1. Improving remote lifestyle intervention studies in children: Participant and caregiver feedback of the smart heart study.
- Author
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Rombeek M, De Jesus S, Prapavessis H, Dempsey AA, Fraser D, Welisch E, Altamirano-Diaz L, and Norozi K
- Subjects
- Child, Feedback, Humans, Obesity, Overweight, Caregivers, Life Style
- Abstract
Objectives: We sought to describe and analyze the quantitative and qualitative feedback obtained from participants and their caregivers of the Smart Heart study, a successful 12-month lifestyle intervention for children with overweight or obesity and congenital heart disease that provided remote lifestyle counseling, to improve future lifestyle interventions in children., Methods: Thirty-six participants and caregivers were polled using a standard program evaluation questionnaire at the end of the intervention. Feedback was compiled into themes, and facilitators and barriers to program success were identified., Results: There was a high level of satisfaction with the intervention and staff interactions as well as a low perceived burden of participation. There were also specific concerns, including mixed impressions regarding technology usage and a less impressive indication of actual impactful behavior change., Conclusions: The study identified five themes, and corresponding facilitators and barriers to participant compliance, from the Smart Heart intervention feedback and offered suggestions for improving future lifestyle behavioral intervention study designs in children., Practice Implications: Remote smartphone counseling is effective and efficient. It is recommended that the counseling messages are specific, the counseling schedule is patient-centric, patient burden is limited, methods with immediate patient feedback are used and family is included when feasible., Competing Interests: Declaration of Competing Interest Meghan Rombeek reports personal fees from a Children's Health Foundation (CHF) grant during the conduct of the Smart Heart study, from which feedback was obtained for the submitted work; personal fees from a CHF grant outside the submitted work; and was employed as one of the health coaches and as a research assistant in the Smart Heart study, from which feedback was obtained and analyzed for the submitted work, and was paid for her time through the CHF grant; Dr. De Jesus reports personal fees from an Academic Health Sciences Centres of Ontario (AMOSO) grant, during the conduct of the Smart Heart study, from which feedback was obtained for the submitted work; personal fees from an AMOSO grant, outside the submitted work; and was employed as one of the health coaches in the Smart Heart study, from which feedback was obtained and analyzed for the submitted study, and was paid for her time through the AMOSO grant; Dr. Prapavessis has nothing to disclose; Dr. Dempsey reports personal fees from a CHF grant, during the conduct of the study; personal fees from a CHF grant, outside the submitted work; Dr. Fraser has nothing to disclose; Dr. Welisch has nothing to disclose; Dr. Altamirano-Diaz has nothing to disclose; Dr. Kambiz reports grants from AMOSO and grants from the CHF, during the conduct of the Smart Heart study from which feedback was obtained for the current study; and participants were patients under his care in the cardiac clinic at London Health Sciences Centre (LHSC) (London, Ontario, Canada). The funding source(s) had no direct involvement in any aspect of study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication., (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Published
- 2020
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