Step-2-It: Feasibility of SMS Technology to Increase Physical Activity

NCT04812756 | Completed

• 1 other identifier: 622085-5
• Study Type: interventional
• Target: 44
• Locations: 0 countries
• Sites: N/A

Brief Summary

Rural women are more likely to be obese and have a higher risk for chronic disease than their non-rural counterparts. Inadequate physical activity (PA) at least in part contributes to this increased risk. Rural women face personal, social and environmental barriers to PA engagement. Interventions promoting walking among rural women have demonstrated success; however, few of these studies use text messaging to promote PA. Step-2-It was a pilot study to assess the feasibility, acceptability, and effectiveness of text-messaging combined with a pedometer to promote PA, specifically walking among English-speaking women, aged 40 and older, living in a rural, northwest Illinois county. There were two components to the 13-week, Step-2-It intervention: (i) participants used the pedometer to track and report their steps via text message daily; and (ii) participants received an informational or motivational text message daily. Enrolled participants completed baseline assessments, received pedometers and two types of automated text messages: motivational messages to encourage walking, and accountability messages to report pedometer steps. Participants engaged in 3, 6, 9, and 12-week follow-ups to download pedometer data, and completed post-intervention assessments at 12 weeks.

Conditions

Health Behavior

Outcome Measures

Primary Outcomes (1)

• Physical Activity levels

  mean steps per day measured using pedometer

  Change from baseline to end of intervention at 12 weeks

Secondary Outcomes (2)

• Physical Activity Levels

  Change from baseline to end of intervention at 12 weeks

• Body-weight

  Change from baseline to end of intervention at 12 weeks

Study Arms (1)

Texting intervention

EXPERIMENTAL

This is a single arm study in which all participants received a pedometer and text messages for the 12 week intervention period. Participants received a content message and a message requesting them to report the number of steps from their pedometer daily.

Behavioral: Step-2-It - text messaging program

Interventions

Step-2-It - text messaging program BEHAVIORAL

participants received a pedometer and text messages to motivate them to increase walking daily for a period of 12 weeks.

Texting intervention

Eligibility Criteria

• Age: 40 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Women
• Age 40 and older
• Reside in Stephenson County
• Own a cell phone with ability to receive and send text messages
• Unlimited texting plan
• Able to give informed consent
• Speak English

You may not qualify if:

• Men
• Women under 40 years of age
• Reside outside Stephenson County
• No cell phone or no texting ability
• Non-English speaking
• Unable to provide informed consent
• Significant health conditions (including pyelonephritis, current treatment for cancer, other severe illness)
• Active severe asthma
• Current pneumonia

Sponsors & Collaborators

• University of Illinois College of Medicine Rockford: lead

Related Publications (10)

• Lundeen EA, Park S, Pan L, O'Toole T, Matthews K, Blanck HM. Obesity Prevalence Among Adults Living in Metropolitan and Nonmetropolitan Counties - United States, 2016. MMWR Morb Mortal Wkly Rep. 2018 Jun 15;67(23):653-658. doi: 10.15585/mmwr.mm6723a1.

  PMID: 29902166 BACKGROUND

• Whitfield GP, Carlson SA, Ussery EN, Fulton JE, Galuska DA, Petersen R. Trends in Meeting Physical Activity Guidelines Among Urban and Rural Dwelling Adults - United States, 2008-2017. MMWR Morb Mortal Wkly Rep. 2019 Jun 14;68(23):513-518. doi: 10.15585/mmwr.mm6823a1.

  PMID: 31194722 BACKGROUND

• Bassett DR Jr, Wyatt HR, Thompson H, Peters JC, Hill JO. Pedometer-measured physical activity and health behaviors in U.S. adults. Med Sci Sports Exerc. 2010 Oct;42(10):1819-25. doi: 10.1249/MSS.0b013e3181dc2e54.

  PMID: 20305579 BACKGROUND

• Trivedi T, Liu J, Probst J, Merchant A, Jhones S, Martin AB. Obesity and obesity-related behaviors among rural and urban adults in the USA. Rural Remote Health. 2015 Oct-Dec;15(4):3267. Epub 2015 Oct 13.

  PMID: 26458564 BACKGROUND

• Olsen JM. An integrative review of literature on the determinants of physical activity among rural women. Public Health Nurs. 2013 Jul;30(4):288-311. doi: 10.1111/phn.12023. Epub 2013 Jan 29.

  PMID: 23808855 BACKGROUND

• Murtagh EM, Nichols L, Mohammed MA, Holder R, Nevill AM, Murphy MH. The effect of walking on risk factors for cardiovascular disease: an updated systematic review and meta-analysis of randomised control trials. Prev Med. 2015 Mar;72:34-43. doi: 10.1016/j.ypmed.2014.12.041. Epub 2015 Jan 8.

  PMID: 25579505 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

• Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health. 2015 Mar 18;36:393-415. doi: 10.1146/annurev-publhealth-031914-122855.

  PMID: 25785892 BACKGROUND

• Free C, Phillips G, Watson L, Galli L, Felix L, Edwards P, Patel V, Haines A. The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med. 2013;10(1):e1001363. doi: 10.1371/journal.pmed.1001363. Epub 2013 Jan 15.

  PMID: 23458994 BACKGROUND

• Khare MM, Zimmermann K, Lyons R, Locklin C, Gerber BS. Feasibility of promoting physical activity using mHEALTH technology in rural women: the step-2-it study. BMC Womens Health. 2021 Dec 16;21(1):415. doi: 10.1186/s12905-021-01561-5.

  PMID: 34915900 DERIVED

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Manorama M Khare, PhD

  University of Illinois College of Medicine Rockford

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Single group prospective pre-post study

Study Record Dates

• First Submitted: March 15, 2021
• First Posted: March 24, 2021
• Study Start: August 15, 2014
• Primary Completion: February 15, 2015
• Study Completion: June 15, 2016
• Last Updated: March 24, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share