My Health, My Life, My Way—An Inclusive Web-Based Self-management Program for People With Disabilities Living With Chronic Conditions: Protocol for a Multiphase Optimization Strategy Study

JMIR Research Protocols · 7 authors, 5 centres

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This paper presents the protocol for the 'My Health, My Life, My Way' study, a 4-arm randomized controlled trial designed to evaluate an inclusive web-based self-management program for people with physical disabilities and chronic conditions. Using the multiphase optimization strategy (MOST) framework, the study will assess the feasibility, acceptability, and preliminary efficacy of a 6-month intervention combining telecoaching and gamified rewards. The 200 participants will be randomized to arms comparing scheduled versus no scheduled coaching calls and gamified versus flat rewards. Statistical analysis will use linear mixed models in an intent-to-treat manner. The protocol notes limitations including reliance on self-reported measures and the requirement for internet access. The study aims to optimize the intervention and inform future self-management programs for this underserved population.

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other

SPECIALTY

internal medicine

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10182470

My Health, My Life, My Way—An Inclusive Web-Based Self-management Program for People With Disabilities Living With Chronic Conditions: Protocol for a Multiphase Optimization Strategy Study

JMIR Research Protocols

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ABSTRACT

Background Individuals with disabilities living with chronic health conditions require self-management programs that are accessible, sustainable, inclusive, and adaptable. Health coaching is an effective approach to promoting behavior change in self-management. Health coaching combined with telehealth technology has the potential to improve the overall quality of, 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 4-arm randomized controlled trial evaluating the delivery of a 6-month intervention involving 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 assess whether a combination or lack of individual elements influences behavior. Participants will be randomized to 1 of 4 study arms: scheduled coaching calls and gamified rewards, no scheduled coaching calls and gamified rewards, scheduled coaching calls and flat rewards, and no scheduled coaching calls and flat rewards. Results The My Health, My Life, My Way study was approved by the institutional review board of the University of Alabama at Birmingham, and recruitment and enrollment will begin in May 2023. Data analysis is expected to be completed within 6 months of ending data collection. 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 to optimize and improve our understanding of the feasibility and efficacy of a web-based self-management program for people with physical disabilities and chronic conditions. More specifically, My Health, My Life, My Way will determine which combination of interventions (coaching calls and gamification) will result in increased participation in self-management programming. 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. Trial Registration ClinicalTrials.gov NCT05481593 ; https://clinicaltrials.gov/ct2/show/ NCT05481593 International Registered Report Identifier (IRRID) PRR1-10.2196/31694

CITATION EXPORT

Eric Evans, Ayse Zengul, Amy Knight et al.. My Health, My Life, My Way—An Inclusive Web-Based Self-management Program for People With Disabilities Living With Chronic Conditions: Protocol for a Multiphase Optimization Strategy Study. JMIR Research Protocols. (2023). https://doi.org/10.2196/31694

AUTHORS

7 · 5 CENTRES

Eric Evans, Ayse Zengul, Amy Knight, Amanda Willig, Andrea Cherrington, Tapan Mehta, Mohanraj Thirumalai

1 Department of Health Services Administration School of Health Professions University of Alabama at Birmingham Birmingham, AL United States
2 Department of Nutrition Sciences School of Health Professions University of Alabama at Birmingham Birmingham, AL United States
3 Department of Neurology Heersink School of Medicine University of Alabama at Birmingham Birmingham, AL United States
4 Division of Infectious Disease Heersink School of Medicine University of Alabama at Birmingham Birmingham, AL United States
5 Division of Preventive Medicine Heersink School of Medicine University of Alabama at Birmingham Birmingham, AL United States

EDITOR / REVIEWER

Amaryllis Mavragani