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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
52
Health Action Process Approach (HAPA) using action planning and coping strategies to create health behaviour change
Harry Prapavessis
London, Ontario, Canada
RECRUITINGSelf-reported total sedentary behaviour
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.
Time frame: Measured at week 0.
Self-reported total sedentary behaviour
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.
Time frame: Measured at week 2.
Self-reported total sedentary behaviour
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.
Time frame: Measured at week 4.
Self-reported total sedentary behaviour
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.
Time frame: Measured at week 6.
Self-reported total sedentary behaviour
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.
Time frame: Measured at week 12.
Objectively measured total sedentary behaviour
Measured by the ACTIVPAL4
Time frame: Measured at week 0.
Objectively measured total sedentary behaviour
Measured by the ACTIVPAL4
Time frame: Measured at week 6.
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Objectively measured total sedentary behaviour
Measured by the ACTIVPAL4
Time frame: Measured at week 12.
Self-reported sedentary behaviour break frequency
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.
Time frame: Measured at week 0.
Self-reported sedentary behaviour break frequency
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.
Time frame: Measured at week 2.
Self-reported sedentary behaviour break frequency
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.
Time frame: Measured at week 4.
Self-reported sedentary behaviour break frequency
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.
Time frame: Measured at week 6.
Self-reported sedentary behaviour break frequency
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.
Time frame: Measured at week 12.
Self-reported sedentary behaviour break duration
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.
Time frame: Measured at week 0.
Self-reported sedentary behaviour break duration
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.
Time frame: Measured at week 2.
Self-reported sedentary behaviour break duration
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.
Time frame: Measured at week 4.
Self-reported sedentary behaviour break duration
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.
Time frame: Measured at week 6.
Self-reported sedentary behaviour break duration
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.
Time frame: Measured at week 12.
Self-reported screen time
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.
Time frame: Measured at week 0.
Self-reported screen time
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.
Time frame: Measured at week 2.
Self-reported screen time
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.
Time frame: Measured at week 4.
Self-reported screen time
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.
Time frame: Measured at week 6.
Self-reported screen time
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.
Time frame: Measured at week 12.
Objective sedentary behaviour break frequency
Measured by the ACTIVPAL4
Time frame: Measured at week 0.
Objective sedentary behaviour break frequency
Measured by the ACTIVPAL4
Time frame: Measured at week 6.
Objective sedentary behaviour break frequency
Measured by the ACTIVPAL4
Time frame: Measured at week 12.
Objective sedentary behaviour break duration
Measured by the ACTIVPAL4
Time frame: Measured at week 0.
Objective sedentary behaviour break duration
Measured by the ACTIVPAL4
Time frame: Measured at week 6.
Objective sedentary behaviour break duration
Measured by the ACTIVPAL4
Time frame: Measured at week 12.
Self-reported quality of life
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).
Time frame: Measured at week 0.
Self-reported quality of life
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).
Time frame: Measured at week 6.
Self-reported quality of life
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).
Time frame: Measured at week 12.
Overall experience of the intervention
The intervention group will receive at qualitative interview
Time frame: Measured at week 6.
Validate the modified sedentary behaviour questionnaire (SBQ)
The modified sedentary behaviour (SBQ) will be validated with the ACTIVPAL4
Time frame: Measured at week 0.
Validate the modified SIT-Q (no unabbreviated name) questionnaire
The modified SIT-Q (no unabbreviated name) questionnaires will be validated with the ACTIVPAL4
Time frame: Measured at week 0.
Validate the modified sedentary behaviour questionnaire (SBQ)
The modified sedentary behaviour (SBQ) will be validated with the ACTIVPAL4
Time frame: Measured at week 6.
Validate the modified SIT-Q (no unabbreviated name) questionnaire
The modified SIT-Q (no unabbreviated name) questionnaire will be validated with the ACTIVPAL4
Time frame: Measured at week 6.
Validate the modified sedentary behaviour questionnaire (SBQ)
The modified sedentary behaviour questionnaire (SBQ) will be validated with the ACTIVPAL4
Time frame: Measured at week 12.
Validate the modified SIT-Q (no unabbreviated name) questionnaire
The modified SIT-Q (no unabbreviated name) questionnaires will be validated with the ACTIVPAL4
Time frame: Measured at week 12.