Goal-commitment coaching to boost proactive health actions in adults with hypertension, diabetes, or high cholesterol
Evolution and Driving Mechanism of Proactive Health Behavior in Chronic Disease Patients Based on Goal Commitment
This project will try a goal-commitment behavioral program to see if it helps adults with hypertension, diabetes, or high cholesterol adopt more proactive health habits.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 600 (estimated) |
| Ages | 45 Years and up |
| Sex | All |
| Sponsor | Huazhong University of Science and Technology Academic / other |
| Locations | 1 site (Wuhan, Hubei) |
| Trial ID | NCT07552571 on ClinicalTrials.gov |
What this trial studies
The project builds a theoretical model using prospect theory and evolutionary game theory to simulate how different levels of goal commitment influence patients' choices about proactive health actions. It uses the Stimulus-Organism-Response (SOR) framework to design a goal commitment–based behavioral intervention aimed at increasing patient activation and adherence. Researchers will collect survey data across participating sites and then run a parallel controlled intervention comparing the goal-commitment program to usual care. Key outcomes include patient activation, self-reported proactive behaviors, and adherence to medical recommendations.
Who should consider this trial
Good fit: Adults who have lived in the study area for at least 1.5 years, have been diagnosed with hypertension, diabetes, or dyslipidemia, can communicate and use a smartphone, and are willing to provide written consent.
Not a fit: Patients who are non-residents, currently hospitalized, unable to join group activities, or who have severe cognitive impairment, psychiatric disorders, or comorbidities that prevent participation are unlikely to benefit.
Why it matters
Potential benefit: If successful, the intervention could increase patient activation and adherence, potentially reducing complications and healthcare use for chronic disease patients.
How similar studies have performed: Prior goal-setting and patient-activation programs have shown modest gains in adherence, but combining prospect theory and evolutionary game modeling with an SOR-based intervention is largely novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Residents living in the study area for at least 1.5 years * Diagnosed with at least one chronic disease, including hypertension, diabetes mellitus, or dyslipidemia * Conscious and able to communicate effectively * Educational level of primary school or above * Able to use a smartphone and common mobile applications (e.g., WeChat) * Willing to participate and provide written informed consent Exclusion Criteria: * Non-residents of the study area * Unable to participate in group-based intervention activities * Currently hospitalized * Diagnosed with severe cognitive impairment, dementia, or psychiatric disorders * Participants with severe comorbidities that may interfere with study participation
Where this trial is running
Wuhan, Hubei
- School of Medicine and Health Management Tongji Medical College,Huazhong University of Science and Technology — Wuhan, Hubei, China (Recruiting)
Study contacts
- Study coordinator: Juyang Xiong, PhD
- Email: xiongjuyang@hust.edu.cn
- Phone: +86-13995629873
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.