Tweet4Wellness: An Online Virtual Support Group for Promoting Increased Physical Activity

April 9, 2020 updated by: Judith Prochaska, Stanford University
The purpose of this study is to determine whether a Twitter-based intervention with a private, online support group can significantly increase number of walking steps compared to self-monitoring of physical activity alone or a control group in sedentary women at a women's heart clinic.

Study Overview

Detailed Description

Sedentary behavior is a risk factor for heart disease, independent of meeting physical activity guidelines. Tweet4Wellness is an innovative light physical activity, specifically walking, intervention which randomly assigns participants to a 25-person private, online support group that will receive daily, theory-based messages as peer-to-peer discussion prompts. Many text-based interventions do not base the intervention text messages in behavior change theory, but this study will base the daily messages in the behavior change theories such as implementation intentions, social support, mindfulness, and social learning theory.

The trial will be conducted over a 6-month periods. For the first 3 months, there will be 2 groups: Group 1 will receive the Twitter intervention and a "Fitbit" triaxial pedometer to track their steps throughout the day; Group 2 will receive the Fitbit pedometer only.

For the second 3 months: Group 1 an Group 2 will track their physical activity with Fitbit only.

Study Type

Interventional

Enrollment (Actual)

45

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Stanford, California, United States, 94305-7240
        • Stanford University School of Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Are a woman
  • Are over 18 years of age
  • Are English speaking
  • Have or are willing to purchase a mobile phone with a camera
  • Have or are willing to purchase an unlimited text plan
  • Are willing to participate in daily tweets or texts for up to 3 months
  • Have an active email account
  • Have internet access on your mobile phone
  • Use or are familiar with Facebook, Twitter, or other social media
  • Text at least weekly

Exclusion Criteria:

  • Have certain symptoms or conditions that would not be conducive to increasing your physical activity as determined by your physician
  • Are planning on becoming pregnant in the next 8 months
  • If our screening survey indicates that you are already adequately physically active
  • Do not provide all required personal contact information

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group 1: Tweet4Wellness+Self-monitoring
This group will receive the Tweet4Wellness intervention: daily theory-based peer-to-peer discussion prompt within the private Twitter-based support group for the entire 6 months of the study. They will also receive the Fitbit triaxial pedometer that will track their daily steps (self-monitoring component).
A daily, behavior change theory-based intervention message is sent to a private, 25-person online Twitter-support group to prompt peer-to-peer discussion. Participants receive individual text messages to encourage group participation (e.g. 'thank you for participating' or 'please participate tomorrow'). Participants also receive weekly individual messages giving them daily step goals for the week based on their previous week's daily step average, recorded from Fitbit.
A Fitbit is provided to the group which tracks participants' daily steps.
Active Comparator: Group 2: Self-monitoring
This group will receive the Fitbit triaxial pedometer that will track their daily steps (self-monitoring component) for the first 3 months. For the second three months of the study, they will receive the Tweet4Wellness intervention in addition to their Fitbit self-monitoring.
A Fitbit is provided to the group which tracks participants' daily steps.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in steps (physical activity)
Time Frame: Baseline to 3 months and 6 months
Steps measured by triaxial accelerometer
Baseline to 3 months and 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Support Group Engagement during the intervention
Time Frame: 3 months
Measured by # of Tweets per day sent to the group
3 months
average length of prolonged sedentary periods per day
Time Frame: baseline to 3 months and 6 months
average length of uninterrupted sedentary periods per day over a seven day period
baseline to 3 months and 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Judith Prochaska, PhD, Stanford University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 20, 2019

Primary Completion (Actual)

December 15, 2019

Study Completion (Actual)

December 20, 2019

Study Registration Dates

First Submitted

February 22, 2016

First Submitted That Met QC Criteria

November 4, 2016

First Posted (Estimate)

November 8, 2016

Study Record Updates

Last Update Posted (Actual)

April 10, 2020

Last Update Submitted That Met QC Criteria

April 9, 2020

Last Verified

April 1, 2020

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Subscribe