Efficacy of a Multimodal Digital Behavior Change Intervention on Lifestyle Behavior, Cardiometabolic Biomarkers, and Medical Expenditure: Protocol for a Randomized Controlled Trial

Sakeina Howard-Wilson   ¹ , DO ;   Jack Ching   ² , BSE, PhD ;   Sherri Gentile   ³ , BSc ;   Martin Ho   ² , MSc, PhD ;   Alex Garcia   ² , MPH ;   Didem Ayturk   ⁴ , MSc ;   Peter Lazar   ⁴ , BSc ;   Nova Hammerquist   ² , BBA ;   David McManus   ¹ , MSc, MD ;   Bruce Barton   ⁴ , PhD ;   Steven Bird   ³ , MD ;   John Moore   ² , MD, PhD ;   Apurv Soni   ¹ , MD, PhD

¹ Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States

² Google LLC, Mountain View, CA, United States

³ Clinician Experience Office, University of Massachusetts Memorial Health, University of Massachusetts Chan Medical School, Worcester, MA, United States

⁴ Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States