跳至主要内容
临床试验/NCT03575559
NCT03575559Unknown不适用

What Friends Are for: Comparing the Effectiveness of an Individual Planning Intervention With Collaborative Planning

University of Zurich2 个研究点 分布在 1 个国家目标入组 400 人开始时间: 2018年9月18日最近更新:
适应症

试验速览

阶段
不适用
入组人数
400
试验地点
2
主要终点
Objective measurement of physical activity

研究概览

简要总结

BACKGROUND: The physiological and psychological benefits of regular physical activity (PA) and reduced sedentary behavior are well documented. Nevertheless, the majority of adolescents in western countries, e.g., Switzerland, do not meet the recommendations for moderate to vigorous PA of at least one hour per day. Planning interventions, defined as the creation of plans when, where and how to engage in a behavior change, have been proposed as an effective way of translating intentions into action. AIM: The project aims at closing the empirical gap of the question whether or not planning interventions of PA in adolescents are successful and which planning intervention is the most effective one.

In detail, it is aimed for to examine changes in (daily) moderate to vigorous physical activity in adolescents' friendship dyads following (a) an individual planning intervention, (b) a collaborative planning intervention or (c) one of the two no-planning control conditions. Changes in (daily) physical activity will be examined over a period of 6-months. By investigating the intervention effect systematically by means of daily diaries, long-term follow-ups and objective measurements this project will provide a novel knowledge about individual self-regulating mechanism and social exchange processes as the mediating mechanism of the effectiveness of individual and collaborative planning for health behavior change in adolescents. DESIGN: Single-blind four-arm parallel-group cluster-randomized controlled trial with longitudinal design. The assessment of the main and secondary outcomes is conducted at the baseline, at 1 week after the first intervention session, and at 1-, and 6-month follow-ups. The intervention consists of one planning session and one booster session after 1-month. PARTICIPANTS: The sample will consist of 400 friendship dyads between 14 and 18 years of age. A cluster-randomization will assign participants to one of the two planning groups (collaborative or individual) or one of the two control groups. Both partners of the friendship dyad will complete all questionnaires. OUTCOMES: Physical activity constitutes the main outcome, whereas self-regulatory strategies like planning, self-efficacy, as well as social exchange processes like social support are secondary outcomes.

详细描述

The physiological and psychological benefits of regular physical activity (PA) and reduced sedentary behavior are well documented. Nevertheless, the majority of adolescents in western countries, e.g., Switzerland, do not meet the recommendations for moderate to vigorous PA of at least one hour per day. However, changing PA seems to be a major challenge even for individuals with good intentions to do so. This phenomenon is the so called intention-behavior gap. Planning interventions have been proposed as an effective way of translating intentions into action. Planning includes action planning (i.e., individual creation of plans when, where and how to engage in a behavior change) and coping planning (i.e., what an individual will do in case barriers arise). So far, good evidence has been found for individual planning increasing PA among adults. Such research with adolescents, however, is in its early stages. Moreover, recent research suggests that an individual's behavior change is also dependent on members of the social network. Consequently, the idea of conjoint planning was introduced recently. Conjoint planning comprises two planning formats, namely collaborative and dyadic planning. Dyadic planning implies creating plans together with a partner, but executing the behavior individually. In contrast, collaborative planning is defined as conjoint planning of at least two individuals when, where and how to perform a behavior together. An example would be "If we go shopping, we will take the bicycles to get there". It is assumed that conjoint planning stimulates social exchange processes between the planning partners. Social exchange processes are interactions between individuals that influence an individual's behavior, emotions, and cognitions and have been shown to play a significant role for health behavior change. A central component of social exchange processes is social support. Regarding PA in adolescents, the influence of peers and friends become increasingly important due to increased autonomy in adolescence. However, past research on health behavior change in adolescents has not yet examined effects of conjoint planning to enhance PA in adolescents. Although a few studies showed promising effects of conjoint planning in adults and adolescents, some important questions still remain open, which will be addressed in this project focusing on individual and collaborative planning. Our research questions and hypotheses are the following:

Research question 1: Is planning an effective strategy to promote PA in adolescents when using daily based measures of PA and long-term follow-ups?

Hypothesis 1.1. Adolescents, who take part in one of the two planning interventions, will show higher levels of (self-reported/objectively measured) PA compared to the control groups when comparing PA on a daily basis, one week (directly after the intervention), one month (after the booster session) and six months after the intervention.

Hypothesis 1.2. Adolescents in the individual and collaborative planning intervention will report higher PA one month and six months after the intervention compared to the control groups.

Research question 2: Do collaborative and individual planning differ regarding their effectiveness to promote PA in adolescents?

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Participant)

盲法说明

Friendship dyads are assigned to the 4 conditions without being informed that 4 conditions exist.

入排标准

年龄范围
14 Years 至 18 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy adolescents (age 14-18)
  • Same sex of the adolescents of each friendship dyad
  • Access to internet (smartphone or at home)
  • Adolescents less active than 1 hour of moderate to vigorous physically active per day
  • Adolescents with the intention to be more physically active
  • Parental consent at the baseline for adolescents under the age of 16
  • Adolescents consent at the baseline

排除标准

  • Restrictions on being physically active as assessed by a risk-check form modelled after the Physical Activity Readiness Questionnaire
  • Romantic relationship with participating friend
  • A BMI below 17
  • Insufficient comprehension of the German language
  • Pregnancy
  • Participating in other intervention programmes targeting physical activity

结局指标

主要结局

Objective measurement of physical activity

时间窗: 4 daily diary phases of one week each over a period of 6 month

Physical activity will be assessed by an accelerometer device ActiGraph (model wGT3X-BT). At each assessment, accelerometer devices will be worn for 7 days (8 days for the first assessment). Accelerometers will be worn by both members of the dyad.

Subjective measurement of daily physical activity

时间窗: 4 daily diary phases of one week each over a period of 6 month

Self-reported daily physical activity of all participants is assessed including detailed information on time spent on physical activities, the intensity of each PA and how long each activity has been done together with the friend.

Subjective measurement of physical activity during the past 7 days

时间窗: Time point one (T1, Month 1) to Time point four (T4; 6 month follow-up)

Self-reported physical activity of all participants is assessed including detailed information on time spent on physical activities during the past 7 days, the intensity of each PA and how long each activity has been done together with the friend.

次要结局

  • Subjective measurement of daily self-efficacy(4 daily diary phases of one week each over a period of 6 month)
  • Subjective measurement of daily planning(4 daily diary phases of one week each over a period of 6 month)
  • Subjective measurement of self-efficacy(Time point one (T1, Month 1) to Time point four (T4; 6 month follow-up))
  • Subjective measurement of planning(Time point one (T1, Month 1) to Time point four (T4; 6 month follow-up))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

Loading locations...

相似试验