An Online Behavior Change Intervention to Promote Physical Activity in Adults With Asthma

NCT ID: NCT05241223

Last Updated: 2023-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-03

Study Completion Date

2023-08-30

Brief Summary

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The aims of this study are to investigate the effectiveness of an online behavior change (BC) intervention in increasing physical activity (PA) and reducing sedentary behavior in adults with asthma, as well as, in improving other clinical outcomes, in short and medium term. In this single-blind randomized clinical trial, patients with clinically stable moderate to severe asthma, who are physically inactive and do not have cardiovascular and/or osteoneuromuscular impairments will be randomized into control (CG) or intervention (IG) groups (23 in each group). Both groups will carry out a minimum educational program. Additionally, the IG will receive weekly individual and/or group online sessions for 12 weeks of motivation-based BC intervention to promote PA and reduce sedentary behavior, based on both self-determination theory (SDT) and transtheoretical model (TTM). The IG will also receive a pedometer with specific strategies related to it. Both groups will be reassessed immediately after the intervention as well as 6 months after the end of the intervention. The primary outcomes are PA and sedentary behavior, which will be objectively assessed by a triaxial accelerometer (Actigraph wGT3X-BT). Secondary outcomes are: asthma control, functional capacity, quality of life, sleep quality and symptoms of anxiety and depression.

Detailed Description

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Conditions

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Asthma Sedentary Behavior Physical Inactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control group

This group will receive an education program which will cover information regarding asthma, physical activity and sedentary behavior.

Group Type SHAM_COMPARATOR

Educational program

Intervention Type OTHER

The educational program will be delivered similarly to both groups through videos and booklets, which will be sent in all weekdays during de first week after the initial assessment. Later, one educational material will be sent every two weeks until de 11th week. In the first day, patients will receive a quick welcome video call, in which information will be provided on how this program will work. In the subsequent days, the material will be sent daily and the participants will be able to ask questions, if they want to. The program will cover information regarding the respiratory system, pathophysiology of asthma, asthma treatment, prevention strategies and medication instructions. It will also be briefly addressed the subjects: understanding physical activity and sedentarism, as well as the importance and benefits of being physically active and less sedentary.

Experimental group

In addition to the educational program, this group will receive weekly individual and/or group online sessions for 12 weeks of motivation-based on behavior change intervention to promote physical activity and reduce sedentary behavior, based on both self-determination theory and transtheoretical model. They will also receive a pedometer with specific strategies related to it.

Group Type EXPERIMENTAL

Behavior change intervention

Intervention Type OTHER

This is an online intervention based on the transtheoretical model, along with self-determination theory strategies. This intervention will take place weekly summing up 12 online individual and/or group sessions of approximately 20 minutes. The sessions will be made through a platform and/or application that makes video calls privately. Each session will address a topic. In addition, in all sessions, the patients gain during the previous week will be recognized, as well as new goals will be set for the next week. The goals will always be individualized, realistic and achievable, based on the identification of each person's capacity and motivation. A Fitbit Zip will be used to propose objective goals aimed at increasing physical activity and reduce sedentary behavior. Additionally, a complex practice environment will be created around this device, such as the visualization of the number of steps evolution and competitions/games with other participants, among others.

Interventions

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Behavior change intervention

This is an online intervention based on the transtheoretical model, along with self-determination theory strategies. This intervention will take place weekly summing up 12 online individual and/or group sessions of approximately 20 minutes. The sessions will be made through a platform and/or application that makes video calls privately. Each session will address a topic. In addition, in all sessions, the patients gain during the previous week will be recognized, as well as new goals will be set for the next week. The goals will always be individualized, realistic and achievable, based on the identification of each person's capacity and motivation. A Fitbit Zip will be used to propose objective goals aimed at increasing physical activity and reduce sedentary behavior. Additionally, a complex practice environment will be created around this device, such as the visualization of the number of steps evolution and competitions/games with other participants, among others.

Intervention Type OTHER

Educational program

The educational program will be delivered similarly to both groups through videos and booklets, which will be sent in all weekdays during de first week after the initial assessment. Later, one educational material will be sent every two weeks until de 11th week. In the first day, patients will receive a quick welcome video call, in which information will be provided on how this program will work. In the subsequent days, the material will be sent daily and the participants will be able to ask questions, if they want to. The program will cover information regarding the respiratory system, pathophysiology of asthma, asthma treatment, prevention strategies and medication instructions. It will also be briefly addressed the subjects: understanding physical activity and sedentarism, as well as the importance and benefits of being physically active and less sedentary.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* people aged from 18 to 60 years
* diagnosis of moderate to severe asthma, who underwent drug treatment for at least 6 months
* clinical stability for at least 1 month (without hospitalizations, emergency care use or medication changes)
* absence of cardiovascular and/or osteoneuromuscular diseases that could interfere/hinder the performance of tests and physical activity
* absence of lung diseases other than asthma
* preserved cognitive function
* non-smokers or ex-smokers with \<10 pack-years
* report being physically inactive in accordance with current physical activity guidelines
* able to make video calls through any platform and/or free app available

Exclusion Criteria

* presence of any new orthopedic limitation that hinders the performance of physical activity during the study
* perform ≥150 minutes per week of moderate to vigorous physical activity during the initial assessment
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade Norte do Paraná

OTHER

Sponsor Role lead

Responsible Party

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Karina Furlanetto

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joice Oliveira, Msc

Role: PRINCIPAL_INVESTIGATOR

Universidade Norte do Paraná

Locations

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Centro de Pesquisa e Pós Graduação na Unopar

Londrina, Paraná, Brazil

Site Status

Countries

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Brazil

References

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de Oliveira JM, Karloh M, Matias TS, Barbosa GB, Freitas PD, Carvalho CRF, Furlanetto KC. An online behavior change intervention to promote physical activity in adults with asthma: study protocol for a multicenter randomized controlled trial. Trials. 2022 Dec 7;23(1):983. doi: 10.1186/s13063-022-06881-x.

Reference Type DERIVED
PMID: 36476386 (View on PubMed)

Other Identifiers

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OliveiraJM_PhD_FurlanettoKC

Identifier Type: -

Identifier Source: org_study_id