Background and Method of the Striving to be Strong Study a RCT Testing the Efficacy of a M-health Self-management Intervention

Authors

Polly Ryan, University of Wisconsin - Milwaukee
Paula E. Papanek, Marquette UniversityFollow
Mary Ellen Csuka, Medical College of Wisconsin
Melissa E. Brown, University of Wisconsin - Milwaukee
Sarah Hopkins, University of Wisconsin - Milwaukee
Shelly Lynch, University of Wisconsin - Milwaukee
Victoria Scheer, University of Wisconsin - Milwaukee
Andrea Schlidt, University of Wisconsin - Milwaukee
Ke Yan, Medical College of Wisconsin
Pippa Margaret Simpson, Medical College of Wisconsin
Ray Hoffman, Medical College of Wisconsin
The Striving to be Strong Team

Document Type

Article

Language

eng

Publication Date

8-2018

Publisher

Elsevier

Source Publication

Contemporary Clinical Trials

Source ISSN

1551-7144

Abstract

Background

Osteoporosis is a prevalent and debilitating condition affecting >50% of post-menopausal women. Yet, a low percentage of women regularly engage in health promoting behaviors associated with osteoporosis prevention. Complex, multidimensional, m-Health interventions hold promise to effect engagement in health behavior change related to calcium and vitamin D intake, balance, core and leg strength, and physical activity.

Methods

Striving to be Strong study (R01NR013913-01) tests the efficacy of a research and theory based, patient centered, dynamically tailored intervention delivered via smart phone apps. Ecological Momentary Assessments (EMAs) enhance immediate feedback and complement traditional measures. The desired outcomes are the maintenance of osteoporosis self-management behaviors and a decrease in the loss of bone density over time. The Individual and Family Self-management Theory provided the conceptual foundation for the study. The sample consists of 290 healthy women between the ages of 40 and 60 with an anticipated attrition of 33%. This three group repeated measures Randomized Clinical Trial spans a 12-month time period. Data collected occurs via web site, smart-phone app, self-report, observation, and measures. Proximal (engagement in osteoporosis health behaviors) and distal (serum vitamin D, DXA, and body composition) outcomes are collected for testing of the efficacy of the intervention and theory evaluation.

Discussion

Active and rigorous quality management processes continually evaluate enrollment and retention goals, functionality of the automated intervention delivery and data collection systems, EMAs, and dispersion of incentives.

Comments

Accepted version. Contemporary Clinical Trials, Vol. 71 (August 2018): 80-87. DOI. © 2018 Elsevier. Used with permission.

Recommended Citation

Ryan, Polly; Papanek, Paula E.; Csuka, Mary Ellen; Brown, Melissa E.; Hopkins, Sarah; Lynch, Shelly; Scheer, Victoria; Schlidt, Andrea; Yan, Ke; Simpson, Pippa Margaret; Hoffman, Ray; and The Striving to be Strong Team, "Background and Method of the Striving to be Strong Study a RCT Testing the Efficacy of a M-health Self-management Intervention" (2018). Exercise Science Faculty Research and Publications. 164.
https://epublications.marquette.edu/exsci_fac/164