Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED)
Abstract Background The escalating global prevalence of type 2 diabetes and prediabetes presents a major public health challenge. Physical activity plays a critical role in managing (pre)diabetes; however, adherence to physical activity recommendations remains low. The ENERGISED trial was designed t...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-18384-2 |
| _version_ | 1797219517759225856 |
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| author | Jan Novak Katerina Jurkova Anna Lojkaskova Andrea Jaklova Jitka Kuhnova Marketa Pfeiferova Norbert Kral Michael Janek Dan Omcirk Katerina Malisova Iris Maes Delfien Van Dyck Charlotte Wahlich Michael Ussher Steriani Elavsky Richard Cimler Jana Pelclova James J. Tufano Michal Steffl Bohumil Seifert Tom Yates Tess Harris Tomas Vetrovsky |
| author_facet | Jan Novak Katerina Jurkova Anna Lojkaskova Andrea Jaklova Jitka Kuhnova Marketa Pfeiferova Norbert Kral Michael Janek Dan Omcirk Katerina Malisova Iris Maes Delfien Van Dyck Charlotte Wahlich Michael Ussher Steriani Elavsky Richard Cimler Jana Pelclova James J. Tufano Michal Steffl Bohumil Seifert Tom Yates Tess Harris Tomas Vetrovsky |
| author_sort | Jan Novak |
| collection | DOAJ |
| description | Abstract Background The escalating global prevalence of type 2 diabetes and prediabetes presents a major public health challenge. Physical activity plays a critical role in managing (pre)diabetes; however, adherence to physical activity recommendations remains low. The ENERGISED trial was designed to address these challenges by integrating mHealth tools into the routine practice of general practitioners, aiming for a significant, scalable impact in (pre)diabetes patient care through increased physical activity and reduced sedentary behaviour. Methods The mHealth intervention for the ENERGISED trial was developed according to the mHealth development and evaluation framework, which includes the active participation of (pre)diabetes patients. This iterative process encompasses four sequential phases: (a) conceptualisation to identify key aspects of the intervention; (b) formative research including two focus groups with (pre)diabetes patients (n = 14) to tailor the intervention to the needs and preferences of the target population; (c) pre-testing using think-aloud patient interviews (n = 7) to optimise the intervention components; and (d) piloting (n = 10) to refine the intervention to its final form. Results The final intervention comprises six types of text messages, each embodying different behaviour change techniques. Some of the messages, such as those providing interim reviews of the patients’ weekly step goal or feedback on their weekly performance, are delivered at fixed times of the week. Others are triggered just in time by specific physical behaviour events as detected by the Fitbit activity tracker: for example, prompts to increase walking pace are triggered after 5 min of continuous walking; and prompts to interrupt sitting following 30 min of uninterrupted sitting. For patients without a smartphone or reliable internet connection, the intervention is adapted to ensure inclusivity. Patients receive on average three to six messages per week for 12 months. During the first six months, the text messaging is supplemented with monthly phone counselling to enable personalisation of the intervention, assistance with technical issues, and enhancement of adherence. Conclusions The participatory development of the ENERGISED mHealth intervention, incorporating just-in-time prompts, has the potential to significantly enhance the capacity of general practitioners for personalised behavioural counselling on physical activity in (pre)diabetes patients, with implications for broader applications in primary care. |
| first_indexed | 2024-04-24T12:34:55Z |
| format | Article |
| id | doaj.art-40138c74601f4da69887de6b6dc31caf |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-24T12:34:55Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-40138c74601f4da69887de6b6dc31caf2024-04-07T11:33:14ZengBMCBMC Public Health1471-24582024-03-0124111510.1186/s12889-024-18384-2Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED)Jan Novak0Katerina Jurkova1Anna Lojkaskova2Andrea Jaklova3Jitka Kuhnova4Marketa Pfeiferova5Norbert Kral6Michael Janek7Dan Omcirk8Katerina Malisova9Iris Maes10Delfien Van Dyck11Charlotte Wahlich12Michael Ussher13Steriani Elavsky14Richard Cimler15Jana Pelclova16James J. Tufano17Michal Steffl18Bohumil Seifert19Tom Yates20Tess Harris21Tomas Vetrovsky22Faculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Science, University of Hradec KraloveInstitute of General Practice, 1st Faculty of Medicine, Charles UniversityInstitute of General Practice, 1st Faculty of Medicine, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Culture, Palacky University OlomoucDepartment of Movement and Sports Sciences, Ghent UniversityDepartment of Movement and Sports Sciences, Ghent UniversityPopulation Health Research Institute, St George’s University of LondonPopulation Health Research Institute, St George’s University of LondonDepartment of Human Movement Studies, University of OstravaFaculty of Science, University of Hradec KraloveFaculty of Physical Culture, Palacky University OlomoucFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityInstitute of General Practice, 1st Faculty of Medicine, Charles UniversityDiabetes Research Centre, University of LeicesterPopulation Health Research Institute, St George’s University of LondonFaculty of Physical Education and Sport, Charles UniversityAbstract Background The escalating global prevalence of type 2 diabetes and prediabetes presents a major public health challenge. Physical activity plays a critical role in managing (pre)diabetes; however, adherence to physical activity recommendations remains low. The ENERGISED trial was designed to address these challenges by integrating mHealth tools into the routine practice of general practitioners, aiming for a significant, scalable impact in (pre)diabetes patient care through increased physical activity and reduced sedentary behaviour. Methods The mHealth intervention for the ENERGISED trial was developed according to the mHealth development and evaluation framework, which includes the active participation of (pre)diabetes patients. This iterative process encompasses four sequential phases: (a) conceptualisation to identify key aspects of the intervention; (b) formative research including two focus groups with (pre)diabetes patients (n = 14) to tailor the intervention to the needs and preferences of the target population; (c) pre-testing using think-aloud patient interviews (n = 7) to optimise the intervention components; and (d) piloting (n = 10) to refine the intervention to its final form. Results The final intervention comprises six types of text messages, each embodying different behaviour change techniques. Some of the messages, such as those providing interim reviews of the patients’ weekly step goal or feedback on their weekly performance, are delivered at fixed times of the week. Others are triggered just in time by specific physical behaviour events as detected by the Fitbit activity tracker: for example, prompts to increase walking pace are triggered after 5 min of continuous walking; and prompts to interrupt sitting following 30 min of uninterrupted sitting. For patients without a smartphone or reliable internet connection, the intervention is adapted to ensure inclusivity. Patients receive on average three to six messages per week for 12 months. During the first six months, the text messaging is supplemented with monthly phone counselling to enable personalisation of the intervention, assistance with technical issues, and enhancement of adherence. Conclusions The participatory development of the ENERGISED mHealth intervention, incorporating just-in-time prompts, has the potential to significantly enhance the capacity of general practitioners for personalised behavioural counselling on physical activity in (pre)diabetes patients, with implications for broader applications in primary care.https://doi.org/10.1186/s12889-024-18384-2Primary careJust-in-time adaptive intervention (JITAI)Self-regulation theoryFitbitWearablesPhone counselling |
| spellingShingle | Jan Novak Katerina Jurkova Anna Lojkaskova Andrea Jaklova Jitka Kuhnova Marketa Pfeiferova Norbert Kral Michael Janek Dan Omcirk Katerina Malisova Iris Maes Delfien Van Dyck Charlotte Wahlich Michael Ussher Steriani Elavsky Richard Cimler Jana Pelclova James J. Tufano Michal Steffl Bohumil Seifert Tom Yates Tess Harris Tomas Vetrovsky Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) BMC Public Health Primary care Just-in-time adaptive intervention (JITAI) Self-regulation theory Fitbit Wearables Phone counselling |
| title | Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) |
| title_full | Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) |
| title_fullStr | Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) |
| title_full_unstemmed | Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) |
| title_short | Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED) |
| title_sort | participatory development of an mhealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes energised |
| topic | Primary care Just-in-time adaptive intervention (JITAI) Self-regulation theory Fitbit Wearables Phone counselling |
| url | https://doi.org/10.1186/s12889-024-18384-2 |
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