Motivation for Exercise and Physical Activity Adherence

Obesity Clinical Trial

— MOVE  

Official title:

Understanding Motivation for Exercise to Enhance Physical Activity Adherence in Adults With Obesity

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04937205
• Other study ID #: 19-0826
• Secondary ID: F32DK122652
• Status: Completed
• Start date: February 13, 2019
• Est. completion date: April 14, 2021

Study information

• Verified date: June 2021
• Source: University of Colorado, Denver
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The limited success of our current approaches to increase adoption and maintenance of physical activity in adults with overweight and obesity is a substantial barrier to effectively address the current obesity epidemic. This mentored F32 application addresses the significant public health issue of obesity and associated risk of major chronic diseases by using mixed methods research to optimize an innovative, theoretically based physical activity intervention designed to enhance motivation for exercise in adults with overweight and obesity.

Description:

Physical activity (PA) is one of the best predictors of sustained weight loss and current guidelines recommend high levels of PA to prevent weight regain after weight loss. However, long-term adherence to PA is generally poor when adults with overweight/obesity are provided an exercise prescription consistent with current guidelines. Thus, it is essential to evaluate novel strategies to enhance adoption and maintenance of PA in adults with overweight/obesity. The overall goal of this mentored F32 application is to use mixed methods research to optimize an innovative, theoretically based PA intervention designed to enhance motivation for exercise in adults with overweight/obesity. Specifically, the objectives of this proposal are to evaluate and optimize a theory-based PA intervention (called MOVE) designed to enhance motivation for exercise as a sub-study of an ongoing weight loss "parent" trial (COMIRB, Protocol #17-0369). In Aim 1, adults from an ongoing behavioral weight loss trial (R01DK111622) will receive the MOVE intervention and participate in focus groups to explore how participants experience MOVE. In Aim 2, we will use a mixed methods convergent design to integrate quantitative results from a secondary data analysis and qualitative results (Aim 1) to optimize MOVE in preparation for a full evaluation of MOVE in a future randomized controlled study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 39
• Est. completion date: April 14, 2021
• Est. primary completion date: April 14, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• A current study participant randomized to the parent trial in cohorts 2-4 for COMIRB, Protocol #17-0369

• Completed at least 2 of 3 MOVE program components (attended =80% of either group-based class and/or attended the one-on-one support session).

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Obesity

Intervention

Behavioral:
• MOVE
The MOVE physical activity support program is based on the Self-Determination Theory and targets autonomous motivation for physical activity by encouraging 1) choice in physical activity type (e.g. walking, household chores, yoga), 2) a meaningful, value-based rationale for engaging in physical activity, and 3) physical activity that is intrinsically enjoyable. MOVE was delivered during two, 60-75 minute group-based classes and one, 45 minute individualized 1:1 support session to enhance adherence to physical activity recommendations within a lifestyle weight loss program. The group-based classes included a combination of PowerPoint slides, participant handouts, and group-based discussions. All MOVE content was delivered by trained study staff.

Locations

Country	Name	City	State
United States	University of Colorado Anschutz Medical Campus	Aurora	Colorado

Sponsors (2)

Lead Sponsor	Collaborator
University of Colorado, Denver	National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptability	During a 90-minute semi-structured focus group, participants were asked about their satisfaction with major aspects of the MOVE physical activity support program including: 1) MOVE content and 2) delivery of MOVE content including meeting frequency and structure for both group-based and 1:1 meetings. Participants were also asked about their overall experience with the MOVE program, things that worked well, things that did not work well, and about the most important things they learned from the MOVE program.	weeks 21-30
Secondary	Motivation for Physical Activity	During a 90-minute semi-structured focus group, participants were asked about reasons why they want to be physically activity.	weeks 21-30
Secondary	Motivation for Sedentary Behavior	During a 90-minute semi-structured focus group, participants were asked about reasons why they want to be sedentary.	weeks 21-30
Secondary	Barriers to Physical Activity	During a 90-minute semi-structured focus group, participants were asked about things that make it harder for them to add more physical activity into their daily lives.	weeks 21-30
Secondary	Facilitators to Physical Activity	During a 90-minute semi-structured focus group, participants were asked about things that make it easier for them to add more physical activity into their daily lives.	weeks 21-30
Secondary	Perceptions of Physical Activity Messages	During a 90-minute semi-structured focus group, participants were asked about their perception of two different physical activity messages: "For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Preferably, aerobic activity should be spread throughout the week."; "Move in ways that make you feel good. Benefits of physical activity include improved mood, sleep, less anxiety, more patience. All movement counts. Find opportunities to move throughout the day."	weeks 21-30
Secondary	Influence of Diet on Physical Activity Adherence	Participants were asked about how their randomization to their diet strategy (either intermittent fasting or daily caloric restriction) impacted their ability to adhere (or not adhere) to physical activity.	weeks 21-30