The Power of 24-hour: Co-designing Intervention Components

May 17, 2024 updated by: University Hospital, Ghent

The Power of 24-hour: Co-designing Intervention Components to Stimulate 24-hour Movement Behaviors in Adults With Overweight and Obesity

Most of the existing lifestyle interventions in adults with overweight or obesity focus on one movement behavior in isolation (i.e. moderate to vigorous physical activity (MVPA)). However, recent research suggests to incorporate all movement behaviors performed in one day to explore the possible synergistic health effects of targeting more than one behavior. Moreover, more optimal 24-hour movement behavior compositions are related with better cardiometabolic health. Literature shows that adults with obesity have less optimal 24-hour compositions (8-9). Therefore it would be of interest to discover the needs related to an optimal 24-hour movement behavior intervention for a group of adults with overweight and obesity using co-design to develop an intervention.

This study will conduct a concept mapping protocol to explore the needs to of people with overweight and obesity to change their sedentary behavior into more physical activity as well to include the opinion of health care providers (HCP are physiotherapists) on the needs of their patients.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

210

Contacts and Locations

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

Study Contact

Study Contact Backup

Study Locations

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Probability Sample

Study Population

A group of health care providers as a group of adults with overweight and obesity will be included.

Description

Group Health Care providers

Inclusion Criteria:

  • The HCP will consist of physiotherapists and movement on referral coaches (https://www.gezondleven.be/projecten/bewegen-op-verwijzing). HCP are included when working on a healthy lifestyle as well as working with clients struggling with overweight or obesity.

Group Adults with overweight and obesity

Inclusion Criteria:

  • Adults aged 25-64 years
  • Active on the job market for at least 50 percent
  • BMI ≥25kg/m²

Exclusion Criteria:

  • - Retirement and early retirement
  • Unemployment
  • Working for less than 50 percent
  • Working in night shifts
  • Physical (e.g. amputations, paralysis, recovering from stroke, osteoarthritis), cognitive (e.g. dementia, psychological disorders) and major medical (e.g. Chronic respiratory diseases, heart failure, cardiovascular diseases, cancer) conditions that obstruct daily functioning
  • Diabetes diagnosed by a general practitioner
  • Pregnancy
  • Pregnancy <1 year ago
  • Currently involved in study specific weight loss interventions
  • Post-surgery weight loss interventions
  • Waitlist for weight loss surgery
  • Hospitalized

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Health care providers
10 health care providers: physiotherapist working with adults with overweight and obesity
Other: Concept mapping: brainstorm

Group health care providers:

  • Duration: 1.5 hour for HCP via zoom session
  • Brainstorm question: what would help your clients to change their sedentary behavior into more physical activity?

Group adults with overweight and obesity

  • Duration: online survey (REDCAP) of approx. 10 minutes
  • Brainstorm question via an online survey. What would help you to change your sedentary behavior into more physical activity?
Other: Concept mapping: clustering and rating

The same participant of the brainstorm session are asked to join session 2 to complete the clustering and rating). All interested adults will get access to the online cluster and rate tool described below.

  • Duration: flexible use of the online tool (available for two weeks)
  • The clustering and rating of all needs mentioned in session 1 will be done online and individually via a web application. In this online tool, the final list of 'needs' generated in session 1 will be presented.
  • Individually sort the 'needs' into groups and give the group a theme. In addition, each need will be scored on effectiviness, feasibility, modifiability. Thhe participants have unlimited access for two weeks.
Adults with overweight and obesity

Inclusion criteria

  • Adults aged 25-64 years
  • Active on the job market for at least 50 percent
  • BMI ≥25kg/m²

Exclusion criteria

  • Retirement and early retirement
  • Unemployment
  • Working for less than 50 percent
  • Working in night shifts
  • Physical (e.g. amputations, paralysis, recovering from stroke, osteoarthritis), cognitive (e.g. dementia, psychological disorders) and major medical (e.g. Chronic respiratory diseases, heart failure, cardiovascular diseases, cancer) conditions that obstruct daily functioning
  • Diabetes diagnosed by a general practitioner
  • Pregnancy
  • Pregnancy <1 year ago
  • Currently involved in study specific weight loss interventions
  • Post-surgery weight loss interventions
  • Waitlist for weight loss surgery
  • Hospitalized
Other: Concept mapping: brainstorm

Group health care providers:

  • Duration: 1.5 hour for HCP via zoom session
  • Brainstorm question: what would help your clients to change their sedentary behavior into more physical activity?

Group adults with overweight and obesity

  • Duration: online survey (REDCAP) of approx. 10 minutes
  • Brainstorm question via an online survey. What would help you to change your sedentary behavior into more physical activity?
Other: Concept mapping: clustering and rating

The same participant of the brainstorm session are asked to join session 2 to complete the clustering and rating). All interested adults will get access to the online cluster and rate tool described below.

  • Duration: flexible use of the online tool (available for two weeks)
  • The clustering and rating of all needs mentioned in session 1 will be done online and individually via a web application. In this online tool, the final list of 'needs' generated in session 1 will be presented.
  • Individually sort the 'needs' into groups and give the group a theme. In addition, each need will be scored on effectiviness, feasibility, modifiability. Thhe participants have unlimited access for two weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Themes
Time Frame: After session 2 clustering and rating
Themes will be created that bundle different factors explaining needs to change sedentary behavior into more physical activity for both the group of health care providers as the group of adults with overweight and obesity
After session 2 clustering and rating
Score of effectiveness
Time Frame: After session 2 clustering and rating

Each need will be scored on effectiveness by both the health care providers as the groups adults with overweight and obesity.

How effective do you think the 'need' is. Likert scale of 1-5.
After session 2 clustering and rating
Score of feasibility
Time Frame: After session 2 clustering and rating
Each need will be scored on feasibility by both the health care providers as the groups adults with overweight and obesity. How feasible do you think the 'need' is. Likert scale of 1-5.
After session 2 clustering and rating
Score of modifiability
Time Frame: After session 2 clustering and rating
Each need will be scored on modifiability by both the health care providers as the groups adults with overweight and obesity. How modifiable do you think the 'need' is. Likert scale of 1-5.
After session 2 clustering and rating

Collaborators and Investigators

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

Sponsor

University Hospital, Ghent

Investigators

  • Principal Investigator: Bruno Lapauw, University Hospital, Ghent
  • Principal Investigator: Marieke De Craemer, University Ghent

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)

September 5, 2023

Primary Completion (Estimated)

March 31, 2025

Study Completion (Estimated)

March 31, 2025

Study Registration Dates

First Submitted

February 13, 2024

First Submitted That Met QC Criteria

February 13, 2024

First Posted (Actual)

February 21, 2024

Study Record Updates

Last Update Posted (Actual)

May 20, 2024

Last Update Submitted That Met QC Criteria

May 17, 2024

Last Verified

May 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ONZ-2023-0185

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.

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