The Get Outside Study

NCT04685681 | Completed

• 1 other identifier: STUDY00005101
• Study Type: interventional
• Target: 53
• Locations: 1 country
• Sites: 1

Brief Summary

The primary aim of this study is to examine whether lower-risk activities displace participation in higher-risk behaviors during COVID-19. Investigators will test this aim by promoting specific activities that are expected to be low-risk when it comes to COVID-19 transmission (e.g., participating in a hiking challenge) and assessing impacts on participants' activity choices. Investigators also aim to describe adults' activity participation during COVID-19 generally and to examine secondary outcomes, including reported stress and sleep.

Conditions

Covid19; Risk Reduction; Stress; Sleep

Keywords

Covid19; high-risk activities; low-risk activities; stress; sleep; adults

Outcome Measures

Primary Outcomes (6)

• Frequency of lower-risk activities

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will aggregate the frequencies of activities that are lower-risk for COVID-19 transmission based on CDC recommendations at the time of the study. We anticipate that two indicators of lower-risk activities will be those completed outdoors by oneself or with individuals in the household and those completed indoors in which only the self or those in the household are present.

  Post-test (12 weeks)

• Frequency of higher-risk activities

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will aggregate the frequencies of activities that are higher-risk for COVID-19 transmission based on CDC recommendations at the time of the study. We anticipate that two indicators of moderate- or high-risk activities will be those completed outdoors with individuals who do not live in one's household (moderate) and those completed indoors with individuals who do not live in one's household (high).

  Post-test (12 weeks)

• Frequency of social activities

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will aggregate the frequencies of activities that are social, both those done with members of the household as well as those done with individuals who do not live in the household with the participant

  Post-test (12 weeks)

• Frequency of physical activities

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will aggregate the frequencies of activities that involve physical activity (e.g., walks, hikes, sports)

  Post-test (12 weeks)

• Frequency of hiking/nature walks

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will examine the frequency indicated for the item: Going on a hike or nature walk

  Post-test (12 weeks)

• Frequency of restaurant dining

  Participants will indicate the frequency that they complete various activities using an adapted version of the Pleasant Activities List (Koks). Frequencies of each activity are indicated on a 0-4 scale where 0=never in the past 30 days and 4=very often in the past 30 days/more than 1 time per week. For each activity, participants will also indicate if it was done indoors or outdoors and who was there. We will examine the frequency indicated for the item: Going to a restaurant or café / eating out

  Post-test (12 weeks)

Secondary Outcomes (2)

• Stress

  Post-test (12 weeks)

• Sleep

  Post-test (12 weeks)

Other Outcomes (10)

• Frequency of lower-risk activities

  Midpoint (6 weeks)

• Frequency of lower-risk activities

  Change from baseline to post-test (12 weeks)

• Frequency of higher-risk activities

  Midpoint (6 weeks)

Study Arms (2)

Hiking Challenge

EXPERIMENTAL

This group receives access to the local hiking challenge after completion of baseline measure

Behavioral: Hiking challenge

Activity list

ACTIVE COMPARATOR

This group receives access to a resource sheet with activity ideas after completion of baseline measure and does not receive the main resource of interest (hiking challenge) until after the post-test (delayed intervention)

Other: Activity list

Interventions

Hiking challenge BEHAVIORAL

The main intervention of interest is the provision of free access to a local hiking challenge (which is provided following baseline assessments in the experimental group and after the conclusion of the study in the control group; $20 value). If participants choose to sign up for the free hiking challenge, they receive a list of local hikes/nature walks, accompanying maps, scavenger-hunt-like activities (finding a certain landmark on each hike), and the opportunity to earn prizes and engage with other hikers on social media.

Hiking Challenge

Activity list OTHER

The control group will receive a list of CDC-recommended activities following the baseline survey and will receive the hiking challenge as a delayed intervention following post-test.

Activity list

Eligibility Criteria

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

You may qualify if:

• years of age or older
• English speaking
• Has online access
• Reports living in Western New York
• Interested in receiving "suggestions for ways to get outside, stay active, and stay busy" during COVID-19
• No health problems that preclude participation
• Not currently involved in regular (at least weekly) hikes/nature walks

You may not qualify if:

• Is under 18 years of age
• Not English speaking
• Does not have online access
• Does not report living in Western New York
• Is not interested in "suggestions for ways to get outside, stay active, and stay busy" during COVID-19
• Has health problems precluding participation
• Is currently involved in regular hikes/nature walks

Sponsors & Collaborators

• State University of New York at Buffalo: lead

Study Sites (1)

State University of New York at Buffalo

Buffalo, New York, 14214, United States

Location

Related Publications (1)

• Anzman-Frasca S, Drozdowsky J, Zayatz C, Holmbeck K. Effects of a randomized controlled hiking intervention on daily activities, sleep, and stress among adults during the COVID-19 pandemic. BMC Public Health. 2023 May 15;23(1):892. doi: 10.1186/s12889-023-15696-7.

  PMID: 37189100 DERIVED

MeSH Terms

Conditions

COVID-19; Risk Reduction Behavior

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Pediatrics

Study Record Dates

• First Submitted: December 7, 2020
• First Posted: December 28, 2020
• Study Start: January 7, 2021
• Primary Completion: March 25, 2022
• Study Completion: March 25, 2022
• Last Updated: July 29, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)