A Personalized Health Behavior System



Status:Recruiting
Conditions:Healthy Studies
Therapuetic Areas:Other
Healthy:No
Age Range:65 - Any
Updated:3/10/2019
Start Date:November 26, 2018
End Date:April 30, 2021
Contact:Chelsie O Burchett, MA
Email:cob2014@med.cornell.edu
Phone:6469627140

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A Personalized Health Behavior System to Promote Well-Being in Older Adults (FITTLE)

The objectives of this study are to examine the usability and efficacy, for diverse older
adults, of a new tablet-based dynamic system: the Fittle Senior System (FSS) that will
provide: (1) personalized behavior-change programs for improved diet and increased physical
activity and (2) online social interaction and support from small teams pursuing similar
goals.

The proposed study involves a two group randomized trial where participants will be
randomized to the Fittle Senior System or to a paper-based psycho-educational control
condition following a baseline assessment. The duration of the intervention phase will
involve an active 12-week intervention phase followed by a 12-week maintenance phase. We will
recruit and randomize 180 community dwelling adults aged 65+ years, who live alone and are at
risk for social isolation. Participants will be assessed at baseline, 3 months post active
intervention and 3 months post maintenance (6 months following active intervention) on
measures of health and health behaviors, and indices of social support.

The proposed study will evaluate a new tablet-based dynamic system: the Fittle Senior System
(FSS) that will provide: (1) personalized, goal-directed behavior-change programs for
improved diet and increased physical activity and (2) online social interaction and support
from small teams pursuing similar goals. The system builds on two technology-based systems
developed by the investigative team: (1) the computer-based PRISM system (Czaja et al.,
2015), designed for older populations to support social connectivity and well-being, and (2)
the Fittle mobile platform (PARC) designed to support positive health behavior change through
integrated online social support and personalized coaching based on artificial intelligence
(AI). The Fittle program is based on Self-efficacy and Social Cognitive Theory (Bandura,
1998, 2001), Goal Setting (Locke & Latham, 2002) and the Theory of Planned Behavior (Ajzen,
1991). Fittle provides support for individuals and teams to progress through lifestyle
challenges (e.g., poor eating habits, sedentary behavior), helping individuals master one
health improving habit after another in a way that builds on previous achievements.
Individuals choose from a variety of challenges to accomplish goals via an intelligent
coaching agent and personalized, engaging user experiences. The objective is to maintain and
reinforce perceived self-efficacy with daily goals that are perceived as being achievable,
and to improve motivation and ability with goals that are perceived as not too easy. The
program provides encouragement and social support through a team component. Thus, Fittle is
designed to reinforce and build self-efficacy and positive attitudes.

Inclusion Criteria:

- At least 65 years old

- Self-identified as White, Black, or Hispanic

- Speak English or Spanish

- Able to read at the 6th grade

- Living alone

- Planning to stay in the study geographical area for the duration of the study

Exclusion Criteria:

- Cognitively impaired

- Visual impairment

- Actively engaged in structure physical exercise regularly

- Lack of doctor's clearance to participate in the study
We found this trial at
2
sites
New York, New York 10065
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1601 Northwest 12th Avenue
Miami, Florida 33136
(305) 243-6545
University of Miami Miller School of Medicine The University of Miami Leonard M. Miller School...
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Miami, FL
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