An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians

Training physicians to improve their behavior change counseling/communication skills is important, yet the evidence for the efficacy and acceptability of existing training programs is lacking and there is little consensus on the core competencies that physicians should master in the context of NCD management. The purpose of this study, led by a number of Can-Change members including Anda Dragomir, Vincent Gosselin Boucher and Drs Simon Bacon and Kim Lavoie, is to generate an acceptable, evidence-based, stakeholder-informed list of the core communication competencies that physicians should master in the context of NCD management.

Feasibility and usability of an ontology-based mobile intervention for patients with hypertension

Mobile health interventions offer unique advantages and novel approaches to helping individuals manage hypertension. However, current interventions often lack theoretical and scientific grounding. The goal of this study, in which Can-Change member Dr. Michael Vallis took part, is to effectively model the knowledge, concepts and relationships relevant to the management of a chronic illness like hypertension, and to implement this knowledge model within a mobile self-management application that can be used by patients. The study concludes that it is possible to model existing information about the management of hypertension as an ontology. Given the nature of ontological models, this approach can be easily modified to address a variety of… Continue reading“Feasibility and usability of an ontology-based mobile intervention for patients with hypertension”

Curbing excess gestational weight gain in primary care: using a point-of-care tool based on behavior change theory

Excess gestational weight gain (GWG) is a risk factor for several adverse outcomes for mothers and their offspring. The 5As of Healthy Pregnancy Weight Gain is a tool that assists clinicians to have patient-centered discussions about GWG. This feasibility trial, co-led by Can-Change member Dr. Michael Vallis, examined the association between training in the use of this tool and women’s self-efficacy to manage GWG, readiness to adhere to GWG guidelines, perception of their clinicians’ patient-centeredness when discussing GWG, and guideline concordance of total GWG.

Diabetes-Related Behavior Change Knowledge Transfer to Primary Care Practitioners and Patients: Implementation and Evaluation of a Digital Health Platform

The aim of this study, led in part by Can-Change member Dr. Michael Vallis, was to develop and evaluate a computerized decision support platform that assists primary care practitioners in applying standardized behavior change strategies and clinical practice guidelines–based recommendations to an individual patient and empower the patient with the skills and knowledge required to self-manage their diabetes through planned, personalized, and pervasive behavior change strategies.