Explaining Sedentary Behavior With Planning (the Revised HAPA Model)

Sedentary Behavior Clinical Trial

Official title:

Explaining Sedentary Behavior With the Revised Reflective + Impulsive Health Action Process Approach (HAPA) Model

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04131270
• Other study ID #: USSHWarsaw
• Secondary ID: 2017/27/B/HS6/00
• Status: Recruiting
• Phase: N/A
• Start date: January 2, 2020
• Est. completion date: March 30, 2024

Study information

• Verified date: March 2024
• Source: University of Social Sciences and Humanities, Warsaw
• Contact: Aleksandra Luszczynska, PhD
• Phone: +48694441765
• Email: aluszczynska[@]swps.edu.pl
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study would investigate the effects of forming action plans on a reduction of sedentary behaviors. Participants will be randomly assigned to either active control group (education on sedentary behaviors and physical activity) or the intervention group (forming action plans referring to replacing sedentary activities with physical activity. The effects of the intervention will be evaluated at the 2-month follow-up and at the 8-month follow-up.

Description:

The effects of three sessions (3 education sessions versus 3 education sessions+ forming plans to replace sedentary behavior with physical activity) will be investigated among participants from three age groups: adolescents (12-17 years old), adults (18-60 years old), and older adults (>60 years old). Compared to education only, forming plans about how to replace time spent on sedentary activities with physical activity is expected to result in a significantly larger change (a reduction) of sedentary time at the follow-up. Accelerometers will be used to evaluate short-term and mid-term changes in total sedentary time and the relative proportion of time spent on sedentary behavior vs light-intensity and moderate-to-vigorous- intensity physical activity.

Additionally, the study will observe changes in if the cognitions included in the Health Action Process Approach model (HAPA), such risk perception, self-efficacy, outcome expectancies, intention, action control, as well as changes in behavioral habit, presence of sedentary behavior cues in physical environment, and physical activity behavior. The observations will be conducted three times, at the baseline (before the intervention), the 2-month follow up, and at the 8-month follow-up.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 900
• Est. completion date: March 30, 2024
• Est. primary completion date: March 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years and older

Eligibility

Inclusion Criteria:

• not meeting physical activity guidelines proposed by the World Health Organization

Exclusion Criteria:

• any existing diseases with contraindications for moderate intensity physical activity, confirmed by patient's primary care physician or a specialist in cardiovascular diseases/endocrinology/rehabilitation medicine providing care for the patient during the recruitment and follow-ups

Related Conditions & MeSH terms

• Sedentary Behavior

Intervention

Behavioral:
• Planning + Education
Planning: Participants will fill in the planning forms that efer to replacing sedentary behavior with physical activity. The following behavior change techniques are included in the planning intervention protocol: action planning, barrier identification, prompting self-talk, relapse prevention/coping planning. Applications of all behavior change techniques would include references to planning.
• Education
The education would include extended sedentary behavior and physical activity education, delivered face-to-face by the experimenters. The education includes: (1) the behavioral guidelines, tailored to age and health status of the participants, (2) the examples of exercises and their metabolic equivalent, and (3) the education about ways to break sedentary behavior with active breaks.

Locations

Country	Name	City	State
Poland	SWPS University of Social Sciences and Humanities	Wroclaw	Lower Silezia

Sponsors (2)

Lead Sponsor	Collaborator
University of Social Sciences and Humanities, Warsaw	National Science Centre, Poland

Country where clinical trial is conducted

Poland, 

References & Publications (7)

Berli C, Loretini P, Radtke T, Hornung R, Scholz U. Predicting physical activity in adolescents: the role of compensatory health beliefs within the Health Action Process Approach. Psychol Health. 2014;29(4):458-74. doi: 10.1080/08870446.2013.865028. Epub 2013 Dec 20. — View Citation

Gardner B. A review and analysis of the use of 'habit' in understanding, predicting and influencing health-related behaviour. Health Psychol Rev. 2015;9(3):277-95. doi: 10.1080/17437199.2013.876238. Epub 2014 Jan 21. — View Citation

Keller C, Siegrist M. The weight management strategies inventory (WMSI). Development of a new measurement instrument, construct validation, and association with dieting success. Appetite. 2015 Sep;92:322-36. doi: 10.1016/j.appet.2015.05.037. Epub 2015 Jun 3. — View Citation

Luszczynska A, Hagger MS, Banik A, Horodyska K, Knoll N, Scholz U. Self-Efficacy, Planning, or a Combination of Both? A Longitudinal Experimental Study Comparing Effects of Three Interventions on Adolescents' Body Fat. PLoS One. 2016 Jul 13;11(7):e0159125. doi: 10.1371/journal.pone.0159125. eCollection 2016. — View Citation

Maher JP, Conroy DE. A dual-process model of older adults' sedentary behavior. Health Psychol. 2016 Mar;35(3):262-72. doi: 10.1037/hea0000300. Epub 2015 Dec 21. — View Citation

Sallis JF, Spoon C, Cavill N, Engelberg JK, Gebel K, Parker M, Thornton CM, Lou D, Wilson AL, Cutter CL, Ding D. Co-benefits of designing communities for active living: an exploration of literature. Int J Behav Nutr Phys Act. 2015 Feb 28;12:30. doi: 10.1186/s12966-015-0188-2. — View Citation

Schwarzer R, Luszczynska A. Health action process approach. In: Norman P, Conner M, editors. Predicting and changing health behavior. Maidenead, UK: McGraw-Hill; 2015.

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Sedentary behavior habit	Self-Reported Habit Scale; mean item score ranging from 1 to 4, higher scores indicate stronger sedentary behavior habit	change from the baseline sedentary behavior habit at 8 months
Other	Self-efficacy for reducing sedentary behavior	9 self-efficacy questionnaire items; mean item score ranging from 1 to 4, higher scores indicate stronger self-efficacy	change from the baseline self-efficacy at 8 months
Other	Risk perception	3 questionnaire items to assess risk perception; mean item score ranging from 1 to 4, higher scores indicate higher risk perception	change from the baseline risk perception at 8 months
Other	Outcome expectancies	18 items assessing positive (9 items) and negative (9 items) outcome expectancies; item score ranging from 1 to 4, higher scores indicate more positive outcome expectancies	change from the baseline outcome expectancies at 8 months
Other	Action control	10 questionnaire items assessing action control; mean item score ranging from 1 to 4, higher scores indicate stronger action control	change from the baseline outcome expectancies at 8 months
Other	Intention	3 questionnaire items assessing intention to reduce sedentary behavior; mean item score ranging from 1 to 4, higher scores indicate stronger intention to reduce sedentary behavior	change from the baseline intention at 8 months
Other	Self-reported planning	4 questionnaire items assessing action planning; mean item score ranging from 1 to 4, higher scores indicate a higher level of self-reported planning	change from the baseline planning at 8 months
Other	Environmental cues for sedentary behavior	10 questionnaire items assessing physical environment cues for sedentary behavior and its reduction; the total sum score ranging from 0 to 10; higher scores indicate more environmental cues for sedentary behavior	change from the baseline planning at 8 months
Other	Body mass index (BMI)	Certified and standardized body weight scales (Beurer; European Union safety certificate; measurement error < 5%) and measuring rods will be used. Body mass index will be calculated using the following formula: body weight [in kg] divided by a square of body height (in meters). Body weight will be recorded in kilograms and body height will be recorded in meters.	change from the baseline planning at 8 months
Primary	Sedentary behavior	minutes of sedentary behavior per day assessed with ActiGraph wGT3X-BT accelerometer	change from the baseline sedentary behavior at 8 months
Secondary	The composition of waking time	the proportion of time spent on sedentary behavior (minutes per day) to time spent on light-intensity physical activity (minutes per day) and moderate-to-vigorous physical activity (minutes per day) assessed with ActiGraph wGT3X-BT accelerometer	change from the baseline composition of waking time at 8 months
Secondary	Physical activity	minutes of light, moderate and vigorous intensity physical activity per day measured with ActiGraph wGT3X-BT accelerometer	change from the baseline physical activity at 8 months

External Links

•   Study protocol in Polish