Trial Outcomes & Findings for Promotion of Physical Activity in Adolescents With Intellectual and Developmental Disabilities (NCT NCT03684512)

NCT ID: NCT03684512

Last Updated: 2023-07-03

Results Overview

Moderate to vigorous physical activity was assessed using an ActiGraph accelerometer worn during waking hours for 7 consecutive days, with the exception of bathing, and swimming. Data were considered valid if they wore the accelerometer for at least 8 hours on 3 days, including 1 weekend day.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

116 participants

Primary outcome timeframe

Change from baseline to 6 months

Results posted on

2023-07-03

Participant Flow

Dyads of adolescents with intellectual disabilities and a parent.

Participant milestones

Participant milestones
Measure
Adolescent and Parent (A+P)
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Adolescent Only (AO)
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat
Overall Study
STARTED
57
59
Overall Study
Completed 6 Months
47
54
Overall Study
Completed 12 Month Active Intervention
40
48
Overall Study
COMPLETED
37
45
Overall Study
NOT COMPLETED
20
14

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

For participants in which valid accelerometer data was obtained.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adolescent Only (AO): Adolescents
n=59 Participants
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference
Adolescent Only (AO): Parents
n=57 Participants
Parents had adolescents who were randomized to the AO intervention. Parents were not asked to do anything in the intervention.
Adolescent and Parent (A+P): Adolescents
n=57 Participants
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Adolescent and Parent (A+P): Parents
n=55 Participants
Parents had adolescents who were randomized to the A+P intervention. Parents were asked to attend weekly group exercise session, individual support sessions and had access to a parent facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Total
n=228 Participants
Total of all reporting groups
Age, Continuous
15.4 years
STANDARD_DEVIATION 3.1 • n=59 Participants
47.7 years
STANDARD_DEVIATION 7.45 • n=57 Participants
15.6 years
STANDARD_DEVIATION 2.9 • n=57 Participants
48.6 years
STANDARD_DEVIATION 7.05 • n=55 Participants
31.8 years
STANDARD_DEVIATION 17.2 • n=228 Participants
Sex: Female, Male
Female
31 Participants
n=59 Participants
52 Participants
n=57 Participants
29 Participants
n=57 Participants
51 Participants
n=55 Participants
163 Participants
n=228 Participants
Sex: Female, Male
Male
28 Participants
n=59 Participants
5 Participants
n=57 Participants
28 Participants
n=57 Participants
4 Participants
n=55 Participants
65 Participants
n=228 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=59 Participants
3 Participants
n=57 Participants
5 Participants
n=57 Participants
3 Participants
n=55 Participants
15 Participants
n=228 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
55 Participants
n=59 Participants
54 Participants
n=57 Participants
52 Participants
n=57 Participants
52 Participants
n=55 Participants
213 Participants
n=228 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=59 Participants
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=55 Participants
0 Participants
n=228 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=59 Participants
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=55 Participants
0 Participants
n=228 Participants
Race (NIH/OMB)
Asian
2 Participants
n=59 Participants
3 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=55 Participants
5 Participants
n=228 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=59 Participants
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=55 Participants
1 Participants
n=228 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=59 Participants
7 Participants
n=57 Participants
4 Participants
n=57 Participants
4 Participants
n=55 Participants
21 Participants
n=228 Participants
Race (NIH/OMB)
White
43 Participants
n=59 Participants
46 Participants
n=57 Participants
45 Participants
n=57 Participants
48 Participants
n=55 Participants
182 Participants
n=228 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=59 Participants
1 Participants
n=57 Participants
8 Participants
n=57 Participants
3 Participants
n=55 Participants
19 Participants
n=228 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=59 Participants
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=55 Participants
0 Participants
n=228 Participants
Moderate To Vigorous Physical Activity
22.15 minutes per day
STANDARD_DEVIATION 29.17 • n=52 Participants • For participants in which valid accelerometer data was obtained.
17.67 minutes per day
STANDARD_DEVIATION 18.02 • n=51 Participants • For participants in which valid accelerometer data was obtained.
17.01 minutes per day
STANDARD_DEVIATION 15.61 • n=44 Participants • For participants in which valid accelerometer data was obtained.
16.96 minutes per day
STANDARD_DEVIATION 18.30 • n=47 Participants • For participants in which valid accelerometer data was obtained.
19.83 minutes per day
STANDARD_DEVIATION 20.95 • n=194 Participants • For participants in which valid accelerometer data was obtained.

PRIMARY outcome

Timeframe: Change from baseline to 6 months

Population: Adolescents who had valid accelerometer data at both baseline and 6 months

Moderate to vigorous physical activity was assessed using an ActiGraph accelerometer worn during waking hours for 7 consecutive days, with the exception of bathing, and swimming. Data were considered valid if they wore the accelerometer for at least 8 hours on 3 days, including 1 weekend day.

Outcome measures

Outcome measures
Measure
Adolescent Only (AO)
n=42 Participants
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat
Adolescent and Parent (A+P)
n=31 Participants
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Change in Adolescent Physical Activity From Baseline to 6 Months
-3.2 minutes per day
Standard Deviation 14.8
-0.6 minutes per day
Standard Deviation 12.5

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Population: Adolescents who had valid accelerometer data at both baseline and 18 months

Moderate to vigorous physical activity was assessed using an ActiGraph accelerometer worn during waking hours for 7 consecutive days, with the exception of bathing, and swimming. Data were considered valid if they wore the accelerometer for at least 8 hours on 3 days, including 1 weekend day.

Outcome measures

Outcome measures
Measure
Adolescent Only (AO)
n=32 Participants
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat
Adolescent and Parent (A+P)
n=23 Participants
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Change in Adolescent Moderate to Vigorous Physical Activity From Baseline to 18 Months
-1.5 minutes per day
Standard Deviation 28.5
7.6 minutes per day
Standard Deviation 21.8

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Moderate to Vigorous Physical Activity in parents of participants will be assessed at baseline, 3, 6, 12, and 18 months using an ActiGraph accelerometer over 7 days

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Sedentary Time in adolescents with IDD will be assessed at baseline, 3, 6, 12, and 18 months, using an ActiGraph accelerometer over 7 days.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Sedentary Time in parents of participants will be assessed at baseline, 3, 6, 12, and 18 months, using an ActiGraph accelerometer over 7 days.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Cardiovascular fitness will be assessed by treadmill at baseline, 3, 6, 12, and 18 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Assessed at baseline, 6, 12, and 18 months by chest press and leg press

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Assessed by the Gross Motor Quotient and Percentile obtained from Test of Gross Motor Development-second edition

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 18 months

Assessed a using the PedsQL 4.0 Generic Core Scale designed to measure health-related quality of life in healthy children and adolescents and in those with chronic health conditions

Outcome measures

Outcome data not reported

Adverse Events

Adolescent Only

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Adolescent and Parent

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Adolescent Only
n=59 participants at risk
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat
Adolescent and Parent
n=57 participants at risk
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Respiratory, thoracic and mediastinal disorders
COVID 19 Hospitalization
0.00%
0/59 • 18 months
Adverse events were only collected from the adolescent.
1.8%
1/57 • Number of events 1 • 18 months
Adverse events were only collected from the adolescent.
Endocrine disorders
Pancreatitis
1.7%
1/59 • Number of events 1 • 18 months
Adverse events were only collected from the adolescent.
0.00%
0/57 • 18 months
Adverse events were only collected from the adolescent.
Renal and urinary disorders
Tubulointerstitial Nephritis
1.7%
1/59 • Number of events 2 • 18 months
Adverse events were only collected from the adolescent.
0.00%
0/57 • 18 months
Adverse events were only collected from the adolescent.

Other adverse events

Other adverse events
Measure
Adolescent Only
n=59 participants at risk
Remote based physical activity intervention delivered to adolescents only. Adolescents will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat
Adolescent and Parent
n=57 participants at risk
Remote based physical activity intervention delivered to adolescents and their parent. Adolescents and a parent will be asked to attend weekly group exercise sessions, individual support sessions, and monitor their daily physical activity. Parents will have access to a Parent Facebook group. Group Exercise Sessions: Remote exercise sessions delivered over group video conference Individual Support Sessions: Individual education/support/feedback sessions delivered over video chat Facebook Group: Facebook group for parents to provide additional support and education
Product Issues
Rash from Fitbit Watch
1.7%
1/59 • Number of events 1 • 18 months
Adverse events were only collected from the adolescent.
3.5%
2/57 • Number of events 2 • 18 months
Adverse events were only collected from the adolescent.

Additional Information

Dr. Lauren Ptomey

University of Kansas Medical Center

Phone: 913-588-7983

Results disclosure agreements

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