O027 - SHORT-TERM EFFICACY OF A MOBILE-ASSISTED MULTI-BEHAVIOR SCREENING AND BRIEF INTERVENTION IN OUTPATIENT SETTINGS IN A UNIVERSITY HOSPITAL

O027

SHORT-TERM EFFICACY OF A MOBILE-ASSISTED MULTI-BEHAVIOR SCREENING AND BRIEF INTERVENTION IN OUTPATIENT SETTINGS IN A UNIVERSITY HOSPITAL

R. Thibault^1,1,2,2,*, C. Forcier², A. Petureau³, D. Val-Laillet², C. Derrien¹, R. Moirand^2,4, A. Constant^2,5 on behalf of Clincap investigator group

¹Endocrinology-Diabetology-Nutrition, CHU Rennes, ²Nutrition, Metabolisms and Cancer (NuMeCan), INRAE, INSERM, Univ Rennes, ³Public Health, Centre Eugène Marquis, ⁴Liver Diseases & Addictology, CHU Rennes, Rennes, ⁵CNAM, Paris, France

Rationale: Screening and Brief Intervention (SBI) is effective for promoting behavior change but is underused and often targets a single risk factor. We evaluated whether a mobile-assisted multi-behavior SBI (1) could improve short-term adherence to health recommendations in patients with chronic conditions.

Methods: A randomized controlled trial was conducted between October 2024 and April 2025 in adult outpatients with chronic diseases in 5 medical departments (Liver diseases, Rheumatology, Endocrinology-Diabetology, Internal Medicine, Oncology). Patients were allocated to either a mobile-assisted SBI (CliniCAP®) or routine lifestyle advice. The mSBI combined tablet-based screening (diet, physical activity, sedentary behavior, alcohol, smoking), personalized feedback, and brief motivational intervention. The primary outcome was the number of adhered guidelines (0–18) at 1-month (M1) follow-up. Generalized models assessed group × time interaction. Secondary outcomes included readiness to change.

Results: Participants (n=164) were mainly women (60%), aged 54 yr on average, 41% presenting alcohol misuse. The number of adhered guidelines increased more in the intervention group (n=82) (+1.13) than in the control group (n=82) (+0.31) at M1 (p=0.007). A significant group × time interaction was observed at M1 (odds ratio=1.29 [95% confidence interval, 1.03–1.61]. No significant effect was found for individual behaviors. A higher proportion of participants reached action/maintenance stages for diet in the intervention group (p=0.03).

Conclusion: A mobile-assisted multi-behavior SBI improves short-term adherence to health recommendations in medical settings. Personalization and patient-driven goal setting may support behavior change. This approach may enhance implementation of preventive interventions in routine care.

References: (1) Forcier C, J Prim Care Community Health. 2024 

Disclosure of Interest: None declared