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Explaining Sedentary Behavior With Planning (the Revised HAPA Model)

Explaining Sedentary Behavior With the Revised Reflective + Impulsive Health Action Process Approach (HAPA) Model

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04131270
Enrollment
900
Registered
2019-10-18
Start date
2020-01-02
Completion date
2024-03-30
Last updated
2024-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sedentary Behavior

Keywords

Planning, Physical Activity

Brief summary

This study would investigate the effects of forming action plans on a reduction of sedentary behaviors. Participants will be randomly assigned to either active control group (education on sedentary behaviors and physical activity) or the intervention group (forming action plans referring to replacing sedentary activities with physical activity. The effects of the intervention will be evaluated at the 2-month follow-up and at the 8-month follow-up.

Detailed description

The effects of three sessions (3 education sessions versus 3 education sessions+ forming plans to replace sedentary behavior with physical activity) will be investigated among participants from three age groups: adolescents (12-17 years old), adults (18-60 years old), and older adults (\>60 years old). Compared to education only, forming plans about how to replace time spent on sedentary activities with physical activity is expected to result in a significantly larger change (a reduction) of sedentary time at the follow-up. Accelerometers will be used to evaluate short-term and mid-term changes in total sedentary time and the relative proportion of time spent on sedentary behavior vs light-intensity and moderate-to-vigorous- intensity physical activity. Additionally, the study will observe changes in if the cognitions included in the Health Action Process Approach model (HAPA), such risk perception, self-efficacy, outcome expectancies, intention, action control, as well as changes in behavioral habit, presence of sedentary behavior cues in physical environment, and physical activity behavior. The observations will be conducted three times, at the baseline (before the intervention), the 2-month follow up, and at the 8-month follow-up.

Interventions

BEHAVIORALPlanning + Education

Planning: Participants will fill in the planning forms that efer to replacing sedentary behavior with physical activity. The following behavior change techniques are included in the planning intervention protocol: action planning, barrier identification, prompting self-talk, relapse prevention/coping planning. Applications of all behavior change techniques would include references to planning.

BEHAVIORALEducation

The education would include extended sedentary behavior and physical activity education, delivered face-to-face by the experimenters. The education includes: (1) the behavioral guidelines, tailored to age and health status of the participants, (2) the examples of exercises and their metabolic equivalent, and (3) the education about ways to break sedentary behavior with active breaks.

Sponsors

National Science Centre, Poland
CollaboratorOTHER_GOV
University of Social Sciences and Humanities, Warsaw
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Intervention model description

Participants will be randomly assigned to an active control group (education on sedentary behavior and physical activity) or to a planning intervention (education on sedentary behavior and physical activity + education on how to form behavior change plans + forming a plan to change sedentary behavior using a planning sheet)

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* not meeting physical activity guidelines proposed by the World Health Organization

Exclusion criteria

* any existing diseases with contraindications for moderate intensity physical activity, confirmed by patient's primary care physician or a specialist in cardiovascular diseases/endocrinology/rehabilitation medicine providing care for the patient during the recruitment and follow-ups

Design outcomes

Primary

MeasureTime frameDescription
Sedentary behaviorchange from the baseline sedentary behavior at 8 monthsminutes of sedentary behavior per day assessed with ActiGraph wGT3X-BT accelerometer

Secondary

MeasureTime frameDescription
The composition of waking timechange from the baseline composition of waking time at 8 monthsthe proportion of time spent on sedentary behavior (minutes per day) to time spent on light-intensity physical activity (minutes per day) and moderate-to-vigorous physical activity (minutes per day) assessed with ActiGraph wGT3X-BT accelerometer
Physical activitychange from the baseline physical activity at 8 monthsminutes of light, moderate and vigorous intensity physical activity per day measured with ActiGraph wGT3X-BT accelerometer

Other

MeasureTime frameDescription
Outcome expectancieschange from the baseline outcome expectancies at 8 months18 items assessing positive (9 items) and negative (9 items) outcome expectancies; item score ranging from 1 to 4, higher scores indicate more positive outcome expectancies
Action controlchange from the baseline outcome expectancies at 8 months10 questionnaire items assessing action control; mean item score ranging from 1 to 4, higher scores indicate stronger action control
Intentionchange from the baseline intention at 8 months3 questionnaire items assessing intention to reduce sedentary behavior; mean item score ranging from 1 to 4, higher scores indicate stronger intention to reduce sedentary behavior
Sedentary behavior habitchange from the baseline sedentary behavior habit at 8 monthsSelf-Reported Habit Scale; mean item score ranging from 1 to 4, higher scores indicate stronger sedentary behavior habit
Environmental cues for sedentary behaviorchange from the baseline planning at 8 months10 questionnaire items assessing physical environment cues for sedentary behavior and its reduction; the total sum score ranging from 0 to 10; higher scores indicate more environmental cues for sedentary behavior
Body mass index (BMI)change from the baseline planning at 8 monthsCertified and standardized body weight scales (Beurer; European Union safety certificate; measurement error \< 5%) and measuring rods will be used. Body mass index will be calculated using the following formula: body weight \[in kg\] divided by a square of body height (in meters). Body weight will be recorded in kilograms and body height will be recorded in meters.
Self-reported planningchange from the baseline planning at 8 months4 questionnaire items assessing action planning; mean item score ranging from 1 to 4, higher scores indicate a higher level of self-reported planning
Self-efficacy for reducing sedentary behaviorchange from the baseline self-efficacy at 8 months9 self-efficacy questionnaire items; mean item score ranging from 1 to 4, higher scores indicate stronger self-efficacy
Risk perceptionchange from the baseline risk perception at 8 months3 questionnaire items to assess risk perception; mean item score ranging from 1 to 4, higher scores indicate higher risk perception

Countries

Poland

Contacts

Primary ContactAleksandra Luszczynska, PhD
aluszczynska@swps.edu.pl+48694441765
Backup ContactEwa Kulis, MA
ekulis@swps.edu.pl+48723527172

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026