Recruiting

Goal Commitment and Proactive Health Behavior in Chronic Disease Patients

ClinicalTrials.gov IDNCT07552571

PhaseNA

Enrollment600

SponsorXiong Juyang

Age45 Years

SexALL

I'm interested View official listing

Conditions studied

Hypertension, Diabetes Mellitus, Dyslipidemia

About this study

Chronic diseases such as hypertension, diabetes, and dyslipidemia are major contributors to mortality and healthcare burden worldwide. Despite high awareness of health risks, many patients fail to adopt proactive health behaviors due to behavioral inertia and a gap between knowledge and action. This study aims to investigate the evolution and driving mechanisms of proactive health behavior in patients with chronic diseases based on goal commitment theory. By integrating prospect theory and evolutionary game theory, this study will explore how behavioral strategies evolve under different levels of goal commitment. In addition, a behavioral intervention based on the Stimulus-Organism-Response (SOR) model will be developed to enhance patient activation and promote adherence to proactive health behaviors. A parallel controlled intervention study will be conducted to evaluate the effectiveness of the goal commitment-based intervention. The findings of this study are expected to provide theoretical and practical evidence to improve chronic disease management and promote proactive health behaviors.

Interventions

Behavioral: Goal Commitment-Based Behavioral Intervention — This intervention is a structured behavioral program based on goal commitment theory, designed to promote proactive health behaviors in patients with chronic diseases. The intervention includes goal setting, personalized action planning, behavioral activation, and continuous follow-up support. Participants will receive guidance to enhance motivation, strengthen commitment to health goals, and improve adherence to chronic disease management through regular monitoring and feedback.
Other: Usual Care — Participants in the control group will receive routine chronic disease management or standard health education without additional structured behavioral intervention.

Primary outcomes

Change in Proactive Health Behavior Score (Baseline to 6 months after intervention)

Eligibility information

Inclusion Criteria: * Residents living in the study area for at least 1.5 years * Diagnosed with at least one chronic disease, including hypertension, diabetes mellitus, or dyslipidemia * Conscious and able to communicate effectively * Educational level of primary school or above * Able to use a smartphone and common mobile applications (e.g., WeChat) * Willing to participate and provide written informed consent Exclusion Criteria: * Non-residents of the study area * Unable to participate in group-based intervention activities * Currently hospitalized * Diagnosed with severe cognitive impairment, dementia, or psychiatric disorders * Participants with severe comorbidities that may interfere with study participation

Study locations

School of Medicine and Health Management Tongji Medical College,Huazhong University of Science and Technology, Wuhan, Hubei 430030 China

Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.

Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.