NCT05867511

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
19

participants targeted

Target at below P25 for not_applicable cardiovascular-diseases

Timeline
Completed

Started Nov 2022

Shorter than P25 for not_applicable cardiovascular-diseases

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2022

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

March 7, 2023

Completed
3 months until next milestone

First Posted

Study publicly available on registry

May 22, 2023

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2023

Completed
Last Updated

November 28, 2023

Status Verified

November 1, 2023

Enrollment Period

8 months

First QC Date

March 7, 2023

Last Update Submit

November 27, 2023

Conditions

Keywords

Cardiovascular DiseasesHealth behavior changePhysical activitySedentary behaviorApp based interventionTranstheoretical modelHabit formation

Outcome Measures

Primary Outcomes (3)

  • Percentage of approached patients included

    The goal is to include at least 10% of approached patients.

    Approx. 5 Months

  • Dropout rate

    The goal is that the dropout rate is lower than 50%

    Participants can dropout at any time during the study (during 9 weeks for each participant)

  • Completion of study assessments

    The goal is that, on average participants complete at least 4 out of 9 of the questionnaires of the study. Excluding dropouts.

    Participants may fill out study questionnaires weekly during the 8-week intervention or not.

Secondary Outcomes (17)

  • Overall satisfaction

    Last questionnaire of the study for each participant (post questionnaire right after the 8 intervention weeks; 9 weeks after study start)

  • Usability

    Last questionnaire of the study for each participant (post questionnaire right after the 8 intervention weeks; 9 weeks after study start)

  • Engagement

    Last questionnaire of the study for each participant (post questionnaire right after the 8 intervention weeks; 9 weeks after study start)

  • Satisfaction with the specific intervention components

    Last questionnaire of the study for each participant (post questionnaire right after the 8 intervention weeks; 9 weeks after study start)

  • Needs assessment

    Last questionnaire of the study for each participant (post questionnaire right after the 8 intervention weeks; 9 weeks after study start)

  • +12 more secondary outcomes

Study Arms (1)

Intervention group

EXPERIMENTAL

This Group will be using the iPAL App for 8 Weeks

Behavioral: iPAL App

Interventions

iPAL AppBEHAVIORAL

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 group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Institute of Sport Science, University of Bern

Bern, 3012, Switzerland

Location

Related Publications (23)

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    BACKGROUND
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    BACKGROUND
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    PMID: 32742886BACKGROUND
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    BACKGROUND
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    PMID: 11770789BACKGROUND
  • 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.

    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.

    PMID: 18607667BACKGROUND
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    PMID: 30927357BACKGROUND
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    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.

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

    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.

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  • 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.

    PMID: 28448531BACKGROUND
  • 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.

    PMID: 34269151BACKGROUND

MeSH Terms

Conditions

Cardiovascular DiseasesMotor ActivitySedentary Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Claudio Nigg, PhD

    University of Bern

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: 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.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Prof. Dr. Claudio Nigg

Study Record Dates

First Submitted

March 7, 2023

First Posted

May 22, 2023

Study Start

November 1, 2022

Primary Completion

June 30, 2023

Study Completion

July 31, 2023

Last Updated

November 28, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will not share

Locations