A Study to Promote Physical Activity Motivation in Cardiovascular Disease Patients

NCT ID: NCT05867511

Last Updated: 2023-11-28

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-01

Study Completion Date

2023-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study investigates the feasibility of an app based intervention, which uses questionnaires and personalized motivational messages to achieve change in physical activity and sedentary behaviour of cardiovascular patients. The questionnaires and messages are based on behaviour change theories, such as the transtheoretical model. The intervention will take place over eight weeks. One week before and during the last week, physical activity will be measured via accelerometers. A comprehensive questionnaire will be given before and at the end of the intervention and Feasibility measures will be evaluated at the end as well, including an optional qualitative interview with the participants.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Cardiovascular diseases are the leading cause of death and disability worldwide. They are mainly caused by lifestyle risk factors, such as physical inactivity, which is also the fourth leading risk factor for mortality. Regular physical activity is crucial for the prevention and treatment of cardiovascular diseases. Nevertheless, success in achieving long-term adherence to physical activity recommendations after an acute cardiac event or even after exercise-based cardiac rehabilitation is rather low. Furthermore, even though most research has focused on physical activity, engaging in reduced amounts of sedentary behavior is also crucial, as it represents an important cardiovascular risk even after adjusting for physical activity. Health behavior change theories, such as the transtheoretical model, and empirical evidence highlight the importance of motivation and motivational factors in the behavior maintenance or change process. Thus, the main goal of the present study is to assess preliminary effectiveness of an intervention mostly based on the transtheoretical model to promote cardiovascular patients' motivation to be physically active and to engage in reduced amounts of sedentary behavior. Most intervention components will be delivered digitally to the participants' smartphones via a study specific app. Furthermore, weekly questionnaires allow the investigators' to individualize the intervention components and investigate associations not only between-subjects, but also within-subjects over time, which is essential and has been neglected in the literature. The primary objective is to assess study feasibility.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cardiovascular Diseases

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

The study is a one-armed pilot 8-week tailored intervention with a pre-post-design, as well as an intensive-longitudinal design with weekly measurements.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Intervention group

This Group will be using the iPAL App for 8 Weeks

Group Type EXPERIMENTAL

iPAL App

Intervention Type BEHAVIORAL

The intervention will have a duration of eight weeks. It is theory-based, will be delivered to participants' smartphones via the study app (except components 5 and 6), and comprises the following components:

1. Theory-based individualized feedback.
2. Self-generated motivational messages.
3. Motivation for habit formation through push messages.
4. Motivational images and videos that participants handed in or selected will be sent to them through the app.
5. Study-specific social media groups. Participants will be offered the option to participate in study-specific social media groups.
6. Posting motivational stories. A story of a person, who successfully changed his or her lifestyle to be more physically active and/or less sedentary, will be posted once a week in the study-specific social media groups.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

iPAL App

The intervention will have a duration of eight weeks. It is theory-based, will be delivered to participants' smartphones via the study app (except components 5 and 6), and comprises the following components:

1. Theory-based individualized feedback.
2. Self-generated motivational messages.
3. Motivation for habit formation through push messages.
4. Motivational images and videos that participants handed in or selected will be sent to them through the app.
5. Study-specific social media groups. Participants will be offered the option to participate in study-specific social media groups.
6. Posting motivational stories. A story of a person, who successfully changed his or her lifestyle to be more physically active and/or less sedentary, will be posted once a week in the study-specific social media groups.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Cardiovascular disease patients
* Participating in cardiovascular rehabilitation OR having received the recommendation from a cardiologist to participate in cardiovascular rehabilitation and having refused
* Signing the informed consent form
* Owning a smartphone with internet access

Exclusion Criteria

* Age under 18 years
* Having a contraindication for physical activity
* Existing or suspected non-fulfilment of the participation requirements
* Inability to follow the procedures of the study (e.g., by not speaking German, being unable to read or write, or severe cognitive impairment)
* Being in palliative care
* Being pregnant
* Having an assisted living situation
* Stroke patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University of Bern

OTHER

Sponsor Role collaborator

Claudio Nigg

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Claudio Nigg

Prof. Dr. Claudio Nigg

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Claudio Nigg, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Bern

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Institute of Sport Science, University of Bern

Bern, , Switzerland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

References

Explore related publications, articles, or registry entries linked to this study.

Attkisson CC, Zwick R. The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;5(3):233-7. doi: 10.1016/0149-7189(82)90074-x.

Reference Type BACKGROUND
PMID: 10259963 (View on PubMed)

Bolger, N., & Laurenceau, J. P. (2013). Intensive longitudinal methods: An introduction to diary and experience sampling research. Guilford Press.

Reference Type BACKGROUND

Brooke, J. (1996). SUS-A quick and dirty usabiliy scale. Usability Evaluation in Industry, 189(194), 4-7.

Reference Type BACKGROUND

Dolansky MA, Stepanczuk B, Charvat JM, Moore SM. Women's and men's exercise adherence after a cardiac event. Res Gerontol Nurs. 2010 Jan;3(1):30-8. doi: 10.3928/19404921-20090706-03. Epub 2010 Jan 27.

Reference Type BACKGROUND
PMID: 20128541 (View on PubMed)

Gardner B, Abraham C, Lally P, de Bruijn GJ. Towards parsimony in habit measurement: testing the convergent and predictive validity of an automaticity subscale of the Self-Report Habit Index. Int J Behav Nutr Phys Act. 2012 Aug 30;9:102. doi: 10.1186/1479-5868-9-102.

Reference Type BACKGROUND
PMID: 22935297 (View on PubMed)

Greaney ML, Riebe D, Ewing Garber C, Rossi JS, Lees FD, Burbank PA, Nigg CR, Ferrone CL, Clark PG. Long-term effects of a stage-based intervention for changing exercise intentions and behavior in older adults. Gerontologist. 2008 Jun;48(3):358-67. doi: 10.1093/geront/48.3.358.

Reference Type BACKGROUND
PMID: 18591361 (View on PubMed)

Halloway S, Wilbur J, Schoeny ME, Semanik PA, Marquez DX. Combined Effects of Sedentary Behavior and Moderate-to-Vigorous Physical Activity on Cardiovascular Health in Older, Community-Dwelling Latinos. J Aging Phys Act. 2016 Apr;24(2):296-304. doi: 10.1123/japa.2015-0096. Epub 2015 Oct 6.

Reference Type BACKGROUND
PMID: 26439328 (View on PubMed)

Höfer, S., Benzer, W., Brandt, D., Laimer, H., Schmid, P., Bernardo, A [Arthur], & Oldridge, N. B. (2004). MacNew Heart Disease Lebensqualitätsfragebogen nach Herzinfarkt. Zeitschrift Für Klinische Psychologie Und Psychotherapie, 33(4), 270-280. https://doi.org/10.1026/1616-3443.33.4.270

Reference Type BACKGROUND

Khan MA, Hashim MJ, Mustafa H, Baniyas MY, Al Suwaidi SKBM, AlKatheeri R, Alblooshi FMK, Almatrooshi MEAH, Alzaabi MEH, Al Darmaki RS, Lootah SNAH. Global Epidemiology of Ischemic Heart Disease: Results from the Global Burden of Disease Study. Cureus. 2020 Jul 23;12(7):e9349. doi: 10.7759/cureus.9349.

Reference Type BACKGROUND
PMID: 32742886 (View on PubMed)

Krohne, H. W., Egloff, B., Kohlmann, C.-W., & Tausch, A. (1996). Untersuchungen mit einer deutschen Version der Positive and Negative Affect Schedule (PANAS). Diagnostica, 42(2), 139-156.

Reference Type BACKGROUND

Lee RE, Nigg CR, DiClemente CC, Courneya KS. Validating motivational readiness for exercise behavior with adolescents. Res Q Exerc Sport. 2001 Dec;72(4):401-10. doi: 10.1080/02701367.2001.10608976.

Reference Type BACKGROUND
PMID: 11770789 (View on PubMed)

Nigg, C. R [C. R.], & Riebe, D. (2002). The Transtheoretical Model: Research review of exercise behavior and older adults. In P. Burbank & D. Riebe (Eds.), Promoting exercise and behavior change in older adults: interventions with the Transtheoretical Model (pp. 147- 180). Springer Publishing Company.

Reference Type BACKGROUND

Paxton RJ, Nigg CR, Motl RW, McGee K, McCurdy D, Matthai CH, Dishman RK. Are constructs of the transtheoretical model for physical activity measured equivalently between sexes, age groups, and ethnicities? Ann Behav Med. 2008 Jun;35(3):308-18. doi: 10.1007/s12160-008-9035-x. Epub 2008 Jul 8.

Reference Type BACKGROUND
PMID: 18607667 (View on PubMed)

Perski O, Blandford A, Garnett C, Crane D, West R, Michie S. A self-report measure of engagement with digital behavior change interventions (DBCIs): development and psychometric evaluation of the "DBCI Engagement Scale". Transl Behav Med. 2020 Feb 3;10(1):267-277. doi: 10.1093/tbm/ibz039.

Reference Type BACKGROUND
PMID: 30927357 (View on PubMed)

Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corra U, Cosyns B, Deaton C, Graham I, Hall MS, Hobbs FDR, Lochen ML, Lollgen H, Marques-Vidal P, Perk J, Prescott E, Redon J, Richter DJ, Sattar N, Smulders Y, Tiberi M, van der Worp HB, van Dis I, Verschuren WMM, Binno S; ESC Scientific Document Group. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J. 2016 Aug 1;37(29):2315-2381. doi: 10.1093/eurheartj/ehw106. Epub 2016 May 23. No abstract available.

Reference Type BACKGROUND
PMID: 27222591 (View on PubMed)

Rackow, P., Berli, C., Lüscher, J., Luszczynska, A., & Scholz, U. (2017). Emotional or instrumental support? Distinct effects on vigorous exercise and affect. Psychology of Sport and Exercise, 33, 66-74. https://doi.org/10.1016/j.psychsport.2017.07.011

Reference Type BACKGROUND

ter Hoeve N, Huisstede BM, Stam HJ, van Domburg RT, Sunamura M, van den Berg-Emons RJ. Does cardiac rehabilitation after an acute cardiac syndrome lead to changes in physical activity habits? Systematic review. Phys Ther. 2015 Feb;95(2):167-79. doi: 10.2522/ptj.20130509. Epub 2014 Oct 2.

Reference Type BACKGROUND
PMID: 25278337 (View on PubMed)

WHO. (2017, August). Global strategy on diet, physical activity and health: Physical activity. http://www.who.int/dietphysicalactivity/pa/en/

Reference Type BACKGROUND

WHO. (2020, December 9). The top 10 causes of death. https://www.who.int/news-room/factsheets/detail/the-top-10-causes-of-deat

Reference Type BACKGROUND

Godin, G. (2011). The Godin-Shephard leisure-time physical activity questionnaire. The Health & Fitness Journal of Canada, 4(1), 18-22.

Reference Type BACKGROUND

Gardiner PA, Clark BK, Healy GN, Eakin EG, Winkler EA, Owen N. Measuring older adults' sedentary time: reliability, validity, and responsiveness. Med Sci Sports Exerc. 2011 Nov;43(11):2127-33. doi: 10.1249/MSS.0b013e31821b94f7.

Reference Type BACKGROUND
PMID: 21448077 (View on PubMed)

Han H, Pettee Gabriel K, Kohl HW 3rd. Application of the transtheoretical model to sedentary behaviors and its association with physical activity status. PLoS One. 2017 Apr 27;12(4):e0176330. doi: 10.1371/journal.pone.0176330. eCollection 2017.

Reference Type BACKGROUND
PMID: 28448531 (View on PubMed)

Bermudez T, Bierbauer W, Scholz U, Hermann M. Depression and anxiety in cardiac rehabilitation: differential associations with changes in exercise capacity and quality of life. Anxiety Stress Coping. 2022 Mar;35(2):204-218. doi: 10.1080/10615806.2021.1952191. Epub 2021 Jul 16.

Reference Type BACKGROUND
PMID: 34269151 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2021-02500

Identifier Type: -

Identifier Source: org_study_id