Physical Activity Clinical Trial
Official title:
Randomized Controlled Trial of a Physical Activity Program for Teenagers (FIT-TEEN)
The study aims:
1. To test the effect of providing social comparison information on increasing physical
activity among Singaporean adolescents.
2. To test whether providing social comparison information increases physical activity more
when it is provided publicly compared to when it is provided anonymously.
Childhood and adolescent obesity represents a major public health challenge worldwide.
Singapore is no exception as the prevalence of obesity among children was estimated at 12%.
Overweight and obese children are more likely to become obese adults, to develop
non-communicable diseases at a younger age, and to have a shorter life expectancy. One of the
main reasons behind the growing obesity epidemic is low levels of physical activity. Previous
literature shows evidence of a steep decline in physical activity among boys after the
primary school years and low levels of activity among girls throughout the primary and high
school years in Singapore. Daily step counts are found to be up to 35% short of the
recommended daily steps for adolescents. Low levels of physical activity are also associated
with lower psychological well-being among adolescents. Thus, it is important that
interventions aimed at increasing physical activity target adolescent years.
In this study, the investigators propose to test the effectiveness of providing social
comparison information on increasing physical activity among adolescents. Participating
adolescents will be randomized into a group and groups will be randomized into one of two
study arms in a 4-month walking program:
Private arm: At the end of each week, participants will be provided with the number of steps
logged by the participants in their group. The number of steps will be ranked from highest to
the lowest without any identifiable information about the participants.
Public arm: At the end of each week, participants in this arm will be provided with the same
information as in the other arm plus the names of the participants corresponding to the
number of steps logged.
Social comparison information will be provided to the study participants via SMS. We will
conduct a 4-month two-arm RCT to test whether social comparison information increases
physical activity more when it is disclosed publicly compared to when it is provided
anonymously. The primary outcome is the average number of steps taken per week by
participants. Study outcomes relating to physical activity and health-related quality of life
for participants will be evaluated at baseline and 4 months. Step activity will be tracked in
real time via Fitbit wireless pedometers throughout the study.
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