Copyright
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