N/A
N=47
Use of Track Health Function of the MyHealthevet Personal Health Record
Prediabetic State
Bottom Line
View on ClinicalTrials.gov: NCT02921425 ↗Enrolled (actual)
47
Serious AEs
—
Results posted
Aug 2018
Primary outcome: Primary: Change From Baseline Weight — 225.0; 222.1 lbs. — p=.003
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- patient health record (Behavioral)
- Age
- Adult, Older Adult · 20+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Sep 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline Weight |
225.0; 222.1 | .003 sig |
| PRIMARY Body Mass Index |
33.6; 33.4 | — |
| PRIMARY Change From Baseline Abdominal Circumference |
44.2; 43.5 | .007 sig |
| PRIMARY Change From Baseline Energy Expenditure |
435.2; 483.8 | .026 sig |
| PRIMARY Change From Baseline Dietary Intake |
1612.2; 1525.0 | — |
| PRIMARY Systolic and Diastolic Blood Pressure |
131.5; 124.0; 89.2; 81.0 | .003 sig |
| SECONDARY Change From Baseline Physical Activity Self-efficacy |
57.4; 56.4 | — |
| SECONDARY Change From Baseline Diet Self-efficacy |
1.9; 2.4 | .019 sig |
| SECONDARY Change in Intent to Perform Physical Activity |
2.1; 2.6 | — |
| SECONDARY Change in Intent to Adhere to Diet |
2.0; 2.2 | — |
| SECONDARY Change in Patient Activation |
67.5; 67.8 | — |
Summary
This study was a pilot 3-month clinical trial that investigated the feasibility, effectiveness, and acceptability of using the Track Health function of the Veterans Health Administration's patient health record for effecting a more positive physical activity (PA) and dietary intake lifestyle in a sample of 38 overweight and obese Veterans with prediabetes. Baseline and three-month post-intervention outcomes were measured in two main domains: objective (e.g., weight) and subjective (e.g., self-efficacy).
Eligibility Criteria
Inclusion Criteria
- Veterans with diagnosis of prediabetes (HbA1c 5.7-6.4%, fasting plasma glucose 100-125 mg/dL or oral glucose tolerance test 140-199 mg/dL)
- English speaking
- Access to the Internet
- Body mass index (BMI) of 25-42 kg/m and a sedentary lifestyle (not being physically active three days per week for 20 minutes each time for the previous six months and not performing regular resistance exercise)
- Able to engage in a regular program of mild-to-moderate intensity physical activity but were not currently following a weight loss diet or participating in an intervention trial
Exclusion Criteria
- Cognitively impaired (Mini-Cog greater than or equal to 3)
- Depressed (PHQ-2 less than or equal to 3)
- Vision or hearing disorders
- Have been diagnosed with diabetes mellitus, uncontrolled hypertension, or cardiovascular disease
- Currently pregnant or nursing.
Data sourced from ClinicalTrials.gov (NCT02921425). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.