PHYSICAL FITNESS Clinical Trial
Official title:
The Feasibility and Acceptability of a Randomised Crossover Trial Assessing Two Current Health Apps for Increasing Physical Activity: a Mixed Methods Study
Within the new digital health care landscape, the rise of health applications (apps) creates
novel prospects for behaviour change opportunities. The commercial market is saturated with
apps that aim to increase physical activity (PA) with more than 49,000 PA apps available in
the major app stores in 2016 [1]. Despite the wide distribution and popularity of PA apps,
research on the efficacy of the apps is lacking.
This project focuses on exploring the potential for increasing PA levels using 2 selected
apps that are available on the market with participants that do not engage or perform very
little PA. This study is timely because PA apps on the market are extremely popular and there
is a clear need to this the potential of these potentially convenient, accessible,
wide-reaching, and cost-effective technology.
Before a large scale study is conducted, it is crucial to conduct assessment of the
feasibility and acceptability of the study [2]. Feasibility determines if the study design,
procedures, and the intervention can be executed by the researcher. Acceptability assesses
the suitability of the study design, procedures, and the intervention from the perspective of
the participants and intervention deliverers [3]. Hence, this mixed-methods feasibility study
was designed to inform a decision about whether to proceed to a large-scale study. The aim of
this study is to investigate the feasibility and acceptability of a study assessing 2
selected PA apps to inform the design of a definitive RCT, and to assess the effects of the
app interventions on PA
The aim of this research project is to investigate the feasibility and acceptability of a
study assessing 2 selected PA apps to inform the design of a definitive randomised controlled
trial, and to assess the effects of the app interventions on PA.
To address the aim, an explanatory mixed-methods study using quantitative (phase 1) and
qualitative (phase 2) design will be used. Target population will be those that do not
engage, or engage in low levels, of PA and the investigators will aim at recruiting
participants from London and surrounding areas.
The primary objective is to determine the feasibility and acceptability of the trial
procedures and the interventions delivered using apps.
The secondary objectives are to explore potential effects of the 2 selected PA apps on
behavioural and psychological outcomes, and to assess the usability of the apps.
Phase 1 Phase 1 will utilise a crossover which means that half of the participants will be
randomly assigned to use 1 of the 2 apps, while the other half will use the 2nd app. After 2
weeks participants will switch.
Participants will complete a baseline assessment (1 week), followed by the randomisation to
using 1 of the 2 apps (2 weeks' follow up), and crossover (4 weeks' follow up). The primary
outcome of the study will be average percent increase in activity count and will be measured
using accelerometer. The secondary measures include exercise self-efficacy, intentions, apps
usability and usage.
Phase 2 Following the end of phase 1, a semi-structured interview will be conducted to
explore the acceptability and experiences of using the 2 apps (phase 2). The sample will
include participants that took part in the crossover trial and consented to being
interviewed. Participants that showed frequent usage of the apps, as well as those who used
the app infrequently and/or discontinued using the app will be interviewed.
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