Motivation Clinical Trial
Official title:
Evaluating Mechanisms of Action of Adaptive Goal-Setting for Physical Activity
Verified date | April 2021 |
Source | Drexel University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Behavior modification programs hold promise for increasing levels of physical activity (PA) for individuals who are insufficiently active. However, existing interventions, which typically prescribe uniform PA goals across participants, are limited by their insensitivity to changing individual needs and circumstances over time. An alternative approach is to continuously adjust goal difficulty to match fluctuations in individual performance, or adaptive goal-setting (AGS), which evidence suggests may more effective for increasing PA than non-adaptive approaches. Still, no prior studies have examined the psychological mechanisms targeted by AGS, which limits the ability to further refine and disseminate this technique. In this exploratory study, several candidate mechanisms of AGS (expectancy beliefs about goals, perceived value of goals, affective appraisal of goals, implicit attitudes towards exercise) will be examined. Adult participants interested in increasing their level of physical activity (N = 36) will be randomized to receive 6 weeks of either adaptive goal-setting (AGS) or non-adaptive, static goal-setting (SGS) as part of a remote, low-intensity PA intervention. The primary aim of the study will be to evaluate the hypothesis that AGS, as compared to SGS, results in greater increases over time to four hypothesized psychological mechanisms. The secondary aim will be to evaluate whether post-intervention increases to any among these three mechanisms mediate the relationship between intervention type (AGS vs. SGS) and increases to PA over the course of the intervention.
Status | Completed |
Enrollment | 36 |
Est. completion date | April 1, 2021 |
Est. primary completion date | February 1, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: 1. Aged 18-75 years old 2. Reporting a desire to increase physical activity in order to lose weight, prevent weight gain or improve physical health 3. Possessing a smartphone that can connect to a WiFi (wireless fidelity) network 4. Daily access to a WiFi connection 5. Ability to understand and provide informed consent 6. Proficiency in speaking, reading, and writing English 7. Currently report engaging in insufficient levels of physical activity (<150 minutes/week of moderate-to-vigorous physical activity) Exclusion Criteria; 1. Present involvement in another physical activity promotion or a behavioral weight loss program 2. Pregnant or planning to become pregnant within the next 6 months (exclude for either) 3. Current BMI <18.5 kg/m^2 4. Diagnosis of a medical condition that could limit the ability to increase physical activity 5. Acute suicide risk (exclude if present in the past 2 weeks or if any attempts were made in past 2 years) 6. Current substance use disorder 7. Current diagnosis of psychosis 8. Current diagnosis of bipolar disorder 9. Currently meet criteria for loss-of-control eating 10. Presence of compensatory behaviors (vomiting, laxatives, diuretics, exercise) |
Country | Name | City | State |
---|---|---|---|
United States | Drexel University | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Drexel University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change to Week 3 Expectancy Beliefs about Goals at Week 7 | Expectations about one's own ability to achieve physical activity goals will be assessed weekly using a single Likert scale derived from prior research on Expectancy-Values Theories (EVT) of achievement motivation. Responses on the scale will range from 1-5, with higher values representing higher expectations about one's ability to achieve daily activity goals. | Measured once weekly from Week 3 through Week 7 | |
Primary | Change to Week 3 Affective Appraisals of Goals at Week 7 | Appraisals of daily physical activity goals will assessed weekly using a single Likert scale item asking participants to rate their emotional reactions to daily goals on a scale from 1 (Most Negative) to 10 (Most Positive). | Measured once weekly from Week 3 through Week 7 | |
Primary | Change to Week 3 Perceived Value of Goals at Week 7 | Perceived Value of Goals corresponds to the value or importance that an individual attributes to assigned activity goals, and will be assessed weekly using four items derived from Expectancy-Value Theory (EVT) questionnaires (attainment value; interest value; utility value; cost). All items will be measured on a 1-5 Likert scale where higher scores represent higher perceived value, and the mean of all four items will be used to generate an overall Perceived Value score. | Measured once weekly from Week 3 through Week 7 | |
Primary | Change to Baseline Implicit Attitudes Towards Exercise at Week 8 | Implicit attitudes towards exercise will be measured using an Implicit Association Test (IAT) tailored to examine attitudes towards exercise. Image and text stimuli will be closely adapted from prior IAT research in the domain of exercise, with "Exercise" vs. "Not Exercise" serving as the concept dimension and "Pleasant" vs. "Unpleasant" serving as the attribute dimension. A difference score (d-score) will be computed for each participant, with more positive scores indicating more favorable implicit attitudes towards exercise. | Measured at Week 0 (baseline) and Week 8 (post-intervention) | |
Secondary | Change to Baseline Self-efficacy for Exercise at Week 8 | Self-efficacy regarding one's ability to exercise will be examined using the Self-Efficacy for Exercise (SEE) questionnaire. This 9-item questionnaire assesses an individual's confidence in their ability to exercise when faced with a variety of barriers (e.g., fatigue, discomfort, lack of time). Items are rated on a 0-10 scale, with higher scores representing greater self-efficacy about one's ability to exercise. Scores for each item are averaged to compute an overall self-efficacy score. | Measured at Week 0 (baseline) and Week 8 (post-intervention) | |
Secondary | Change to Baseline Physical Activity Enjoyment at Week 8 | Enjoyment of physical activity will be assessed using the Physical Activity Enjoyment Scale (PACES) is an 18-item measure that evaluates enjoyment of various facets of physical activity on a 7-point bipolar Likert scale, with higher scores indicating greater enjoyment of exercise. Scores for each item are averaged to compute an overall physical activity enjoyment score. | Measured at Week 0 (baseline) and Week 8 (post-intervention) | |
Secondary | Change to Autonomous Motivation to Exercise at Week 8 | Autonomous motivation to exercise will be assessed using the Treatment Self-Regulation Questionnaire (TSRQ), which is a 15-item measure examines several facets of motivation to engage in health behaviors as conceptualized by self-determination theory. Responses are rated on a Likert scale (0 = not at all true, 7 = very true) and averaged across items to compute individual subscale scores (autonomous, external, introjected, identified, amotivation). The current study will focus primarily on the Autonomous Motivation subscale, which assesses an individual's intrinsic reasons for engaging in health behaviors. | Measured at Week 0 (baseline) and Week 8 (post-intervention) | |
Secondary | Change to Baseline Daily Levels of Physical Activity at Week 8 | Daily level of physical activity will be measured as the number of steps that a participant records each day using their smartphone pedometers. Daily steps data collected over the full duration intervention phase will be automatically transferred via Google Fit to a remote database where they will be stored and later analyzed. | Measured at Week 0 (baseline) and Week 8 (post-intervention) |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04612842 -
Engaging Older Adults in Fall Prevention Using Motivational Interviewing (MI)
|
N/A | |
Not yet recruiting |
NCT06071130 -
Emotion, Aging, and Decision Making
|
N/A | |
Recruiting |
NCT06029959 -
Stroke and CPAP Outcome Study 3
|
N/A | |
Enrolling by invitation |
NCT05547230 -
a Research About the Effect of Body Awareness on Work Motivation and Quality of Life, Among Primary School Teachers
|
||
Not yet recruiting |
NCT04978194 -
Effects of an Intervention on University Students' Mental Health and Learning During COVID-19
|
N/A | |
Completed |
NCT02924025 -
Motivational Interviewing as an Intervention for PCOS
|
N/A | |
Completed |
NCT01433679 -
The Effect of a Web-Based Behavioral Intervention on Physical Activity Levels in Adolescents
|
N/A | |
Completed |
NCT00705887 -
A Motivational Enhancement Approach to Skin Cancer Prevention
|
N/A | |
Completed |
NCT05100524 -
Motivational Interview for Daily Living Activities in Elderly People Undergoing Total Knee Replacement
|
N/A | |
Completed |
NCT05562245 -
Motivational Interviewing-Based Breastfeeding Education
|
N/A | |
Completed |
NCT04024371 -
Validating Reward-related Biomarkers (RTOC)
|
||
Enrolling by invitation |
NCT03328962 -
Smoking Cessation in Cancer Treatment
|
N/A | |
Recruiting |
NCT05803213 -
Learning Efficacy and Motivation of Medical Students in Clinical Training With Virtual Reality
|
N/A | |
Completed |
NCT06044090 -
Brain and Stress Study
|
Phase 4 | |
Completed |
NCT04927923 -
The Effect of Hope-focused Motivational Interview on Individuals Receiving Hemodialysis Treatment
|
N/A | |
Completed |
NCT05499338 -
Motivation as a Strategy for Adherence to a Stretching Program for Basketball Players
|
N/A | |
Completed |
NCT03681509 -
Pramipexole and Emotional Processing
|
N/A | |
Recruiting |
NCT05065151 -
Understanding Motivation in Parkinson's Patients Through Neurophysiology
|
N/A | |
Recruiting |
NCT06257446 -
InformationSeekingMesolimbicEngagementStudy1
|
N/A | |
Recruiting |
NCT06257433 -
InformationSeekingMesolimbicEngagementStudy2
|
N/A |