Adult ALL, Diabetes Mellitus, Type 2, Sedentary Behavior
Conditions
Brief summary
The purpose of this health behaviour change research study is to assist adults with T2D in achieving the Canadian 24-hour sedentary behaviour movement guidelines.
Detailed description
Adults with type 2 diabetes (T2D) are less active and accumulate more sedentary behaviour (SB) than those without. Among adults with T2D, increased SB is associated with increased mortality after adjusting for physical activity. Canadian 24-hour SB movement guidelines recommend limiting SB to ≤8 hours, no more than 3 hours of recreational screen time, and breaking up long periods of SB as often as possible. Therefore, the purpose of this research study is for adults with T2D to achieve these SB Canadian 24-hour SB movement guidelines. To address this purpose, we will be conducting a six-week two-arm repeated measures randomized control trial. The intervention group will receive a theory-based behaviour change counselling session through zoom at week 0, mobile phone application at weeks 2 and 4 that encourage participants to create their own personal and specific action plans and coping strategies, and daily text messages that motivate participants to reduce and break up their SB. The control group will receive no intervention. The primary objective of the study is to reduce SB, while the secondary objectives are to break up SB, reduce screen time, improve quality of life, determine the perceptions towards the intervention, and validate the SB questionnaires. SB will be collected in the form of total daily SB, frequency of SB breaks, and duration of SB breaks. These variables will be measured through a SB and quality of life questionnaires that will be delivered through a downloadable mobile phone application. Outcome measures will be compared within and between groups to detect differences.
Interventions
BEHAVIORALHealth Action Process Approach (HAPA)
Health Action Process Approach (HAPA) using action planning and coping strategies to create health behaviour change
Sponsors
Western University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older * diagnosed with type 2 diabetes * access to a smart phone with internet connection * be able to read, write, and speak in english
Exclusion criteria
* any medical or physical limitation that would prevent standing, stretching, and/or light physical activity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported total sedentary behaviour | Measured at week 0. | Measured by the modified sedentary behaviour questionnaire (SBQ). Where total daily sedentary behaviour ranges from 0 to 24 hours. Higher number of hours is worse. |
| Objectively measured total sedentary behaviour | Measured at week 0. | Measured by the ACTIVPAL4 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported screen time | Measured at week 0. | Measured by a domain of the modified sedentary behaviour questionnaire (SBQ). Where total daily screen time ranges from 0 to 18 hours. Higher number of hours is worse. |
| Objective sedentary behaviour break frequency | Measured at week 0. | Measured by the ACTIVPAL4 |
| Objective sedentary behaviour break duration | Measured at week 0. | Measured by the ACTIVPAL4 |
| Self-reported sedentary behaviour break frequency | Measured at week 0. | Measured by the modified SIT-Q (no unabbreviated name) questionnaire. Where break frequency ranges from less than every 30 minutes to over every 7 hours. Less frequent breaks is worse. |
| Overall experience of the intervention | Measured at week 6. | The intervention group will receive at qualitative interview |
| Validate the modified sedentary behaviour questionnaire (SBQ) | Measured at week 0. | The modified sedentary behaviour (SBQ) will be validated with the ACTIVPAL4 |
| Validate the modified SIT-Q (no unabbreviated name) questionnaire | Measured at week 0. | The modified SIT-Q (no unabbreviated name) questionnaires will be validated with the ACTIVPAL4 |
| Self-reported quality of life | Measured at week 0. | Measured by the modified short form -36 (SF-36) questionnaire. This questionnaire will use sub-scales: role limitations due to physical health (4 yes/ no questions), role limitations due to emotional problems (6 yes/no questions), energy, fatigue, and emotional well-being (9 six-point scale questions). |
| Self-reported sedentary behaviour break duration | Measured at week 0. | Measured by the modified SIT-Q (no unabbreviated name) questionnaire. Where break duration ranges from less than 30 seconds to over every 30 minutes. Shorter breaks are worse. |
Countries
Canada
Contacts
Primary ContactHarry Prapavessis, PhD
Backup ContactSiobhan Smith, MA
Outcome results
None listed