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A Mobile Health App to Reduce Sedentary Time in Inactive Employees

Not Applicable
Conditions
Sedentary Lifestyle
Physical Activity
Interventions
Other: ENCOURAGE App
Registration Number
NCT03403270
Lead Sponsor
St. Boniface Hospital
Brief Summary

The ENCOURAGE App will use mobile health technology to support employees to reduce their sedentary time and become more physically active. The mobile app has been developed using time management techniques (i.e. Pomodoro technique) as a strategy to provide prompts to encourage users to engage in an activity and break up bouts of prolonged sitting.

Detailed Description

Sixty percent of Canadian adults are accessible through the workplace. Thus, workplace wellness programs that include physical activity components provide a viable option to encourage employees to reduce sedentary time. Moving forward with the ENCOURAGE health promotion model, we will use mobile health technology to support employees to reduce sitting and become more physically active, while offering employers a solution that can be easily implemented in a variety of contexts.

The public release of the ENCOURAGE App will involve two phases:

1. The recruitment of up to 300 individuals through the App. Any user will be able to download the ENCOURAGE App through the iTunes Store or Google Play. Note that when participants download the App, they are not automatically enrolled in the study. Participants will be prompted, after downloading the App, with a brief description of the study, as well as a pre-screening tool that will be used to determine eligibility. Users will be asked via a pop-up to determine if they wish to participate in a research project. Users will be asked to participate in a time series quasi-experimental study to determine if the ENCOURAGE App can support participants to increase the number of breaks in sedentary time taken throughout the day, over a 6-month time period. The App can be customized by the users to set prompts at intervals that fit into their schedule. For example, these activities can range from a stretching activity (e.g., a neck stretch), a standing activity (e.g., stand and read), or a physical activity (e.g., fill up the printer with paper, do a squat). Additionally, the App will use Behaviour Change Techniques as a strategy to support participants as they reduce their sedentary behaviour and increase their physical activity levels.

2. The recruitment of a sub-sample of 60 participants who live in Winnipeg, MB which will be drawn from the larger sample. In addition to completing all the components of the larger research study, the sub-sample will be also asked to wear a physical activity monitor, called an accelerometer.

The objectives of this study are to determine if the final product ENCOURAGE App:

1. Reduces the number of breaks from sitting;

2. Reduces total sedentary time;

3. Increases physical activity levels; and,

4. Improves self-efficacy for reducing sedentary behaviour.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
300
Inclusion Criteria

-Specific to sub-sample of 60 participants; live in Winnipeg, MB

Exclusion Criteria
  • Individuals who do not own a personal mobile phone
  • Any physical limitations that would not allow individual to engage in physical activity
  • Any cognitive limitations that would not allow individual to consent for study
  • Specific to sub-sample of 60 participants; live outside Winnipeg, MB

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ENCOURAGE App InterventionENCOURAGE AppUsers will download the ENCOURAGE mobile app. The App uses a time management technique (i.e. Pomodoro technique) as a strategy to provide prompts for users to engage in an activity. The App can be customized by the users to set prompts at intervals that fit into their schedule. For example, these activities can range from a stretching activity (e.g., a neck stretch), a standing activity (e.g., stand and read), or a physical activity (e.g., fill up the printer with paper, do a squat). Additionally, the App will use Behaviour Change Techniques as a strategy to support participants as they reduce their sedentary behaviour and improve their physical activity levels. The App uses a series of Behavior Change Techniques shown to be effective in promoting a more active lifestyle.
Primary Outcome Measures
NameTimeMethod
Number of breaks from sittingChange from baseline number of breaks from sitting at 1-month

This outcome will be assessed by self-report using the Workplace Sitting Breaks Questionnaire.

Secondary Outcome Measures
NameTimeMethod
Number of breaks from sittingChange from baseline number of breaks from sitting at 1-week, 2-months, 3-months, 4-months, 5-months, and 6-months

This outcome will be assessed by self-report using the Workplace Sitting Breaks Questionnaire in a typical work day

Degree of confidence to break up sitting timeChange from baseline degree of confidence to break up sitting time at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Task Self-Efficacy for Sedentary Behaviour Questionnaire using a scale from 0 (i.e. not at all confident) to 10 (i.e. completely confident)

Duration of breaks from sittingChange from baseline duration of breaks from sitting at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by self-report using the Workplace Sitting Breaks in a typical work day.

Percent time spent sitting at workChange from baseline percent time spent sitting at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Occupational Sitting and Physical Activity Questionnaire over the last 7 days

Moderate physical activityChange from baseline minutes per week in moderate physical activity at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Godin Leisure-Time Exercise Questionnaire in minutes per week

Degree of confidence for reducing their sedentary behaviours even when faced with feeling comfortable in their seated position at workChange from baseline for reducing their sedentary behaviours even when faced with feeling comfortable in their seated position at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Degree of confidence for reducing their sedentary behaviours even when feeling stressed at workChange from baseline for reducing their sedentary behaviours even when feeling stressed at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Degree of confidence for reducing their sedentary behaviours even when feeling down or depressed at workChange from baseline for reducing their sedentary behaviours even when feeling down or depressed at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Total sedentary timeChange from baseline total sedentary time at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

Sub-sample of 60 individuals will wear an accelerometer to measure their total sedentary time (hours per day)

Prolonged bouts of sedentary time lasting at least 30 minutesChange from baseline prolonged bouts of sedentary time lasting at least 30 minutes at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

Sub-sample of 60 individuals will wear an accelerometer to measure their prolonged bouts of sedentary time lasting at least 30 minutes (number per day)

Mild physical activityChange from baseline minutes per week in mild physical activity at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Godin Leisure-Time Exercise Questionnaire in minutes per week

Degree of confidence for reducing their sedentary behaviours even when having important tasks to do while seated at workChange from baseline for reducing their sedentary behaviours even when having important tasks to do while seated at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Percent time spent standing at workChange from baseline percent time spent standing at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Occupational Sitting and Physical Activity Questionnaire over the last 7 days

Percent time spent walking at workChange from baseline percent time spent walking at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Occupational Sitting and Physical Activity Questionnaire over the last 7 days

Percent time spent participating in heavy labour at workChange from baseline percent time spent participating in heavy labour at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Occupational Sitting and Physical Activity over the last 7 days

Strenuous physical activityChange from baseline minutes per week in strenuous physical activity at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Godin Leisure-Time Exercise Questionnaire in minutes per week

Degree of confidence for engaging in self-regulatory actions that would help them reduce their sedentary timeChange from baseline degree of confidence for engaging in self-regulatory actions that would help them reduce their sedentary time at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Sedentary Behaviour Questionnaire using a scale from 0 (i.e. not at all confident) to 10 (i.e. completely confident)

Degree of confidence for reducing their sedentary behaviours even when faced with feeling tired at workChange from baseline for reducing their sedentary behaviours even when faced with feeling tired at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Degree of confidence for reducing their sedentary behaviours even when feeling as if they deserve to sit at workChange from baseline for reducing their sedentary behaviours even when feeling as if they deserve to sit at work at 1-week, 1-month, 2-month, 3-month, 4-month, 5-month, 6-month

This outcome will be assessed by the Self-Regulatory Efficacy for Managing Barriers Questionnaire using a scale from 10 (i.e. not at all confident) to 100 (i.e. completely confident)

Trial Locations

Locations (1)

St-Boniface Hospital Albrechtsen Research Center

🇨🇦

Winnipeg, Manitoba, Canada

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