Thursday, July 6, 2017

Clinical Research Oriented Workshop (CROW) Meeting: July 6, 2017

Present:   Yang Bai, Levi Bonnell, Jessica Clifton, Lillian Savard, Juvena Hitt, Ben Littenberg, Tim Plante, Connie van Eeghen

Start Up: Introductions all around; hooray for change and new faces!
1.                   Proposal for New Faculty Start Up – Yung Bai, PhD
a.       Identify documents (name, page numbers)
b.       Goals:  Consumer monitors (like FitBits) – can they be used to change consumer behaviors, specifically inactive participants who are pre-HTN
                                                   i.      Collaborator: nursing faculty (Jennifer)
c.       Intervention: goal setting, FitBit, with or without coaching
                                                   i.      Method: 2 arms, both with FitBit, one with coaching
1.       What are the consequences of having no control group (no FitBit)
                                                 ii.      Measures: activity and clinical measures (BP)
1.       What are the alternative measures that don’t create a Hawthorne Effect (Simple 7)
                                               iii.      Sample size: an estimate is needed to support the answer derived from the question
                                               iv.      Consider expanding population to HTN
d.       FINER evaluation
                                                   i.      Feasible: affordability
                                                 ii.      Interest: motivation of PI
                                               iii.      Novel: to what degree have exercise monitors been studied?
1.       Real time data for health coach
2.       Wide variations in literature
a.       They work short term?
b.       They don’t work in the long term?
                                               iv.      Ethical: no concerns
                                                 v.      Relevant: what is the mission/what are the goals
1.       Health status of the greater community
a.       As an intervention for the patient
b.       As an input for the PCP to develop the “coach” as part of practice
2.       Career development – this is key for Yung
a.       Stepping off point for other diseases
b.       This leads to the question: what is not known in this field
                                                                                                                           i.      What is Yung’s ability to make a contribution here?
                                                                                                                         ii.      What is the hook?
1.       Cost?  Not really – FitBits are cheap, and are quickly outdated
c.       Consider searching and SmallStepsLab as a novel data source tool, or consider GoogleFit or Apple’s health kit
d.       Consider focusing on the coach: how does the clinician intervene using real time collected data (probably not daily but easily produced by many different devices)
                                                                                                                           i.      Can you manualize coaching?
                                                                                                                         ii.      Can you automate coaching?  Human coaching is hard to standardize and hard to measure.  And, it doesn’t get reimbursed.
e.       What’s the research question: does the package work?  Does an element in the package make a difference?
                                                   i.      If it’s the package, then consider the value of the control arm.
                                                 ii.      Consider coaching without FitBit – Yang already knows that generic coaching does not work, except for participants at the least active end of the scale (which may have been due with the regression to the mean, which can be bigger than the treatment effect)
                                               iii.      Stay with RCT
                                               iv.      FOCUS – what is the reporting goal:
1.       What works best in the world of FitBits and coaching?
a.       What would make it work better?
2.       How to benefit other populations?
f.        This research interest must provide an outcome that moves the research alone
                                                   i.      The interest is focused on the technology (less about the health coach)
                                                 ii.      What is the next step in the research map

2.                   Next Workshop Meeting(s): Thursdays, 11:30 p.m. – 12:45 p.m., at Given Courtyard South Level 4 to end of August 2017.
a.       July 13: Connie – SBIRT manuscript
b.       July 20: Jessica – publication plan for dissertation (no Ben)
c.       July 27: (no Ben)
d.       August 3: (no Ben, Connie, Jessica, Lillian)
e.       Future topics:
a.       Juvena: protocol development
b.       LaMantia: predictors of successful R01 applications:

Recorder: Connie van Eeghen

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