Behavioral Economics for Activity Motivation in Adolescents and Young Adults With Prediabetes and Type 2 Diabetes
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Pittsburgh
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Change in Moderate to Vigorous Physical Activity (MVPA)
Overview
Brief Summary
There is an urgent need to engineer targeted physical activity interventions that are effective and scalable for obese adolescents and young adults (AYA) with type 2 diabetes (T2D), who often have very low levels of physical activity. The BEAM Trial is a mobile health (mHealth) intervention that uses behavioral economic-informed financial incentives and text messaging to promote physical activity in AYA with T2D and prediabetes.
Detailed Description
Some secondary outcome measures from the protocol were inadvertently left out when creating the registration and have been added with the results.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Other
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 13 Years to 22 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •1\) Males or females age 13 to 22 years.
- •2\) Overweight or obese (BMI ≥85th percentile for age/sex, or ≥25 kg/m2 for participants ≥18 years)
- •3\) Diagnosis with prediabetes or type 2 diabetes
- •4\) Consent (subjects 18 and older), Parental/guardian permission (subjects 13-17), assent (subjects 13-17)
- •5\) Willingness to wear Fitbit during waking hours daily for duration of run-in and intervention.
- •6\) Possession of a smartphone.
Exclusion Criteria
- •1\) Potential subject unable to speak or read in English
- •2\) Severe cognitive impairment
- •3\) Permanent or temporary physical disability that impairs ambulation or precludes engagement in MVPA
- •4\) Current pregnancy
- •5\) Previously-diagnosed or current restrictive or purging eating disorder
- •6\) Moderate to vigorous physical activity (MVPA) \>30 minutes per day or Fitbit wear \< 4 days during second week of 2-week run-in period
Outcomes
Primary Outcomes
Change in Moderate to Vigorous Physical Activity (MVPA)
Time Frame: 12 weeks
Effects of time spent in MVPA was measured by assessing the change in weekly mean minutes in MVPA per day from baseline
Secondary Outcomes
- Change in Daily Step Count(12 weeks)
- Change in BMI Z-score(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in Plasma Glucose(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in Insulin(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in Hemoglobin A1c(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in Triglycerides(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in Low-density Lipoprotein (LDL)(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in High-density Lipoprotein (HDL)(From baseline to follow-up in-person study visits, separated by 3 months)
- Change in ALT(From baseline to follow-up in-person study visits, separated by 3 months)
Investigators
Mary Ellen Vajravelu, MD
Assistant Professor
University of Pittsburgh