Comparing Two Different Methods to Prescribe Exercise

NCT04286919 | Completed

• 1 other identifier: H18-266
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Practical interventions are needed to increase physical activity (PA) levels in insufficiently active individuals. HEAT is a randomized controlled trial comparing two different exercise prescription (ExRx) methods to increase PA volume among insufficiently active UConn students. Students will be randomized to two groups: (1) ExRx#1 will emphasize meeting the Physical Activity Guidelines for Americans via the Frequency, Intensity, Time, and Type or FITT principle of ExRx; and (2) ExRx#2 will be founded in the Integrated Behavior Change Theory and based on the 2018 Physical Activity Guidelines Review Committee Scientific Report heat map which emphasizes that all PA counts. HEAT aims to assess the effectiveness of each ExRx individually and comparatively to one another for each outcome measure. We hypothesize that UConn students in ExRx#2 will increase PA volume more than ExRx#1 in response to the 12wk ExRx due to its foundation in the IBC. If our hypothesis proves correct we aim to inform healthcare providers on university campuses on which method of ExRx is more effective at increasing PA participation among their insufficiently active students.

Conditions

Physical Activity; Health Behavior

Keywords

Exercise; Adherence

Outcome Measures

Primary Outcomes (1)

• Physical Activity Volume change from Baseline to 12 weeks

  Actical® (Mini Meter, Respironics Inc.) accelerometers will be given to participants to wear on their hip for 4 consecutive days including 2 weekdays and 2 weekend days as an objective measure of PA volume in MET-hours/day. This data will be collected at baseline before the exercise guidelines start and at week 12 of the exercise guidelines to measure change from baseline to 12 weeks.

  12 weeks

Secondary Outcomes (1)

• Autonomy Score Change from Baseline to 12 weeks

  12 weeks

Study Arms (2)

ExRx#1: Physical Activity Guidelines

ACTIVE COMPARATOR

ExRx#1 uses the Frequency, Intensity, Time, and Type or FITT principle of exercise prescription to prescribe the Physical Activity Guidelines for Americans which is a weekly goal of 150-minutes of moderate intensity aerobic physical activity plus 2 days of muscle strengthening physical activity. ExRx#1 communicates the ultimate goal of the physical activity guidelines for Americans using an image adopted from the physical activity guidelines website that depicts the weekly goal. There are 12 weeks of exercise guidelines that will progress participants from being physically inactive to meeting the physical activity guidelines ultimate weekly goal by providing a weekly prescription of Frequency, Intensity, Time, and Type of physical activity that accomplishes meeting the physical activity guidelines weekly goal.

Behavioral: A Randomized Controlled Trial Comparing the Physical Activity Guidelines for Americans to a New Method of Exercise Prescription Among College Students

ExRx#2: Heat Map

EXPERIMENTAL

ExRx#2 uses the heat map image published in the 2018 Physical Activity Guidelines Advisory Committee Scientific Report that communicates the dose-response relationship between increased physical activity and improved health to prescribe the message that all physical activity across all Frequencies, Intensities, Time bouts and Types (FITT) counts towards health. ExRx#2 is founded in the Integrated Behavior Change Theory and emphasizes that all physical activity matters regardless of FITT as depicted by the heat map image. There are 12 weeks of exercise guidelines that will progress participants from being physically inactive to meeting the ExRx#2 heat map ultimate weekly goal of moving more throughout the day across all intensities in order to achieve optimal health as represented by the deep green color on the bottom right of the heat map image.

Behavioral: A Randomized Controlled Trial Comparing the Physical Activity Guidelines for Americans to a New Method of Exercise Prescription Among College Students

Interventions

A Randomized Controlled Trial Comparing the Physical Activity Guidelines for Americans to a New Method of Exercise Prescription Among College Students BEHAVIORAL

A randomized controlled trial comparing the 2018 Physical Activity Guidelines for Americans weekly recommendations of 150-minutes of moderate intensity physical activity plus 2 days of muscle-strengthening physical activity to the Move Your Way Campaign message of increasing any and all physical activity to accumulate more movement throughout the week across all types and intensities.

Also known as: Comparing the Physical Activity Guidelines for Americans to The Move Your Way Campaign Methods of Exercise Prescription Among College Students

ExRx#1: Physical Activity Guidelines; ExRx#2: Heat Map

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \>18 years old.
• Participants will attend UConn Storrs campus as an undergraduate or graduate student during the study.
• Participants must be physically inactive as defined by participating in less than or equal to 2 days of planned, structured physical activity over the past 12 weeks.
• Any and all races may be included.
• Participants will be healthy with no diagnosed cardiovascular, pulmonary, metabolic, or other chronic diseases or depression and not taking medication for any of these chronic diseases or health conditions as defined by answering "no" to all General Health Questions listed in the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+).
• Anyone scoring less than a 19 on the Beck Depression Inventory.
• Those who answer "yes" to 3 or less on the eating questionnaire will be included.
• Between 18-35 m2/kg.
• Participants should be non-smokers for at least 6 months prior to entry.
• Participants should drink \<2 alcoholic drinks daily.
• Women who are not pregnant or lactating and do not plan on becoming pregnant.
• Participants with no arthritis or orthopedic problems inhibiting their ability to exercise across all intensities without exacerbating the problem.
• Participants willing to maintain their habitual diet throughout the study.
• Participants wanting to enter the study for reasons that do not include weight loss.
• Participants should be willing and able to consent to all data collection processes including the intended timeline of the study procedures as well as all questionnaires, fitness assessments, and physical activity monitor usage.

You may not qualify if:

• \<18 years old
• Not attending UConn Storrs campus during the duration of their enrollment.
• Participating in more than 2 days of planned, structured physical activity over the past 12 weeks.
• Unhealthy students as determined by answering "yes" to any question listed on the PAR-Q+.
• Scoring a 19 or higher on the Beck Depression Inventory.
• Those who answer "yes" to more than 3 statements on the SCOFF eating disorder questionnaire will be excluded.
• BMI \<18 or \>35 m2/kg.
• People who currently smoke, plan on smoking or have smoked tobacco within the last 6 months.
• People drinking 2 or more alcoholic drinks daily.
• Women who are pregnant or lactating.
• People with arthritis or orthopedic problems will not be enrolled if these conditions compromise their completion of the exercise protocols or ability to exercise across all intensities.
• People unwilling to maintain their habitual diet as we request throughout study participation.
• We will not recruit subjects whose primary motivation for enrolling is to lose weight.
• People who do not think they will be able to complete all study protocols at the times they are scheduled to complete them. This includes the completion of study time logs and all study visits.
• Anyone not willing to confirm that they will refrain from obtaining another exercise program or viewing that of the other group.

Sponsors & Collaborators

• University of Connecticut: lead

Study Sites (1)

University of Connecticut

Storrs, Connecticut, 06268, United States

Location

Related Publications (39)

• Powell KE, King AC, Buchner DM, Campbell WW, DiPietro L, Erickson KI, Hillman CH, Jakicic JM, Janz KF, Katzmarzyk PT, Kraus WE, Macko RF, Marquez DX, McTiernan A, Pate RR, Pescatello LS, Whitt-Glover MC. The Scientific Foundation for the Physical Activity Guidelines for Americans, 2nd Edition. J Phys Act Health. 2018 Dec 17:1-11. doi: 10.1123/jpah.2018-0618. Online ahead of print.

  PMID: 30558473 BACKGROUND

• Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT; Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012 Jul 21;380(9838):219-29. doi: 10.1016/S0140-6736(12)61031-9.

  PMID: 22818936 BACKGROUND

• Riebe D, Ehrman J, Liquori G, Magal M. ACSM's Guidelines for Exercise Testing and Prescription tenth edition. 10th ed. Wolters Kluwer: Katie Feltman; 2018.

  BACKGROUND

• Hagger MS, Chatzisarantis NL. An integrated behavior change model for physical activity. Exerc Sport Sci Rev. 2014 Apr;42(2):62-9. doi: 10.1249/JES.0000000000000008.

  PMID: 24508739 BACKGROUND

• Williams SL, French DP. What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour--and are they the same? Health Educ Res. 2011 Apr;26(2):308-22. doi: 10.1093/her/cyr005. Epub 2011 Feb 14.

  PMID: 21321008 BACKGROUND

• Samdal GB, Eide GE, Barth T, Williams G, Meland E. Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses. Int J Behav Nutr Phys Act. 2017 Mar 28;14(1):42. doi: 10.1186/s12966-017-0494-y.

  PMID: 28351367 BACKGROUND

• Chatzisarantis NL, Hagger MS, Smith B. Influences of perceived autonomy support on physical activity within the theory of planned behavior. European Journal of Social Psychology 2007;37(5):934-954.

  BACKGROUND

• Keating XD, Guan J, Pinero JC, Bridges DM. A meta-analysis of college students' physical activity behaviors. J Am Coll Health. 2005 Sep-Oct;54(2):116-25. doi: 10.3200/JACH.54.2.116-126.

  PMID: 16255324 BACKGROUND

• Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc. 2002 Dec;34(12):1996-2001. doi: 10.1097/00005768-200212000-00020.

  PMID: 12471307 BACKGROUND

• Hill LS, Reid F, Morgan JF, Lacey JH. SCOFF, the development of an eating disorder screening questionnaire. Int J Eat Disord. 2010 May;43(4):344-51. doi: 10.1002/eat.20679.

  PMID: 19343793 BACKGROUND

• Simpson K, Parker B, Capizzi J, Thompson P, Clarkson P, Freedson P, Pescatello LS. Validity and reliability question 8 of the Paffenbarger Physical Activity Questionnaire among healthy adults. J Phys Act Health. 2015 Jan;12(1):116-23. doi: 10.1123/jpah.2013-0013. Epub 2014 Apr 11.

  PMID: 24733349 BACKGROUND

• Thompson PD, Arena R, Riebe D, Pescatello LS; American College of Sports Medicine. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013 Jul-Aug;12(4):215-7. doi: 10.1249/JSR.0b013e31829a68cf. No abstract available.

  PMID: 23851406 BACKGROUND

• Ibrahim JG, Chen M, Lipsitz SR, Herring AH. Missing-data methods for generalized linear models: A comparative review. Journal of the American Statistical Association 2005;100(469):332-346.

  BACKGROUND

• Rubin DB. Inference and missing data. Biometrika 1976;63(3):581-592.

  BACKGROUND

• American Society of, Hand Therapists. Clinical assessment recommendations. 1992.

  BACKGROUND

• KEEN EN, SLOAN AW. Observations on the Harvard step test. J Appl Physiol. 1958 Sep;13(2):241-3. doi: 10.1152/jappl.1958.13.2.241. No abstract available.

  PMID: 13575336 BACKGROUND

• Panza GA, Weinstock J, Ash GI, Pescatello LS. Psychometric Evaluation of the Timeline Followback for Exercise among College Students. Psychol Sport Exerc. 2012 Nov;13(6):779-788. doi: 10.1016/j.psychsport.2012.06.002. Epub 2012 Jun 20.

  PMID: 22844226 BACKGROUND

• Matthews CE, Ainsworth BE, Thompson RW, Bassett DR Jr. Sources of variance in daily physical activity levels as measured by an accelerometer. Med Sci Sports Exerc. 2002 Aug;34(8):1376-81. doi: 10.1097/00005768-200208000-00021.

  PMID: 12165695 BACKGROUND

• Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998 May;30(5):777-81. doi: 10.1097/00005768-199805000-00021.

  PMID: 9588623 BACKGROUND

• McAuley E, Courneya KS. The subjective exercise experiences scale (SEES): Development and preliminary validation. Journal of Sport and Exercise Psychology 1994;16(2):163-177..

  BACKGROUND

• Resnick B, Zimmerman SI, Orwig D, Furstenberg AL, Magaziner J. Outcome expectations for exercise scale: utility and psychometrics. J Gerontol B Psychol Sci Soc Sci. 2000 Nov;55(6):S352-6. doi: 10.1093/geronb/55.6.s352.

  PMID: 11078112 BACKGROUND

• Deci E. Exercise Self-Regulation Questionnaires. Self-Determination Theory: An Approach to Human Motivation and Personality- The Self-Regulation Questionnaires 2004.

  BACKGROUND

• McAuley E. The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. J Behav Med. 1992 Feb;15(1):65-88. doi: 10.1007/BF00848378.

  PMID: 1583674 BACKGROUND

• McAuley E, Blissmer B. Self-efficacy determinants and consequences of physical activity. Exerc Sport Sci Rev. 2000 Apr;28(2):85-8.

  PMID: 10902091 BACKGROUND

• Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport. 1992 Mar;63(1):60-6. doi: 10.1080/02701367.1992.10607557.

  PMID: 1574662 BACKGROUND

• Marcus, B H and Forsyth L H. Motivating People to Be Physically Active. : Human Kinetics; 2003. p. 21.

  BACKGROUND

• O'Brien E, Beevers G, Lip GY. ABC of hypertension: Blood pressure measurement. Part IV-automated sphygmomanometry: self blood pressure measurement. BMJ. 2001 May 12;322(7295):1167-70. doi: 10.1136/bmj.322.7295.1167. No abstract available.

  PMID: 11348915 BACKGROUND

• Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves JW, Hill MN, Jones DH, Kurtz T, Sheps SG, Roccella EJ; Council on High Blood Pressure Research Professional and Public Education Subcommittee, American Heart Association. Recommendations for blood pressure measurement in humans: an AHA scientific statement from the Council on High Blood Pressure Research Professional and Public Education Subcommittee. J Clin Hypertens (Greenwich). 2005 Feb;7(2):102-9. doi: 10.1111/j.1524-6175.2005.04377.x. No abstract available.

  PMID: 15722655 BACKGROUND

• Roshanaei-Moghaddam B, Katon WJ, Russo J. The longitudinal effects of depression on physical activity. Gen Hosp Psychiatry. 2009 Jul-Aug;31(4):306-15. doi: 10.1016/j.genhosppsych.2009.04.002. Epub 2009 May 13.

  PMID: 19555789 BACKGROUND

• Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988;8(1):77-100.

  BACKGROUND

• Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999 Dec 4;319(7223):1467-8. doi: 10.1136/bmj.319.7223.1467. No abstract available.

  PMID: 10582927 BACKGROUND

• Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007 Nov 21;298(19):2296-304. doi: 10.1001/jama.298.19.2296.

  PMID: 18029834 BACKGROUND

• McEwan D, Harden SM, Zumbo BD, Sylvester BD, Kaulius M, Ruissen GR, Dowd AJ, Beauchamp MR. The effectiveness of multi-component goal setting interventions for changing physical activity behaviour: a systematic review and meta-analysis. Health Psychol Rev. 2016;10(1):67-88. doi: 10.1080/17437199.2015.1104258. Epub 2015 Nov 13.

  PMID: 26445201 BACKGROUND

• Napolitano MA, Fotheringham M, Tate D, Sciamanna C, Leslie E, Owen N, Bauman A, Marcus B. Evaluation of an internet-based physical activity intervention: a preliminary investigation. Ann Behav Med. 2003 Spring;25(2):92-9. doi: 10.1207/S15324796ABM2502_04.

  PMID: 12704010 BACKGROUND

• Greene GW, White AA, Hoerr SL, Lohse B, Schembre SM, Riebe D, Patterson J, Kattelmann KK, Shoff S, Horacek T, Blissmer B, Phillips BW. Impact of an online healthful eating and physical activity program for college students. Am J Health Promot. 2012 Nov-Dec;27(2):e47-58. doi: 10.4278/ajhp.110606-QUAN-239.

  PMID: 23113786 BACKGROUND

• Rovniak LS, Hovell MF, Wojcik JR, Winett RA, Martinez-Donate AP. Enhancing theoretical fidelity: an e-mail-based walking program demonstration. Am J Health Promot. 2005 Nov-Dec;20(2):85-95. doi: 10.4278/0890-1171-20.2.85.

  PMID: 16295700 BACKGROUND

• Joseph RP, Keller C, Adams MA, Ainsworth BE. Print versus a culturally-relevant Facebook and text message delivered intervention to promote physical activity in African American women: a randomized pilot trial. BMC Womens Health. 2015 Mar 27;15:30. doi: 10.1186/s12905-015-0186-1.

  PMID: 25886945 BACKGROUND

• Taylor WC, Paxton RJ, Shegog R, Coan SP, Dubin A, Page TF, Rempel DM. Impact of Booster Breaks and Computer Prompts on Physical Activity and Sedentary Behavior Among Desk-Based Workers: A Cluster-Randomized Controlled Trial. Prev Chronic Dis. 2016 Nov 17;13:E155. doi: 10.5888/pcd13.160231.

  PMID: 27854422 BACKGROUND

• Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD. The Physical Activity Guidelines for Americans. JAMA. 2018 Nov 20;320(19):2020-2028. doi: 10.1001/jama.2018.14854.

  PMID: 30418471 BACKGROUND

Related Links

• 2018 Physical Activity Guidelines Advisory Committee Scientific Report
• Move Your Way Campaign
• Physical Activity Guidelines Figure depicting 150-minutes per week of moderate intensity aerobic physical activity plus two days of muscle strengthening activity

MeSH Terms

Conditions

Motor Activity; Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Linda S Pescatello, PhD

  University of Connecticut

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants do not know that there is another group getting a different exercise prescription. At the end of their participation, all participants will be offered the other exercise prescription.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Randomized Controlled Trial with 1 control group and 1 intervention group. The control group is getting the standard of care exercise prescription based on the 2018 physical activity guidelines for Americans and the intervention group is getting a new method of prescribing exercise based on new research informing the 2018 Move Your Way initiative where all physical activity across all types and intensities is advised.

Study Record Dates

• First Submitted: February 20, 2020
• First Posted: February 27, 2020
• Study Start: February 22, 2019
• Primary Completion: May 28, 2020
• Study Completion: May 28, 2020
• Last Updated: August 7, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)