Accepted for/Published in: JMIR Research Protocols
Date Submitted: Oct 5, 2023
Date Accepted: Nov 23, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Intervention Fidelity Protocol and dashboard for My Health, My Life, My Way: A telehealth behavioral intervention for chronic disease self-management in adults with physical disabilities
ABSTRACT
Background:
Individuals with physical disabilities experience higher rates of chronic health conditions than individuals without physical disabilities. Self-management programs that use health coaching have been shown to be effective at eliciting health behavior change in health outcomes such as goal setting, adherence, and health care utilization. Additionally, online resources such as telehealth-based technologies can complement health coaching to improve health-related behaviors and utilization of health services. The complexity of studies using these resources requires a fidelity plan to ensure that health behavior studies are administered properly.
Objective:
The My Health, My Life, My Way fidelity protocol provides methods, strategies, and procedures of a multifaceted telehealth program for individuals with physical disabilities and chronic health conditions. This health-behavior study is a randomized control trial with four study arms. To guide the fidelity protocol developed, we used the National Institutes of Health Behavior Change Consortium framework (NIH BCC).
Methods:
The fidelity intervention protocol was developed by using the five primary domains provided by the NIH BCC: study design, provider training, treatment delivery, treatment receipt, and enactment of treatment skills. Following the NIH BCC guidelines and implementing social cognitive theory, this study is designed to ensure that all study arms receive equal treatment across conditions and groups. Health coaches and providers will be trained to deliver consistent health coaching, so participants receive appropriate attention. Educational content will be developed to account for health literacy and comprehension of the material. Multiple fidelity intervention steps such as coaching call logs, regular content review, and participant progress monitoring will translate to participants using the skills learned in their daily lives.
Results:
My Health, My Life, My Way will begin enrollment in January 2024 and end in December 2024, with results reported in early 2025.
Conclusions:
Intervention fidelity protocols are necessary to ensure that health-behavior change studies can be implemented into larger, real-world settings. The My Health, My Life, My Way fidelity protocol has used the guidelines by the NIH BCC to administer a telehealth intervention combined with health coaching for individuals with physical disabilities and chronic health conditions. This fidelity protocol can be used as a complementary resource for other researchers who conduct similar research using telehealth technologies and health coaching in real-world settings. Clinical Trial: Clinical Trials Registration: NCT05481593
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