Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial
IntroductionPhysical inactivity is the fourth leading risk factor for global mortality, and inactive adults have a higher risk to develop lifestyle diseases. To date, there is preliminary evidence of the efficacy of fitness technologies and other digital interventions for physical activity (PA) prom...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.925484/full |
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| author | Paolo Zanaboni Paolo Zanaboni Unn Sollid Manskow Edvard Hamnvik Sagelv Edvard Hamnvik Sagelv Bente Morseth Alf Egil Edvardsen Inger-Lise Aamot Inger-Lise Aamot Bjarne Martens Nes Bryce Hastings Marie-Pierre Gagnon Konstantinos Antypas Konstantinos Antypas |
| author_facet | Paolo Zanaboni Paolo Zanaboni Unn Sollid Manskow Edvard Hamnvik Sagelv Edvard Hamnvik Sagelv Bente Morseth Alf Egil Edvardsen Inger-Lise Aamot Inger-Lise Aamot Bjarne Martens Nes Bryce Hastings Marie-Pierre Gagnon Konstantinos Antypas Konstantinos Antypas |
| author_sort | Paolo Zanaboni |
| collection | DOAJ |
| description | IntroductionPhysical inactivity is the fourth leading risk factor for global mortality, and inactive adults have a higher risk to develop lifestyle diseases. To date, there is preliminary evidence of the efficacy of fitness technologies and other digital interventions for physical activity (PA) promotion. Intervention studies are needed to test the effectiveness and implementation of innovative PA promotion strategies.Methods and analysisThe ONWARDS study is a hybrid type I effectiveness-implementation randomized control trial aiming at an inactive and presumably high-risk population living in Northern Norway. One hundred and eighty participants will be assigned to 3 groups in a 1:1:1 ratio and participate for 18 months. Participants in group A will be provided an activity tracker with the personalized metric Personal Activity Intelligence (PAI). Participants in group B will be provided with both an activity tracker with the personalized metric PAI and access to online training videos (Les Mills+) to perform home-based training. Participants in group C will be provided an activity tracker with the personalized metric PAI, home-based online training and additional peer support via social media. The primary objective is to test which combination of interventions is more effective in increasing PA levels and sustaining long-term exercise adherence. Secondary objectives include: proportion of participants reaching PA recommendations; exercise adherence; physical fitness; cardiovascular risk; quality of life; perceived competence for exercise; self-efficacy; social support; usability; users' perspectives on implementation outcomes (adoption, acceptability, adherence, sustainability). The study design will allow testing the effectiveness of the interventions while gathering information on implementation in a real-world situation.DiscussionThis study can contribute to reduce disparities in PA levels among inactive adults by promoting PA and long-term adherence. Increased PA might, in turn, result in better prevention of lifestyle diseases. Digital interventions delivered at home can become an alternative to training facilities, making PA accessible and feasible for inactive populations and overcoming known barriers to PA. If effective, such interventions could potentially be offered through national health portals to citizens who do not meet the minimum recommendations on PA or prescribed by general practitioners or specialists.Trial registrationhttps://clinicaltrials.gov/ct2/show/NCT04526444, Registered 23 April 2021, identifier: NCT04526444. |
| first_indexed | 2024-04-13T19:48:54Z |
| format | Article |
| id | doaj.art-182c0bf69db54e54b4691b84ab4ef7c4 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-13T19:48:54Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-182c0bf69db54e54b4691b84ab4ef7c42022-12-22T02:32:37ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.925484925484Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trialPaolo Zanaboni0Paolo Zanaboni1Unn Sollid Manskow2Edvard Hamnvik Sagelv3Edvard Hamnvik Sagelv4Bente Morseth5Alf Egil Edvardsen6Inger-Lise Aamot7Inger-Lise Aamot8Bjarne Martens Nes9Bryce Hastings10Marie-Pierre Gagnon11Konstantinos Antypas12Konstantinos Antypas13Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, NorwayDepartment of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, NorwayNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, NorwaySchool of Sport Sciences, UiT The Arctic University of Norway, Tromsø, NorwaySchool of Sport Sciences, UiT The Arctic University of Norway, Tromsø, NorwayMemento U, Trondheim, NorwayNorwegian National Advisory Unit on Exercise Training as Medicine for Cardiopulmonary Condition, St. Olavs Hospital, Trondheim, NorwayK.G. Jebsen Center for Exercise in Medicine - CERG, Norwegian University of Science and Technology, Trondheim, NorwayK.G. Jebsen Center for Exercise in Medicine - CERG, Norwegian University of Science and Technology, Trondheim, NorwayLes Mills International, Auckland, New ZealandFaculty of Nursing, Université Laval, Québec, QC, CanadaNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, NorwaySINTEF Digital, Oslo, NorwayIntroductionPhysical inactivity is the fourth leading risk factor for global mortality, and inactive adults have a higher risk to develop lifestyle diseases. To date, there is preliminary evidence of the efficacy of fitness technologies and other digital interventions for physical activity (PA) promotion. Intervention studies are needed to test the effectiveness and implementation of innovative PA promotion strategies.Methods and analysisThe ONWARDS study is a hybrid type I effectiveness-implementation randomized control trial aiming at an inactive and presumably high-risk population living in Northern Norway. One hundred and eighty participants will be assigned to 3 groups in a 1:1:1 ratio and participate for 18 months. Participants in group A will be provided an activity tracker with the personalized metric Personal Activity Intelligence (PAI). Participants in group B will be provided with both an activity tracker with the personalized metric PAI and access to online training videos (Les Mills+) to perform home-based training. Participants in group C will be provided an activity tracker with the personalized metric PAI, home-based online training and additional peer support via social media. The primary objective is to test which combination of interventions is more effective in increasing PA levels and sustaining long-term exercise adherence. Secondary objectives include: proportion of participants reaching PA recommendations; exercise adherence; physical fitness; cardiovascular risk; quality of life; perceived competence for exercise; self-efficacy; social support; usability; users' perspectives on implementation outcomes (adoption, acceptability, adherence, sustainability). The study design will allow testing the effectiveness of the interventions while gathering information on implementation in a real-world situation.DiscussionThis study can contribute to reduce disparities in PA levels among inactive adults by promoting PA and long-term adherence. Increased PA might, in turn, result in better prevention of lifestyle diseases. Digital interventions delivered at home can become an alternative to training facilities, making PA accessible and feasible for inactive populations and overcoming known barriers to PA. If effective, such interventions could potentially be offered through national health portals to citizens who do not meet the minimum recommendations on PA or prescribed by general practitioners or specialists.Trial registrationhttps://clinicaltrials.gov/ct2/show/NCT04526444, Registered 23 April 2021, identifier: NCT04526444.https://www.frontiersin.org/articles/10.3389/fpubh.2022.925484/fullphysical activitydigital interventionse-healthmobile healthlifestyle diseasesrandomized controlled trial |
| spellingShingle | Paolo Zanaboni Paolo Zanaboni Unn Sollid Manskow Edvard Hamnvik Sagelv Edvard Hamnvik Sagelv Bente Morseth Alf Egil Edvardsen Inger-Lise Aamot Inger-Lise Aamot Bjarne Martens Nes Bryce Hastings Marie-Pierre Gagnon Konstantinos Antypas Konstantinos Antypas Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial Frontiers in Public Health physical activity digital interventions e-health mobile health lifestyle diseases randomized controlled trial |
| title | Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial |
| title_full | Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial |
| title_fullStr | Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial |
| title_full_unstemmed | Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial |
| title_short | Digital interventions to promote physical activity among inactive adults: A study protocol for a hybrid type I effectiveness-implementation randomized controlled trial |
| title_sort | digital interventions to promote physical activity among inactive adults a study protocol for a hybrid type i effectiveness implementation randomized controlled trial |
| topic | physical activity digital interventions e-health mobile health lifestyle diseases randomized controlled trial |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.925484/full |
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