Physical Activity Clinical Trial
Official title:
Effect Evaluation of an eHealth Intervention to Promote Self-regulation of Physical Activity and Fruit and Vegetable Intake Among Adults in General Practice
The investigators have developed an eHealth intervention based on self-regulation for the promotion of self-regulation of physical activity and fruit and vegetable intake among adults who visit general practice. Effectiveness of the intervention will be evaluated in a three-arm clustered quasi-experimental design in general practice.
To increase effect sizes and reach of computer tailored interventions, the theory of
self-regulation was used, motivational and volitional determinants were targeted and the
intervention was not served as a stand-alone intervention but was delivered in general
practice. The intervention consists of three sessions for each behaviour (ie., physical
activity, fruit and vegetables intake) and is available on a website and tablets to deliver
it in general practice. Adults can start session one on a tablet in general practice or on
their own computer at home, after receiving a flyer in general practice. In this first
session adults receive general information, monitor their behaviour and receive tailored
feedback to increase awareness. Adults are also guided to set goals and self-efficacy is
increased by modeling and problem solving methods. In the second and third session, adults
can evaluate if they reached their goals, make coping plans and adapt their action plans. To
ensure the feasibility of implementing the intervention in general practice, general
practitioners were involved from the beginning of the development.
A three-arm clustered quasi-experimental design will be used to evaluate the effectiveness
of the intervention. Therefore, general practitioners will be recruited and patients will be
randomly assigned at general practice level. Within each practice, patients can be allocated
in three groups. Group one is an intervention group in which general practitioners select
and motivate adults to use the intervention. In group two, the selection and motivation of
adults will be conducted by a researcher in the waiting room and finally, group three will
be a control group in which adults are also selected by a researcher. The distinction
between the two intervention groups is made to evaluate if general practitioners influence
when recruiting participants leads to beneficial effects compared to when investigators
recruit participants. Furthermore, it will also be investigated if the implementation of the
intervention by general practitioners is feasible.
In the intervention groups, adults are asked to complete session one (S1) and measurements
questions on a tablet in general practice or are referred with a flyer to do this at their
computer at home. Adults, who do not use the tablet, have to fill in a short questionnaire
and leave their email address to send them a reminder email to complete session one at home.
In session one, adults choose themselves for which behaviour(s) they want to complete the
intervention. One week (S2) and one month (S3) after session one is completed, adults will
receive an email to respectively start session two and three for the chosen behaviour(s). In
the control group, adults have to fill in a questionnaire at base line in general practice
or at home (C1) and one month post intervention (C2).
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