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Gamified App on Increasing Physical Activity and Reducing Anxiety in Autism

Not Applicable
Completed
Conditions
Autism Spectrum Disorder
Physical Activity
Anxiety
Mobile Health
Registration Number
NCT05466617
Lead Sponsor
Indiana University
Brief Summary

Background: Physical activity (PA) has an impact on physical and mental health in neurotypical populations, and addressing these variables may improve the prevalent burden of anxiety in adults with autism spectrum disorder (ASD). Gamified mobile apps using behavior change techniques present a promising way of increasing PA and reducing sedentary time, thus reducing anxiety in adults with ASD.

Objective: This study aimed to compare the effectiveness of a gamified and behavior change technique-based mobile app, PuzzleWalk, versus a commercially available app, Google Fit, on increasing PA and reducing sedentary time as an adjunct anxiety treatment for this population.

Methods: A total of 24 adults with ASD were assigned to either the PuzzleWalk or Google Fit group for 5 weeks using a covariate-adaptive randomization design. PA and anxiety were assessed over 7 days at 3 different data collection periods (ie, baseline, intervention start, and intervention end) using triaxial accelerometers and the Beck Anxiety Inventory. Group differences in outcome variables were assessed using repeated-measures analysis of covariance, adjusting for age, sex, and BMI.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Self-reported medical diagnosis of anxiety or self-identification of experiencing anxiety symptoms for the past 3 or more months
  • Access to a supported device (smartphones with Android 4.4 and higher or iOS 9.0 and higher operating system)
  • Cognitive ability to understand the purpose of the study
  • No prior experience using the PA mobile apps used in the study
Exclusion Criteria
  • Individuals with low cognitive function, co-occurring intellectual disabilities, or mobility impairments

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Baseline Physical Activity and Changes from Baseline Physical Activity at 4th and 8th weeks7 days over three different data collection periods (total 21 days)

Accelerometer-Measured Objective Physical Activity Levels

Secondary Outcome Measures
NameTimeMethod
Baseline Anxiety and Changes from Baseline Anxiety at 4th and 8th weeks7 days over three different data collection periods (total 21 days)

Beck Anxiety Inventory (BAI; Beck, Epstein, Brown, \& Steer, 1988) was used to assess participants' prolonged state of anxiety. The Beck Anxiety Inventory is a self-report scale comprising 21 items that measure the severity of anxiety symptoms during the past week. The score range is 0-63, with higher scores indicating greater degrees of anxiety.

Trial Locations

Locations (1)

Indiana University School of Public Health

🇺🇸

Bloomington, Indiana, United States

Indiana University School of Public Health
🇺🇸Bloomington, Indiana, United States

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