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Efficacy of a self-regulation-based electronic and mobile health intervention targeting an active lifestyle in adults having type 2 diabetes and in adults aged 50 years or older : two randomized controlled trials

Louise Poppe (UGent) , Ilse De Bourdeaudhuij (UGent) , Maïté Verloigne (UGent) , Samiah Shadid (UGent) , Jelle Van Cauwenberg (UGent) , Sofie Compernolle (UGent) and Geert Crombez (UGent)
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Organization
Abstract
Background: Adopting an active lifestyle plays a key role in the prevention and management of chronic diseases such as type 2 diabetes mellitus (T2DM). Web-based interventions are able to alter health behaviors and show stronger effects when they are informed by a behavior change theory. MyPlan 2.0 is a fully automated electronic health (eHealth) and mobile health (mHealth) intervention targeting physical activity (PA) and sedentary behavior (SB) based on the Health Action Process Approach (HAPA). Objective: This study aimed to test the short-term effect of MyPlan 2.0 in altering levels of PA and SB and in changing personal determinants of behavior in adults with T2DM and in adults aged >= 50 years. Methods: The study comprised two randomized controlled trials (RCTs) with an identical design. RCT 1 was conducted with adults with T2DM. RCT 2 was performed in adults aged >= 50 years. Data were collected via face-to-face assessments. The participants decided either to increase their level of PA or to decrease their level of SB. The participants were randomly allocated with a 2:1 ratio to the intervention group or the waiting-list control group. They were not blinded for their group allocation. The participants in the intervention group were instructed to go through MyPlan 2.0, comprising 5 sessions with an interval of 1 week between each session. The primary outcomes were objectively measured and self-reported PA (ie, light PA, moderate-to-vigorous PA, total PA, number of steps, and domain-specific [eg, transport-related] PA) and SB (ie, sitting time, number of breaks from sitting time, and length of sitting bouts). Secondary outcomes were self-reported behavioral determinants for PA and SB (eg, self-efficacy). Separate linear mixed models were performed to analyze the effects of MyPlan 2.0 in the two samples. Results: In RCT 1 (n=54), the PA intervention group showed, in contrast to the control group, a decrease in self-reported time spent sitting (P=.09) and an increase in accelerometer-measured moderate (P=.05) and moderate-to-vigorous PA (P=.049). The SB intervention group displayed an increase in accelerometer-assessed breaks from sedentary time in comparison with the control group (P=.005). A total of 14 participants of RCT 1 dropped out. In RCT 2 (n=63), the PA intervention group showed an increase for self-reported total PA in comparison with the control group (P=.003). Furthermore, in contrast to the control group, the SB intervention group decreased their self-reported time spent sitting (P=.08) and increased their accelerometer-assessed moderate (P=.06) and moderate-to-vigorous PA (P=.07). A total of 8 participants of RCT 2 dropped out. Conclusions: For both the samples, the HAPA based eHealth and mHealth intervention, MyPlan 2.0, was able to improve only some of the primary outcomes.
Keywords
eHealth, mHealth, physical activity, type 2 diabetes, self-regulation, PHYSICAL-ACTIVITY QUESTIONNAIRE, BEHAVIOR-CHANGE TECHNIQUES, SEDENTARY BEHAVIOR, EHEALTH, ILLNESS, PEOPLE, STATE

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MLA
Poppe, Louise, et al. “Efficacy of a Self-Regulation-Based Electronic and Mobile Health Intervention Targeting an Active Lifestyle in Adults Having Type 2 Diabetes and in Adults Aged 50 Years or Older : Two Randomized Controlled Trials.” JOURNAL OF MEDICAL INTERNET RESEARCH, vol. 21, no. 8, 2019, doi:10.2196/13363.
APA
Poppe, L., De Bourdeaudhuij, I., Verloigne, M., Shadid, S., Van Cauwenberg, J., Compernolle, S., & Crombez, G. (2019). Efficacy of a self-regulation-based electronic and mobile health intervention targeting an active lifestyle in adults having type 2 diabetes and in adults aged 50 years or older : two randomized controlled trials. JOURNAL OF MEDICAL INTERNET RESEARCH, 21(8). https://doi.org/10.2196/13363
Chicago author-date
Poppe, Louise, Ilse De Bourdeaudhuij, Maïté Verloigne, Samiah Shadid, Jelle Van Cauwenberg, Sofie Compernolle, and Geert Crombez. 2019. “Efficacy of a Self-Regulation-Based Electronic and Mobile Health Intervention Targeting an Active Lifestyle in Adults Having Type 2 Diabetes and in Adults Aged 50 Years or Older : Two Randomized Controlled Trials.” JOURNAL OF MEDICAL INTERNET RESEARCH 21 (8). https://doi.org/10.2196/13363.
Chicago author-date (all authors)
Poppe, Louise, Ilse De Bourdeaudhuij, Maïté Verloigne, Samiah Shadid, Jelle Van Cauwenberg, Sofie Compernolle, and Geert Crombez. 2019. “Efficacy of a Self-Regulation-Based Electronic and Mobile Health Intervention Targeting an Active Lifestyle in Adults Having Type 2 Diabetes and in Adults Aged 50 Years or Older : Two Randomized Controlled Trials.” JOURNAL OF MEDICAL INTERNET RESEARCH 21 (8). doi:10.2196/13363.
Vancouver
1.
Poppe L, De Bourdeaudhuij I, Verloigne M, Shadid S, Van Cauwenberg J, Compernolle S, et al. Efficacy of a self-regulation-based electronic and mobile health intervention targeting an active lifestyle in adults having type 2 diabetes and in adults aged 50 years or older : two randomized controlled trials. JOURNAL OF MEDICAL INTERNET RESEARCH. 2019;21(8).
IEEE
[1]
L. Poppe et al., “Efficacy of a self-regulation-based electronic and mobile health intervention targeting an active lifestyle in adults having type 2 diabetes and in adults aged 50 years or older : two randomized controlled trials,” JOURNAL OF MEDICAL INTERNET RESEARCH, vol. 21, no. 8, 2019.
@article{8656756,
  abstract     = {Background: Adopting an active lifestyle plays a key role in the prevention and management of chronic diseases such as type 2 diabetes mellitus (T2DM). Web-based interventions are able to alter health behaviors and show stronger effects when they are informed by a behavior change theory. MyPlan 2.0 is a fully automated electronic health (eHealth) and mobile health (mHealth) intervention targeting physical activity (PA) and sedentary behavior (SB) based on the Health Action Process Approach (HAPA).

Objective: This study aimed to test the short-term effect of MyPlan 2.0 in altering levels of PA and SB and in changing personal determinants of behavior in adults with T2DM and in adults aged >= 50 years.

Methods: The study comprised two randomized controlled trials (RCTs) with an identical design. RCT 1 was conducted with adults with T2DM. RCT 2 was performed in adults aged >= 50 years. Data were collected via face-to-face assessments. The participants decided either to increase their level of PA or to decrease their level of SB. The participants were randomly allocated with a 2:1 ratio to the intervention group or the waiting-list control group. They were not blinded for their group allocation. The participants in the intervention group were instructed to go through MyPlan 2.0, comprising 5 sessions with an interval of 1 week between each session. The primary outcomes were objectively measured and self-reported PA (ie, light PA, moderate-to-vigorous PA, total PA, number of steps, and domain-specific [eg, transport-related] PA) and SB (ie, sitting time, number of breaks from sitting time, and length of sitting bouts). Secondary outcomes were self-reported behavioral determinants for PA and SB (eg, self-efficacy). Separate linear mixed models were performed to analyze the effects of MyPlan 2.0 in the two samples.

Results: In RCT 1 (n=54), the PA intervention group showed, in contrast to the control group, a decrease in self-reported time spent sitting (P=.09) and an increase in accelerometer-measured moderate (P=.05) and moderate-to-vigorous PA (P=.049). The SB intervention group displayed an increase in accelerometer-assessed breaks from sedentary time in comparison with the control group (P=.005). A total of 14 participants of RCT 1 dropped out. In RCT 2 (n=63), the PA intervention group showed an increase for self-reported total PA in comparison with the control group (P=.003). Furthermore, in contrast to the control group, the SB intervention group decreased their self-reported time spent sitting (P=.08) and increased their accelerometer-assessed moderate (P=.06) and moderate-to-vigorous PA (P=.07). A total of 8 participants of RCT 2 dropped out.

Conclusions: For both the samples, the HAPA based eHealth and mHealth intervention, MyPlan 2.0, was able to improve only some of the primary outcomes.},
  articleno    = {e13363},
  author       = {Poppe, Louise and De Bourdeaudhuij, Ilse and Verloigne, Maïté and Shadid, Samiah and Van Cauwenberg, Jelle and Compernolle, Sofie and Crombez, Geert},
  issn         = {1438-8871},
  journal      = {JOURNAL OF MEDICAL INTERNET RESEARCH},
  keywords     = {eHealth,mHealth,physical activity,type 2 diabetes,self-regulation,PHYSICAL-ACTIVITY QUESTIONNAIRE,BEHAVIOR-CHANGE TECHNIQUES,SEDENTARY BEHAVIOR,EHEALTH,ILLNESS,PEOPLE,STATE},
  language     = {eng},
  number       = {8},
  pages        = {22},
  title        = {Efficacy of a self-regulation-based electronic and mobile health intervention targeting an active lifestyle in adults having type 2 diabetes and in adults aged 50 years or older : two randomized controlled trials},
  url          = {http://dx.doi.org/10.2196/13363},
  volume       = {21},
  year         = {2019},
}

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