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JMIR Research Protocols Ongoing Trials, Grant Proposals, Formative Research, Methods, Early Results Volume 3 (2014), Issue 1 ISSN: 1929-0748 Contents Protocols An Internet-Based Counseling Intervention With Email Reminders that Promotes Self-Care in Adults With Chronic Heart Failure: Randomized Controlled Trial Protocol (e5) Robert Nolan, Ada Payne, Heather Ross, Michel White, Bianca D©Antono, Sammy Chan, Susan Barr, Femida Gwadry-Sridhar, Anil Nigam, Sylvie Perreault, Michael Farkouh, Michael McDonald, Jack Goodman, Scott Thomas, Shelley Zieroth, Debra Isaac, Paul Oh, Miroslaw Rajda, Maggie Chen, Gunther Eysenbach, Sam Liu, Ahmad Zbib. 3 Evaluating a Brief, Internet-Based Intervention for Co-Occurring Depression and Problematic Alcohol Use in Young People: Protocol for a Randomized Controlled Trial (e6) Mark Deady, Maree Teesson, Frances Kay-Lambkin, Katherine Mills. 17 Nonsurgical Strategies in Patients With NET Liver Metastases: A Protocol of Four Systematic Reviews (e9) Perparim Limani, Christoph Tschuor, Laura Gort, Bettina Balmer, Alexander Gu, Christos Ceresa, Dimitri Raptis, Mickael Lesurtel, Milo Puhan, Stefan Breitenstein. 28 A Population-Based Intervention for the Prevention of Falls and Fractures in Home Dwelling People 65 Years and Older in South Germany: Protocol (e19) Diana Klein, Kilian Rapp, Michaela Küpper, Clemens Becker, Torben Fischer, Gisela Büchele, Petra Benzinger. 175 Proposals A Simple and Reliable Health Monitoring System For Shoulder Health: Proposal (e11) Shuo-Fang Liu, Yann-Long Lee. 38 Texting to Increase Physical Activity Among Teenagers (TXT Me!): Rationale, Design, and Methods Proposal (e14) Debbe Thompson, Dora Cantu, Riddhi Bhatt, Tom Baranowski, Wendy Rodgers, Russell Jago, Barbara Anderson, Yan Liu, Jason Mendoza, Ramsey Tapia, Richard Buday. 54 Original Papers Use and Appreciation of a Web-Based, Tailored Intervention (E-health4Uth) Combined With Counseling to Promote Adolescents' Health in Preventive Youth Health Care: Survey and Log-File Analysis (e3) Rienke Bannink, Suzanne Broeren, Evelien Joosten-van Zwanenburg, Els van As, Petra van de Looij-Jansen, Hein Raat. 65 JMIR Research Protocols 2014 | vol. 3 | iss. 1 | p.1 XSL·FO RenderX A Smartphone-Based Pain Management App for Adolescents With Cancer: Establishing System Requirements and a Pain Care Algorithm Based on Literature Review, Interviews, and Consensus (e15) Lindsay Jibb, Bonnie Stevens, Paul Nathan, Emily Seto, Joseph Cafazzo, Jennifer Stinson. 81 Examining Participant Engagement in an Information Technology-Based Physical Activity and Nutrition Intervention for Men: The Manup Randomized Controlled Trial (e2) Camille Short, Corneel Vandelanotte, Marcus Dixon, Richard Rosenkranz, Cristina Caperchione, Cindy Hooker, Mohan Karunanithi, Gregory Kolt, Anthony Maeder, Hang Ding, Pennie Taylor, Mitch Duncan. 94 Combining Users' Needs With Health Behavior Models in Designing an Internet- and Mobile-Based Intervention for Physical Activity in Cardiac Rehabilitation (e4) Konstantinos Antypas, Silje Wangberg. 107 A Web-Based Supportive Intervention for Families Living With Depression: Content Analysis and Formative Evaluation (e8) Sigrid Stjernswärd, Lars Hansson. 126 Using the Internet to Seek Information About Genetic and Rare Diseases: A Case Study Comparing Data From 2006 and 2011 (e10) Tamandra Morgan, Johanna Schmidt, Christy Haakonsen, Janine Lewis, Maria Della Rocca, Stephanie Morrison, Barbara Biesecker, Kimberly Kaphingst. 140 Internet Protocol Television for Personalized Home-Based Health Information: Design-Based Research on a Diabetes Education System (e13) Kathleen Gray, Ken Clarke, Mabel Kwong, Basil Alzougool, Carolyn Hines, Gil Tidhar, Feodor Frukhtman. 147 A Cross-Sectional Study on the Diet and Nutritional Status of Adolescent Girls in Zambézia Province, Mozambique (the ZANE Study): Design, Methods, and Population Characteristics (e12) Liisa Korkalo, Riitta Freese, Lourdes Fidalgo, Kerry Selvester, Carina Ismael, Marja Mutanen. 160 Stress and Mental Health in Families With Different Income Levels: A Strategy to Collect Multi-Actor Data (e1) Koen Ponnet, Edwin Wouters. 184 Development and Content Validation of the Information Assessment Method for Patients and Consumers (e7) Pierre Pluye, Vera Granikov, Gillian Bartlett, Roland Grad, David Tang, Janique Johnson-Lafleur, Michael Shulha, Maria Barbosa Galvão, Ivan Ricarte, Randolph Stephenson, Linda Shohet, Jo-Anne Hutsul, Carol Repchinsky, Ellen Rosenberg, Bernard Burnand, France Légaré, Lynn Dunikowski, Susan Murray, Jill Boruff, Francesca Frati, Lorie Kloda, Ann Macaulay, François Lagarde, Geneviève Doray. 195 Technology-Assisted Patient Access to Clinical Information: An Evaluation Framework for Blue Button (e18) Timothy Hogan, Kim Nazi, Tana Luger, Daniel Amante, Bridget Smith, Anna Barker, Stephanie Shimada, Julie Volkman, Lynn Garvin, Steven Simon, Thomas Houston. 212 Corrigenda and Addenda Metadata Correction: Internet Protocol Television for Personalized Home-Based Health Information: Design-Based Research on a Diabetes Education System (e16) Kathleen Gray, Ken Clarke, Mabel Kwong, Basil Alzougool, Carolyn Hines, Gil Tidhar, Feodor Frukhtman. 210 JMIR Research Protocols 2014 | vol. 3 | iss. 1 | p.2 XSL·FO RenderX JMIR RESEARCH PROTOCOLS Nolan et al Protocol An Internet-Based Counseling Intervention With Email Reminders that Promotes Self-Care in Adults With Chronic Heart Failure: Randomized Controlled Trial Protocol Robert P Nolan1,2, PhD; Ada YM Payne1,2, PhD; Heather Ross2,3, MD; Michel White4, MD; Bianca D©Antono4,5, PhD; Sammy Chan6,7, MD; Susan I Barr8, PhD; Femida Gwadry-Sridhar9, PhD; Anil Nigam4, MD; Sylvie Perreault10, BPharm, PhD; Michael Farkouh2,3, MD; Michael McDonald2,3, MD; Jack Goodman3,11, PhD; Scott Thomas12, PhD; Shelley Zieroth13, PhD; Debra Isaac14, MD; Paul Oh15, MD; Miroslaw Rajda16, MD; Maggie Chen17, PhD; Gunther Eysenbach18, MD, MPH, FACMI; Sam Liu1,2, MSc; Ahmad Zbib19, MD 1Behavioral Cardiology Research Unit, University Health Network, Toronto, ON, Canada 2Faculty of Medicine, University of Toronto, Toronto, ON, Canada 3Division of Cardiology, Peter Munk Cardiac Center, University Health Network, Toronto, ON, Canada 4Centre de Recherche, Institut de Cardiologie de Montréal, Montréal, QC, Canada 5Département de Psychologie, Université de Montréal, Montréal, QC, Canada 6Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada 7Department of Cardiology, St. Paul©s Hospital, Vancouver, BC, Canada 8Department of Food, Nutrition, and Health, University of British Columbia, Vancouver, BC, Canada 9Department of Medical Health Informatics, Lawson Health Research Institute, London, ON, Canada 10Faculté de Pharmacie, Université de Montréal, Montréal, QC, Canada 11Division of Cardiology, Mount Sinai Hospital, Toronto, ON, Canada 12Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada 13Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada 14Cardiac Transplant Clinic, Libin Cardiovascular Institute of Alberta, Calgary, AB, Canada 15Department of Cardiac Rehabilitation, Toronto Rehabilitation Institute, Toronto, ON, Canada 16Division of Cardiology, Queen Elizabeth II Health Sciences Center, Halifax, NS, Canada 17Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada 18Centre for Global eHealth Innovation, University Health Network, Toronto, ON, Canada 19Consumer eHealth, Heart and Stroke Foundation of Canada, Toronto, ON, Canada Corresponding Author: Robert P Nolan, PhD Behavioral Cardiology Research Unit University Health Network Toronto General Hospital, 6th floor, Room 6N-618 585 University Avenue Toronto, ON, M5G 2N2 Canada Phone: 1 416 340 4800 ext 6400 Fax: 1 416 340 3162 Email: [email protected] Abstract Background: Chronic heart failure (CHF) is a public health priority. Its age-standardized prevalence has increased over the past decade. A major challenge for the management of CHF is to promote long-term adherence to self-care behaviors without overtaxing available health care resources. Counseling by multidisciplinary health care teams helps to improve adherence to self-care behaviors and to reduce the rate of death and hospitalization. In the absence of intervention, adherence to self-care is below recommended standards. http://www.researchprotocols.org/2014/1/e5/ JMIR Res Protoc 2014 | vol. 3 | iss. 1 | e5 | p.3 (page number not for citation purposes) XSL·FO RenderX JMIR RESEARCH PROTOCOLS Nolan et al Objective: This trial aims to establish and evaluate a Canadian e-platform that will provide a core, standardized protocol of behavioral counseling and education to facilitate long-term adherence to self-care among patients with CHF. Methods: Canadian e-Platform to Promote Behavioral Self-Management in Chronic Heart Failure (CHF-CePPORT) is a multi-site, double blind, randomized controlled trial with a 2 parallel-group (e-Counseling + Usual Care vs e-Info Control + Usual Care) by 3 assessments (baseline, 4-, and 12-month) design. We will identify subjects with New York Heart Association Class II or III systolic heart failure from collaborating CHF clinics and then recruit them (n=278) by phone. Subjects will be randomized in blocks within each site (Toronto, Montreal, and Vancouver). The primary outcome will be improved quality of life, defined as an increased number of subjects with an improvement of ≥5 points on the summary score of the Kansas City Cardiomyopathy Questionnaire. We will also assess the following secondary outcomes: (1)