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A Couples-based Approach for Increasing Physical Activity Among Adults With Type 2 Diabetes

Not Applicable
Completed
Conditions
Individual Implementation Intentions
Information Only Control Condition
Collaborative Implementation Intentions
Interventions
Behavioral: Control
Behavioral: Individual implementation Intentions
Behavioral: Collaborative implementation Intentions
Registration Number
NCT02579395
Lead Sponsor
University of Colorado, Denver
Brief Summary

In a 6-week experimental design, up to 90 adult couples in which one partner has Type 2 Diabetes (T2D) will be randomly assigned to either the collaborative implementation intentions (Collaborative IIs), the Individual Implementation Intentions (Individual IIs) condition, or the control condition. As this is a pilot study, randomization for the experimental groups vs the control groups will occur at a 2:1 ratio. Thus, the experimental conditions will contain up to 36 participants and the control condition will contain up to 18 participants. Adults with T2D who are living with a romantic partner, not meeting current physical activity guidelines but able and willing to begin a new physical activity (PA) routine and their partners will be assessed at baseline, 3 weeks and 6 weeks after the experimental manipulation. Partners will report on their own investment in the patient's goal and patients will report on their own PA self-efficacy. Patient's PA will be measured through self-report, partner report and accelerometers for a week prior to each survey assessment. These specific aims are planned:

AIM 1: Determine whether collaborative IIs for patient's PA lead to a greater increase in partner investment in partners of adults with T2D than do individual IIs or control.

AIM 2: Determine whether collaborative IIs for patient's PA lead to a greater increase in patient PA self-efficacy in adults with T2D than do individual IIs or control.

AIM 3: Determine whether collaborative IIs for patient's PA lead to a greater increase in patient PA in adults with T2D than do individual IIs or control.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • At least 21 years of age
  • Able to read and understand English
  • Does not meet physical activity guidelines (< 150 minutes of moderate-vigorous exercise per week) for the last 3 months* (only required of one partner)
  • Diagnosed with Type 2 Diabetes* (only required of one partner)
  • Married or living with a romantic partner
Exclusion Criteria
  • Medical or physical contraindications to participate in physical activity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlControlNo Intervention
Without spouse/romantic partnerIndividual implementation Intentions-
With spouse/romantic partnerCollaborative implementation Intentions-
Primary Outcome Measures
NameTimeMethod
Objective Physical Activity via accelerometerBasline, 6 weeks

Participants will wear Actigraph Accelerometers

Self-Reported Physical Activity via IPAQBaseline, 3 weeks, 6 weeks

Participants will self-report their physical activity over the past week using the International Physical Activity Questionnaire (IPAQ)

Secondary Outcome Measures
NameTimeMethod
Physical Activity Self-Efficacy via a self efficacy scaleBaseline, 3 weeks, 6 weeks

Physical activity self-efficacy will be measured using the self-efficacy for exercise scale (SEE; Resnick \& Jenkins, 2000). This 9-item, self-report scale assesses participant's confidence that they could exercise three times per week for 20 minutes under various circumstances (e.g. "you had to exercise alone"; "you felt tired"). Respondents are asked to rate items on a scale from 1, (not at all confident), to 10 (extremely confident).

Physical Activity Partner Investment ScaleBaseline, 3 weeks, 6 weeks

The Physical Activity Partner Investment Scale assesses the degree to which the partner in a couple defines the patient engaging in regular physical activity as a shared responsibility as well as the degree to which they are taking action to address barriers to the patient engaging in physical activity . The 9 items selected were modified to be specific to engaging in regular physical activity. Participants are asked to rate their agreement each item on a scale from 1 (strongly disagree) to 7 (strongly agree). Example items include "If/when my partner decides to engage in regular physical activity , the responsibility will be his or hers alone.", "My partner and I are able to have useful discussions about how to engage in regular physical activity ." and "In the long run, my partner and I are able to work together toward helping one or both of us maintain a regular physical activity routine".

Trial Locations

Locations (1)

University of Colorado Denver

🇺🇸

Denver, Colorado, United States

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