Physical inactivity and sedentary behaviors are among the leading modifiable risk factors for chronic diseases. In France, despite the national Sport Health strategy, awareness campaigns physical inactivity and sedentary behavior worsened between 2005 and 2015. Primary healthcare professionals, including general practitioners and physiotherapists already involved in tertiary prevention, can act for primary and secondary prevention.
In this study, we hypothesize that an innovative care pathway based on opportunistic screening by general practitioners to assess levels of physical activity and sedentary behavior, and an individualized intervention by a physiotherapist effectively supports behavioral changes towards increased physical activity and reduced sedentary behavior at 6 months in inactive adults without chronic conditions. This multicenter study, employing an innovative stepped-wedge cluster methodology, will enable healthcare professionals from all included multidisciplinary health centers to enhance their skills in supporting health behavior changes. For all patients, participation in the study should lead to an increased awareness of the risks associated with physical inactivity and sedentary behaviors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
160
All patients in the intervention group will benefit from the standard information phase on physical activity and sedentary behavior, as well as personalized support for behavior change in the form of a serious game and remote coaching.
Pr Nicolas PINSAULT
Saint-Martin-d'Hères, France
Evaluate the 6-month effectiveness of an individualized intervention by a physiotherapist, on physical activity and sedentary behavior in adult patients without chronic diseases
1. Proportion of patients changing to a higher physical activity category, measured by actimetry, between inclusion and M6, defined as: from inactive to moderately active or very active 2. Proportion of patients changing to a lower sedentary behavior category, measured by actimetry, between inclusion and M6, defined as: from high sedentary behavior to moderate sedentary behavior or non-sedentary and from moderate sedentary behavior to non-sedentary
Time frame: 6 months
Describe the evolution of patients' physical activity and sedentary behavior levels at 6 months (for behavior change) and 12 months (for behavior maintenance).
ONAPS-PAQ questionnaire score
Time frame: 12 months
Quantify the evolution of patients' physical activity and sedentary behavior levels at 6 months (for behavior change) and 12 months (for behavior maintenance).
7-day accelerometry measurement
Time frame: 12 months
Explore the relationship between patient characteristics and changes (at 6 months) and maintenance (at 12 months) of physical activityand sedentary behavior levels.
Degree of correlation between the socio-demographic categories (age, sex, socio-economic category, environment and place of residence, type and work hours) and 7-day accelerometry measurement
Time frame: 12 months
Describe the quality of motivation initially (Month 0), at 6 months, and at 12 months.
MAPS questionnaire score
Time frame: 12 monts
Describe the satisfaction of basic psychological needs at 6 months, and at 12 months.
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Basic Psychological Needs Scale score
Time frame: 12 monts
Describe the self-efficacy perceived competence scale for engaging in a personalized physical activity program at 6 months and at 12 months.
Score obtained at perceived competence scale for engaging in a personalized physical activity program
Time frame: 12 monts
Describe the perceived level of vitality and energy initially (M0), at 6 months, and at 12 months.
Score obtained at perceived vitality and energy scale
Time frame: 12 monts
Describe the self-esteem initially (M0), at 6 months, and at 12 months.
Score obtained at the self-esteem scale
Time frame: 12 monts
Describe at M6 and M12 the strategies, barriers, and facilitators to patients' behavior change.
Extraction of coaching verbatims coupled with a qualitative survey using semi-structured interviews on a sample of volunteer patients who may or may not have benefited from the intervention at 6 months and 12 months.
Time frame: 12 months
Study the relationship between ONAPS-PAQ results and 7-day actimetry in this population category (inactive and/or sedentary).
Degree of correlation between categorizations obtained by energy expenditure from accelerometry and the ONAPS-PAQ questionnaire
Time frame: 12 months
Identify perceived barriers and facilitators to implementation in primary care at 12 months among different stakeholders (general practitioners, physiotherapists, patients).
Score obtained on the scale of level of satisfaction and perception of the project's implementation in primary care by the various players: doctors, physiotherapists and patients.
Time frame: 12 months