PIB2-intervention: Internet-delivered behavior change intervention aimed at healthcare professionals ánd patients with cardiovascular risk factors.

Internet-delivered behavior change intervention aimed at motivating healthcare professionals to encourage physical activity among patients with cardiovascular risk factors.

Healthcare professionals need to encourage physical activity according to the guideline for cardiovascular risk management. Patients with cardiovascular risk factors (abdominal obesity, high blood pressure, low HDL cholesterol, elevated triglycerides and elevated blood glucose), can decrease their risk for cardiovascular diseases with higher levels of physical activity and especially of physical fitness.

We developed an Internet-delivered behavior change intervention aimed at motivating healthcare professionals to encourage physical activity among patients with cardiovascular risk factors.

Can we change the non (optimal) encouraging behavior of healthcare professionals and the inactive behavior of patients with cardiovascular risk factors?

Intervention group vs. 'waiting-list'-control group.



Intervention group:

Baseline, intervention continuous measurement via website, end 6 months.



'Waiting-list'-control group:

Baseline, Baseline after 6 months, intervention, end 6 months.

The PIB2-intervention includes:

1. Systematic assessment;

2. Monitoring and evaluating the implementation of the Internet-delivered behavior change intervention aimed at healthcare professionals to encourage physical activity among patients with cardiovascular risk factors.



The intervention consist of five theory- and evidence-based blocks comprising personalized messages to motivate professionals to coach a person with one or more cardiovascular risk factors. Each block comprises seven steps.



In block one the healthcare professional coaches a person with one or more cardiovascular risk factors through a process of behavior change, i.e. the professional encourages a person with one or more cardiovascular risk factors to become and stay physically active.

Block II is a support system for the healthcare professional, parallel block I and is about how to coach a person with one or more cardiovascular risk factors.

Block III is the persons’ website, where the a person with one or more cardiovascular risk factors can look back at the plans he made with the healthcare professionals to see (in figures) if he/she is making progress in physical activity levels, etc.

Block IV consist of an Internet forum directed at healthcare professionals.

Block V is created to motivate the professional.



The website contains personalized messages with fill-in forms, taking about 5-7 minutes of the consultation time with a person with one or more cardiovascular risk factors. The website contains ca. 95 windows displaying parts (messages and/or figures) of the website.



Assessment:

The assessment is standardized and focused on:

1. Social-cognitive determinants of healthcare professionals working with people with one or more cardiovascular risk factors;

2. Social-cognitive determinants of people with one or more cardiovascular risk factors;

3. The number of cardiovascular risk factors of people with one or more cardiovascular risk factors;

4. The physical activity level of the people with one or more cardiovascular risk factors.



Monitoring and evaluating the Internet-delivered behavior change intervention aimed at healthcare professionals to encourage physical activity among patients with cardiovascular risk factors.