Sheffield Physical Activity Booster Trial (Booster)

A Randomised Controlled Trial and Cost-effectiveness Evaluation of "Booster" Interventions to Sustain Increases in Physical Activity in Middle-aged Adults in Deprived Urban Neighbourhoods.

Adults that increase their physical activity can improve their health, and reduce future risks to health, but long-term changes are difficult to sustain. This study assesses whether it is worth providing further support, 3 months after giving initial advice, to those who have managed to do more physical activity. All participants will initially be given an interactive DVD. A researcher from Sheffield Hallam University will provide two telephone follow ups at one month intervals to assess physical activity levels. Only those that have increased their physical activity at this point will remain in the study. These participants will receive a "mini booster", a "full booster" or no booster. The "mini booster" consists of a two telephone calls one month apart to discuss physical activity and usage of the DVD. A "full booster" consists of a face-to-face meeting with the facilitator at the same intervals. The purpose of these booster sessions is to help the individual to maintain their increase in physical activity. The investigators will measure the differences in physical activity, quality of life and costs, associated with the booster interventions, 3 months and 9 months from randomisation. The research will be carried out in 20 of the most deprived neighbourhoods in Sheffield. These locations have large, ethnically diverse populations, high levels of economic deprivation, low levels of physical activity, poorer health and shorter life expectancy. Participants will be recruited through general practices and community groups, as well as by postal invitation to ensure the participation of minority ethnic groups and those with lower levels of literacy. Sheffield City Council and Primary Care Trust fund a range of facilities and activities to promote physical activity and variations in access to these between neighbourhoods will make it possible to examine whether the effectiveness of the intervention is modified by access to community facilities.

Study Overview

• Status: Completed
• Conditions: Public Health
• Intervention / Treatment: Behavioral: Mini Booster; Behavioral: Full Booster

• Study Type: Interventional
• Enrollment (Actual): 282
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United Kingdom
  • South Yorkshire
    • Sheffield, South Yorkshire, United Kingdom, S10 2BP
      • Centre for Sport and Exercise Science, Sheffield Hallam University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 40 years to 64 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Residents of the 20 most deprived neighbourhoods in the city of Sheffield
• Aged 40 to 64 years
• Not achieving the current recommended activity level (30 mins of moderate activity on at least 5 days) assessed using the SPAQ (Lowther, 1999) and wishing to have support to become more active

Exclusion Criteria:

• Have increased their physical activity level by at least 30 mins of moderate or vigorous activity per week (assessed using the SPAQ) since initial assessment of activity level
• Capacity to give written informed consent to trial participation

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control
Experimental: Mini Booster	Behavioral: Mini Booster; Two telephone-based physical activity consultations, delivered in a motivational interviewing style, at one month and two months from randomisation
Experimental: Full Booster	Behavioral: Full Booster; Two face-to-face physical activity consultations, delivered in a motivational interviewing style, at one month and two months from randomisation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Physical activity measured by accelerometry.	3 months post-randomisation

Secondary Outcome Measures

Outcome Measure	Time Frame
Physical activity assessed by accelerometry.	9 months post-randomisation
Self-reported moderate or strenuous physical activity using the Scottish Physical Activity Questionnaire (SPAQ, incorporating Stage of Change information) which records type and duration of activities in the previous week	3 months and 9 months post-randomisation
Health-related quality of life using the Sheffield Version SF-12v2 plus 4 survey instrument	3 months and 9 months post-randomisation
Self-reported use of community facilities for physical activity	3 months and 9 months post-randomisation
Self-reported health and social care contacts	3 months and 9 months post-randomisation
Psychological measures of motivation, assessed using BREQ-2 (Mullan et al, 1997)	3 months and 9 months post-randomisation

Collaborators and Investigators

• Sponsor: Richard Hudson
• Collaborators: NHS Health Technology Assessment Programme
• Investigators: Principal Investigator: Liddy Goyder, MD FFPH, University of Sheffield

Publications and helpful links

General Publications

• Goyder, Elizabeth, et al.
• Copeland RJ, Horspool K, Humphreys L, Scott E; Booster trial team. Recruiting to a large-scale physical activity randomised controlled trial - experiences with the gift of hindsight. Trials. 2016 Feb 24;17(1):104. doi: 10.1186/s13063-016-1229-0.
• Goyder E, Hind D, Breckon J, Dimairo M, Minton J, Everson-Hock E, Read S, Copeland R, Crank H, Horspool K, Humphreys L, Hutchison A, Kesterton S, Latimer N, Scott E, Swaile P, Walters SJ, Wood R, Collins K, Cooper C. A randomised controlled trial and cost-effectiveness evaluation of 'booster' interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods. Health Technol Assess. 2014 Feb;18(13):1-210. doi: 10.3310/hta18130.
• Hind D, Scott EJ, Copeland R, Breckon JD, Crank H, Walters SJ, Brazier JE, Nicholl J, Cooper C, Goyder E. A randomised controlled trial and cost-effectiveness evaluation of "booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods. BMC Public Health. 2010 Jan 4;10:3. doi: 10.1186/1471-2458-10-3.

Study record dates

Study Major Dates

• Study Start: November 1, 2009
• Primary Completion (Actual): December 1, 2012
• Study Completion (Actual): December 1, 2013

Study Registration Dates

• First Submitted: February 3, 2009
• First Submitted That Met QC Criteria: February 3, 2009
• First Posted (Estimate): February 4, 2009

Study Record Updates

• Last Update Posted (Estimate): December 2, 2014
• Last Update Submitted That Met QC Criteria: December 1, 2014
• Last Verified: December 1, 2014

More Information

Terms related to this study

• Keywords: Humans; Exercise; Motivation; Health Promotion; Walking; Body Mass Index; Behavior Therapy; Physical Fitness; Self Efficacy; Health Behavior; Middle Aged; Life Style; Health Knowledge, Attitudes, Practice; Monitoring, Ambulatory; Interview, Psychological; Directive Counseling
• Other Study ID Numbers: 120243; HTA: 07/25/02; IRAS: 08/H1308/270