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Kepper MM, Walsh-Bailey C, Brownson RC, et al. Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model. Front Digit Health. 2021;3:648777doi: 10.3389/fdgth.2021.648777.
Kepper, M. M., Walsh-Bailey, C., Brownson, R. C., Kwan, B. M., Morrato, E. H., Garbutt, J., de Las Fuentes, L., Glasgow, R. E., Lopetegui, M. A., & Foraker, R. (2021). Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model. Frontiers in digital health, 3648777. https://doi.org/10.3389/fdgth.2021.648777
Kepper, Maura M, et al. "Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model." Frontiers in digital health vol. 3 (2021): 648777. doi: https://doi.org/10.3389/fdgth.2021.648777
Kepper MM, Walsh-Bailey C, Brownson RC, Kwan BM, Morrato EH, Garbutt J, de Las Fuentes L, Glasgow RE, Lopetegui MA, Foraker R. Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model. Front Digit Health. 2021 Mar 10;3:648777. doi: 10.3389/fdgth.2021.648777. eCollection 2021. PMID: 34713122; PMCID: PMC8521811.
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Front Digit Health. 2021 Mar 10;3:648777. doi: 10.3389/fdgth.2021.648777. eCollection 2021.

Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model.

Frontiers in digital health

Maura M Kepper, Callie Walsh-Bailey, Ross C Brownson, Bethany M Kwan, Elaine H Morrato, Jane Garbutt, Lisa de Las Fuentes, Russell E Glasgow, Marcelo A Lopetegui, Randi Foraker

Affiliations

  1. Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States.
  2. Institute for Public Health, Washington University in St. Louis, St. Louis, MO, United States.
  3. Division of Public Health Sciences, Department of Surgery, Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, United States.
  4. Department of Family Medicine, Adult & Child Consortium for Health Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Camps, Aurora, CO, United States.
  5. Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, United States.
  6. Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States.
  7. Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States.
  8. Centro de Informática Biomédica, Instituto de Ciencias e Innovación en Medicina (ICIM), Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
  9. Center for Population Health Informatics, Institute for Informatics, Washington University in St. Louis, St. Louis, MO, United States.

PMID: 34713122 PMCID: PMC8521811 DOI: 10.3389/fdgth.2021.648777

Abstract

Health information technology (HIT) has not been broadly adopted for use in outpatient healthcare settings to effectively address obesity in youth, especially among disadvantaged populations that face greater barriers to good health. A well-designed HIT tool can deliver behavior change recommendations and provide community resources to address this gap, and the Obesity-Related Behavioral Intervention Trials (ORBIT) model can guide its development and refinement. This article reports the application of the ORBIT model to (1) describe the characteristics and design of a novel HIT tool (the PREVENT tool) using behavioral theory, (2) illustrate the use of stakeholder-centered "designing for dissemination and sustainability" principles, and (3) discuss the practical implications and directions for future research. Two types of stakeholder engagement (customer discovery and user testing) were conducted with end users (outpatient healthcare teams). Customer discovery interviews (

Copyright © 2021 Kepper, Walsh-Bailey, Brownson, Kwan, Morrato, Garbutt, de las Fuentes, Glasgow, Lopetegui and Foraker.

Keywords: behavior change; health information technology; obesity; stakeholder engagement; sustainability

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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