264043 Using the iPod Touch to Enhance Patient-Physician Interaction to Increase Physical Activity and Healthy Eating

Tuesday, October 30, 2012 : 5:00 PM - 5:15 PM

Samuel N. Forjuoh, MD, DrPH, FGCP , Department of Family & Community Medicine, Scott and White, Texas A&M HSC College of Medicine, Temple, TX
Dawn Begaye , Department of Family & Community Medicine, Scott & White Healthcare, Temple, TX
Jude Des Bordes, MD, MPH, CPH , General Internal Medicine, UT MD Anderson Cancer Center, Houston
Suojin Wang, PhD , Department of Statistics, Texas A&M University, College Station, TX
Marcia G. Ory, PhD, MPH , Social & Behavioral Health, Texas A&M HSC School of Rural Public Health, College Station, TX
Background: Although there is a growing awareness of the health consequences of physical inactivity and unhealthy eating, identification of these unhealthy behaviors and counseling by physicians in ambulatory care remain problematic. We tested the feasibility of using the iPod touch for patient health behavior assessment and printing summary reports to cue patient-physician collaborative goal-setting on health behavior change in ambulatory care. Methods: All consenting patients ≥18, scheduled for routine office visits, were prompted to use a secure iPod for targeted health behavior assessment (HBA) before encounter with their primary care physician (PCP). Patients and PCPs received generated patient HBA reports. Patients were phoned within one week to assess their experiences with using the iPod. Results: Of 293 patients approached, 109 (37.2%) consented; mean BMI was 30.9, most (58.7%) were aged 18-45, 68.8% were female, and 63.3% were White. On average, <1 minute was needed to provide instruction on using the iPod. Of those successfully followed (n=83;76.1%), the vast majority reported positive experiences with the iPod: easy to use (98.8%); words easy to see (100%); questions easy to understand (97.6%); not rushed to answer the questions (89.2%); report easy to understand (93.8%); and would use the information to better health (93.8%). Almost a third discussed the report with their PCP, while 29.3% established collaborative goal-setting on health behavior change with their PCP. Conclusions: We found the iPod touch as a feasible device to assess and assist with health behavior change on physical activity and healthy eating in the ambulatory care setting.

Learning Areas:
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
1. Assess whether it is feasibility to incorporate a health IT in health behavior change in ambulatory care. 2. Describe patientsí perspectives on using health IT in behavior change research in ambulatory care.

Keywords: Health Information, Behavior Modification

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Professor and Director of Research in my Department, I have been the PI or Co-PI of multiple federally and institutionally funded grants on injury prevention, health disparities, and behavioral change in primary care. My current research focuses on diabetes and obesity, specifically enhancing patient-physician commuication and disease management with health IT and promoting preventive health services and health behavior change. I was the PI of the grant upon which these results are based.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.