Enhancing Adherence by Building Online Communities

Obesity Clinical Trial

Official title:

Enhancing Adherence to an Internet-Mediated Walking Program by Building Online Communities

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00729040
• Other study ID #: 57408
• Status: Completed
• Phase: Phase 1/Phase 2
• First received: August 1, 2008
• Last updated: January 27, 2009
• Start date: January 2008
• Est. completion date: January 2009

Study information

• Verified date: January 2009
• Source: Robert Wood Johnson Foundation
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether online peer support will increase adherence to an internet-based pedometer walking program.

Description:

Stepping Up to Health with eCommunities is a study that takes what we already know about motivating sedentary, chronically ill people to walk, and begins to explore what it takes to keep people motivated to exercise over time: the ability to self-monitor behavior with accurate ecological momentary assessments.

We have theorized that peer support, monitoring and competition are ways in which people can stay motivated to meet their walking goals; thus, we have built into this intervention online forums for participants to communicate with each other and garner support, as well as a pilot one-to-many competitive game based on the percent of an individual's goal met.

Our research question is whether online community participation can increase adherence to an Internet-mediated walking program, which consists of an uploading pedometer, and going to a website to receive graphical and textual feedback as to whether participants are meeting gradually increasing walking goals. Three hundred participants will spend four months in this randomized, controlled trial to compare the intervention alone to the intervention plus online community support.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 324
• Est. completion date: January 2009
• Est. primary completion date: October 2008
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Must have one or more of the following: Coronary artery disease (CAD); BMI 25 or higher; Type 2 diabetes

• Must be sedentary, defined by less than 150 minutes of self-reported activity per week

• Must be 18 or older

• Must have access to a computer with an Internet connection, a USB port, and Windows 2000 (latest service pack), XP or Vista

• Must be a regular email user (checking weekly)

• Must be able to communicate in English

Exclusion Criteria:

• Pregnant

• Cannot walk a block (self-report)

• Not competent to sign consent

• Unable to obtain medical clearance from a treating physician (primary care, cardiologist, endocrinologist)

• Type 1 diabetes

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Coronary Artery Disease
• Coronary Disease
• Myocardial Ischemia
• Obesity
• Type 2 Diabetes

Intervention

Behavioral:
• Stepping Up to Health
Internet-mediated walking program with pedometers, goal-setting and tailored messaging

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Robert Wood Johnson Foundation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total steps		last 30 days of intervention	No
Secondary	dropout rate		Four months	No
Secondary	days and hours pedometer worn		four months	No
Secondary	login frequency		four months	No
Secondary	upload frequency		four months	No
Secondary	content of posts (qualitative)		four months	No