Clinical trial NCT04095923: A Social Media Game to Increase Physical Activity Among Older Adult Women
Official title: A Social Media Game to Increase Physical Activity Among Older Adult Women
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Aging
Keywords: Physical activity
Social media
Wearable
Intrinsic motivation
Game
Women's health
Lead sponsor: The University of Texas Medical Branch, Galveston
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
name: M.D. Anderson Cancer Center
First posted: 2019-09-19
Enrollment: 300
Sex: FEMALE
Minimum age (years): 65
Maximum age (years): 85
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study will test the effects of a social media game on the physical activity of older adult women. The game will consist of playful weekly challenges that require sharing photographs on a private social media group and also wearing an activity monitor to track steps. Participants will be randomized to this game group or to receive the activity monitor only.

Detailed description: Older adult women are at risk for negative health impacts of physical inactivity, but current strategies to increase their activity have had disappointing long-term results. The intervention tested in this study seeks to test an innovative intervention that targets older womens' perceptions of enjoyment and their personal identity and values. The investigators will test the efficacy of a 12-month social media-based physical activity intervention for sedentary older adult women. Participants will be randomized to receive a standard Fitbit-only intervention or to an enhanced Fitbit + weekly social challenges intervention. The investigators hypothesize that participants in the enhanced intervention will demonstrate greater increases in autonomous regulation and objectively-measured steps as compared to those in the standard intervention. The investigators will also measure outcomes after a 6 month maintenance period (18 months after beginning the intervention). Additional outcomes will include engagement with the social network and self-reported playful experiences.

Eligibility criteria: Inclusion Criteria:

1. Female
2. Age between 65 and 85
3. Able to read and understand English
4. Willingness to be randomized to any condition
5. Daily availability of an iOS or Android mobile device that is capable of taking and sending photos
6. Willingness to use a private Facebook group
7. Sufficient internet access to post photos to Facebook at least once per week
8. Having an existing Facebook account or willingness to create one

Exclusion Criteria:

1. Unable to find transportation to the study location
2. Unable to walk for exercise (self-report)
3. Walk \<475 meters in 6 minute walk test during baseline assessment
4. Stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months
5. Participant answered "yes" to any question on the PAR-Q+ and does not provide a doctor's note giving permission to begin a physical activity program
6. Self-reported weekly PA ≥ 150 minutes
7. BMI under 18 or over 40
8. Participant reports psychological issues that would interfere with study completion. Examples will be provided to illustrate potential psychological issues, such as dementia or schizophrenia.
9. Participant plans to move away from the Galveston-Houston area or to be out of town for more than 2 weeks at a time during the study period
10. Clinical judgment concerning safety
11. Currently participating in an organized commercial or research physical activity program
12. Uses a wearable activity monitor other than a simple pedometer and is unwilling to stop during the trial
13. Another member of the household is a participant or staff member on this trial

Primary outcomes:
measure: Walking physical activity as measured by daily steps at 12 months
timeFrame: Baseline to 12 months
Secondary outcomes:
measure: Walking physical activity as measured by daily steps at 6 months
timeFrame: Baseline to 6 months
measure: Walking physical activity as measured by daily steps at 18 months
timeFrame: Baseline to 18 months
measure: Intrinsic regulation
timeFrame: Baseline to 6 months
measure: Integrated regulation
timeFrame: Baseline to 6 months
measure: Autonomous regulation
timeFrame: Baseline to 6 months
measure: Basic psychological needs
timeFrame: Baseline to 6 months
measure: Physical activity as measured by minutes of moderate-vigorous intensity physical activity at 6 months
timeFrame: Baseline to 6 months
measure: Physical activity as measured by minutes of moderate-vigorous intensity physical activity at 12 months
timeFrame: Baseline to 12 months
measure: Physical activity as measured by minutes of moderate-vigorous intensity physical activity at 18 months
timeFrame: Baseline to 18 months
Other outcomes:
measure: Exercise identity
timeFrame: Baseline to 6 months
measure: Engaged living
timeFrame: Baseline to 6 months
measure: Playful experiences
timeFrame: Baseline to 6 months
measure: Usability
timeFrame: Baseline to 6 months
measure: Acceptability of walking challenge game
timeFrame: Baseline to 6 months
measure: Engagement in the social media group
timeFrame: Baseline to 12 months
measure: Days the activity monitor was worn
timeFrame: Baseline to 12 months
measure: Enjoyment of each weekly challenge
timeFrame: Baseline to 12 months
Locations:
city: Galveston
country: United States
facility: The University of Texas Medical Branch
state: Texas
Study officials:
affiliation: University of Texas
name: Elizabeth Lyons, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: