Please select the eligibility criteria that correspond to the clinical trial below.
Title: IMPACT: Inactivity Monitoring and Physical Activity Controlled Trial
Brief Summary: As individuals age, their physical activity decreases and sedentary time increases. Even small changes in these two behaviors can greatly decrease risks for several major health problems, including cardiovascular disease, diabetes, and many cancers. Studies that use pedometers to encourage walking have successfully increased physical activity, but do not address sedentary behaviors such as television watching. The investigators propose to use a novel pedometer-like device (Jawbone Up) that encourages both increased physical activity and decreased sedentary time. First, the investigators will recruit 10 adults to participate in a brief intervention for six weeks. They will wear the wrist-based activity monitor and use a mini-tablet device to see feedback on their activity and sedentary time. They will also receive brief counseling weekly. The investigators will use this first study to investigate the basic feasibility of the intervention materials. Next, the investigators will recruit 20 adults and randomize them to receive the intervention for 12 weeks or to a waiting list. Here, the investigators will test the intervention with refinements made based on participant responses from the first small study. Our primary outcomes will be measures of feasibility and acceptability across all parts of the study. The investigators hypothesize that the intervention will be feasible and acceptable to the participants. The investigators will also measure physical activity, sedentary behavior, fitness, body fat, and psychological feelings of motivation.


Options:
A: Inclusion Criteria:

1. Willing to be randomized to either group

Exclusion Criteria:

1. Age below 55 or above 79
2. Unable to read and understand English
3. Unable to read words in standard applications on a mobile device 5 - 10" large
4. Unable to find transportation to the study location
5. Investigator overseeing initial fitness test does not approve participation in the study
6. Report a heart condition, chest pain during periods of activity or rest, or loss of consciousness on the Physical Activity Readiness Questionnaire (PAR-Q, items 1 - 4). Reporting taking medicine for blood pressure on this questionnaire will require a doctor's note to participate.
7. Unable to walk for exercise (self-report)
8. Report current symptoms of alcohol or substance dependence
9. Plans to move away from the Galveston-Houston area or to be out of town for more than 1 week during the study period
10. Unwillingness to report drugs taken for comorbidities such as hypertension or diabetes
11. Stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months
12. Participant is active (60 minutes of moderate-vigorous intensity activity per week or more)
13. Participant watches little television (120 minutes per day or less)
14. BMI is under 25 kg/m2 or over 35 kg/m2
15. Another member of the household is a participant or staff member on this trial
16. Currently a participant in a physical activity research trial
17. Recently (less than six months ago) completed a physical activity research trial
18. Report a history of orthopedic complications that would prevent optimal participation in the physical activities prescribed (e.g., heel spurs, severe arthritis - may be eligible, but a doctor's note will be required)
19. Current smoker
20. Currently uses a Jawbone Up or similar activity monitor device
B: Inclusion Criteria:

* aged 45 and older, currently sedentary, owns and uses a cell phone but not a Smartphone, willing to be randomly assigned

Exclusion Criteria:

* free of clinically evident cardiovascular disease or any other medical condition or disorder that would limit participation in moderate intensity physical activities akin to brisk walking
C: Inclusion Criteria:

* 18 years or older
* Type 2 diabetes
* Have access to internet
* Being computer literate

Exclusion Criteria:

* not Dutch Speaking
D: Inclusion Criteria:

* Kaiser Permanente Washington enrollees
* Men and women
* Age 60 - 89
* BMI 30 - 50 (calculated based on most recent height ever and most recent weight taken within previous 18 months)
* Primary care within Integrated Group Practice
* Continuously enrolled at Kaiser Permanente Washington for previous 12 months
* No record of death
* Not on the No Contact list
* Speaks and writes English
* Able to hold a conversation by phone (no hearing or other limitations)
* Self-reported sitting time of 6 hours/day or more
* Self-reported ability to stand with or without an assistive device
* Self-reported ability to walk one block with or without an assistive device
* Available for the study duration
* Able to come to Kaiser Permanente Washington Health Research Institute's research clinic for measurement visits
* Willing to wear study activity monitors

Exclusion Criteria:

* Resides in long-term care, hospice care, or skilled nursing facility (previous 12 months)
* Wheelchair bound
* Diagnosis of dementia, serious mental health disorder, or substance use disorder (previous 24 months)
* Use of an assistive device

Answer: A