Trial Outcomes & Findings for Planning the Next Steps: Using an Implementation Intention Approach to Increase Daily Walking (NCT NCT03124563)

NCT ID: NCT03124563

Last Updated: 2019-01-14

Results Overview

Weekly average of daily step counts with Fitbit (averaged across 7 days at Week 1 and averaged across 7 days at Week 5).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

63 participants

Primary outcome timeframe

Week 1 & Week 5

Results posted on

2019-01-14

Participant Flow

Participant milestones

Participant milestones
Measure
Control Group
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Overall Study
STARTED
32
31
Overall Study
Pre-test
30
30
Overall Study
COMPLETED
30
29
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Group
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Overall Study
Lost to Follow-up
1
1
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Planning the Next Steps: Using an Implementation Intention Approach to Increase Daily Walking

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group
n=32 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which was deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=31 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Total
n=63 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
29 Participants
n=93 Participants
30 Participants
n=4 Participants
59 Participants
n=27 Participants
Age, Categorical
>=65 years
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
Age, Continuous
52.22 years
STANDARD_DEVIATION 7.68 • n=93 Participants
46.33 years
STANDARD_DEVIATION 8.03 • n=4 Participants
49.37 years
STANDARD_DEVIATION 8.33 • n=27 Participants
Sex: Female, Male
Female
24 Participants
n=93 Participants
22 Participants
n=4 Participants
46 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
9 Participants
n=4 Participants
17 Participants
n=27 Participants
Region of Enrollment
United States
32 participants
n=93 Participants
31 participants
n=4 Participants
63 participants
n=27 Participants

PRIMARY outcome

Timeframe: Week 1 & Week 5

Population: Analysis population based on participants that successfully synced their Fitbit and did not withdraw before the start of the study.

Weekly average of daily step counts with Fitbit (averaged across 7 days at Week 1 and averaged across 7 days at Week 5).

Outcome measures

Outcome measures
Measure
Control Group
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Steps
Week 1
6337.77 Daily Steps
Standard Deviation 2207.44
6966.06 Daily Steps
Standard Deviation 2818.05
Steps
Week 5
6109.46 Daily Steps
Standard Deviation 3308.75
8900.35 Daily Steps
Standard Deviation 4416.04

PRIMARY outcome

Timeframe: Week 1 & Week 5

Population: Analysis population based on participants that successfully synced their Fitbit and did not withdraw before the start of the study.

Weekly average of daily time spent in moderate to vigorous intensity activity (averaged across 7 days at Week 1 and averaged across 7 days at Week 5).

Outcome measures

Outcome measures
Measure
Control Group
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Activity Intensity
Week 1
18.71 Minutes
Standard Deviation 20.31
22.25 Minutes
Standard Deviation 22.05
Activity Intensity
Week 5
18.51 Minutes
Standard Deviation 25.84
32.23 Minutes
Standard Deviation 30.73

SECONDARY outcome

Timeframe: Baseline (Pre-Test) and Week 5 (Post-Test )

Population: Analysis population based on those who completed cognitive test at each testing point.

Z-score composite on the Brief Test of Adult Cognition by Telephone (BTACT). Individual tests scores were first standardized to z-scores. The z-score composite was calculated by averaging the z-scores of the 5 tests: word list immediate, word list delayed, backwards counting, digits backwards, and category fluency. Post-test z-scores were standardized based on the mean and s.d. of the pretest scores. A higher z-score is indicative of better cognitive functioning.

Outcome measures

Outcome measures
Measure
Control Group
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=30 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Cognitive Composite Score
Post-Test
.21 Z-score
Standard Deviation .50
.65 Z-score
Standard Deviation .52
Cognitive Composite Score
Pre-Test
-.17 Z-score
Standard Deviation .70
.17 Z-score
Standard Deviation .48

SECONDARY outcome

Timeframe: Baseline (Pre-Test) and Week 5 (Post-Test )

Population: Analysis population based on those who completed Control Beliefs over Exercise questionnaire at each testing point.

Degree of perceived control over Exercise. Range from 1 (Strongly agree) to 5 (strongly agree). Reverse coded so that a higher number indicates more perceived control over exercise.

Outcome measures

Outcome measures
Measure
Control Group
n=28 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=23 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Exercise Control Beliefs
Pre-Test
4.26 units on a scale
Standard Deviation .52
4.26 units on a scale
Standard Deviation .72
Exercise Control Beliefs
Post-Test
4.32 units on a scale
Standard Deviation .54
3.90 units on a scale
Standard Deviation .85

SECONDARY outcome

Timeframe: Baseline (Pre-Test) and Week 5 (Post-Test )

Amount of confidence in ability to exercise.

Outcome measures

Outcome measures
Measure
Control Group
n=27 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=23 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Exercise Self-efficacy
Pre-test
2.15 units on a scale
Standard Deviation 0.99
2.19 units on a scale
Standard Deviation 0.81
Exercise Self-efficacy
Post-test
2.16 units on a scale
Standard Deviation 0.86
2.29 units on a scale
Standard Deviation 0.92

SECONDARY outcome

Timeframe: Baseline (Pre-Test) and Week 5 (Post-Test )

Population: Analysis population based on those who completed Exercise Self-efficacy Beliefs questionnaire at each testing point.

Amount of confidence in ability to exercise when facing time constraints. Range from 1 (Very Sure) to 4 (Not sure at all). Reverse coded so that a higher number indicates more self-efficacy. 3 items, summed to form time-relevant composite scale.

Outcome measures

Outcome measures
Measure
Control Group
n=24 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants in this condition will begin receiving daily emails asking them to report their step count in a questionnaire. Participants in the control group will be matched with the intervention group for how much contact they have with the researcher.
Implementation Intention Condition
n=23 Participants
Participants will wear a Fitbit Zip to record their daily activity data, which will be deidentified and aggregated with an online platform called Fitabase. Participants in this arm will receive all components of the intervention: scheduling, maps, and activity goals. Participants will wear a Fitbit Zip for 5 weeks to record their daily activity data. The first week of the study will provide a baseline measurement of activity. After this week, participants will be asked to increase their steps incrementally by 2,000 steps each week for the subsequent four weeks. To help achieve their step goals, they will receive maps of different routes near their home and/or work of varying distances and step counts. They will be asked to review their schedule for the next day and identify times when they could add steps into their schedules, and to record their daily step data in the daily questionnaire.
Exercise Self-efficacy Beliefs - Time Composite
Pre-Test
1.96 units on a scale
Standard Deviation 1.05
1.90 units on a scale
Standard Deviation .75
Exercise Self-efficacy Beliefs - Time Composite
Post-Test
1.94 units on a scale
Standard Deviation .89
2.30 units on a scale
Standard Deviation .90

Adverse Events

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Implementation Intention Condition

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Margie E. Lachman

Brandeis University

Phone: 7817363255

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place