Physical Activity Clinical Trial
Official title:
Testing the Effectiveness of MyPlan 2.0. on Physical Activity in Older Adults
The beneficial effects of physical activity (PA) for older adults are well known. Yet, few
older adults reach the health guideline of 150 minutes/week of moderate-intensity PA. eHealth
interventions are effective in raising PA levels in older adults on the short-term. However,
intermediate- or long-term effects have been examined rarely. This study aimed to investigate
the effect of the eHealth intervention 'MyPlan 2.0' on both accelerometer-based and
self-reported PA levels in Belgian older adults on the short- and intermediate-term.
This study was a randomized controlled trial with three measurement moments (baseline (n=72),
post (five weeks after baseline; n=68) and follow-up (three months after baseline; n=68). At
all measurement moments, participants in the control group and intervention group filled out
the International Physical Activity Questionnaire and wore an accelerometer during one week.
Participants in the intervention group got access to the eHealth intervention 'MyPlan 2.0'
and used it for five consecutive weeks after baseline. 'MyPlan 2.0' was based on
self-regulatory theory and focused on both pre- and post-intentional processes to increase
PA.
Technical information about the content of the MyPlan 2.0. intervention:
MyPlan 2.0. was the eHealth intervention that was used in this study. MyPlan 2.0. is a
theory- and user-based intervention. Theories used to develop the intervention are the
self-regulation theory and the Health Action Approach model. The intervention targets pre-
and post-intentional processes to reach behavior change. The intervention consists of five
website visits in five weeks (one per week).
During the first website visit, the participants fill in a short PA questionnaire and based
on the answers, they receive personal feedback about their behavior (pre-intentional
processes). Knowledge is also provided by giving users the chance to fill in an optional quiz
about PA and its beneficial effects. Post-intentional processes are targeted during this
first visit by asking the participants to make an action plan. Participants are asked what
they want to do (e.g. being more active by cycling during leisure time), when (e.g. every
Sunday morning), where (e.g. in the streets nearby) and for how long (e.g. 60 minutes). After
answering these questions, the participants can identify difficult situations and possible
barriers (i.e. coping planning) while pursuing their goals. Dependent on which barriers they
select, specific solutions are given and the participants could choose which ones they
consider appropriate and want to apply. After this first website visit, the users can
indicate how they want to self-monitor their behaviour (e.g. using an agenda).
One week after finishing the first website visit, the participants receive an email to
revisit the website. During this second visit, they receive feedback about their behavioural
change process and their goals (e.g. did the participant reach his/her goal or not?).
Afterwards the participants have the possibility to adapt their action plan (e.g. setting
new, more realistic goals). They can reconsider coping plans, based on barriers they
experienced while pursuing their goals. Furthermore, participants can optionally read
activity tips. Website visits 3, 4 and 5 are respectively activated one week after the
previous visit. Again, the participants are reminded by email. These three last visits are
identical to the second visit (review of the action and coping plan).
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