Promoting Physical Activity in Low-Active Adolescents via Facebook: A Pilot Randomized Controlled Trial to Test Feasibility

Thomas R Wójcicki, Diana Grigsby-Toussaint, Charles H Hillman, Marian Huhman, Edward McAuley, Thomas R Wójcicki, Diana Grigsby-Toussaint, Charles H Hillman, Marian Huhman, Edward McAuley

Abstract

Background: The World Wide Web is an effective method for delivering health behavior programs, yet major limitations remain (eg, cost of development, time and resource requirements, limited interactivity). Social media, however, has the potential to deliver highly customizable and socially interactive behavioral interventions with fewer constraints. Thus, the evaluation of social media as a means to influence health behaviors is warranted.

Objective: The objective of this trial was to examine and demonstrate the feasibility of using an established social networking platform (ie, Facebook) to deliver an 8 week physical activity intervention to a sample of low-active adolescents (N=21; estimated marginal mean age 13.48 years).

Methods: Participants were randomized to either an experimental (ie, Behavioral) or attentional control (ie, Informational) condition. Both conditions received access to a restricted-access, study-specific Facebook group where the group's administrator made two daily wall posts containing youth-based physical activity information and resources. Primary outcomes included physical activity as assessed by accelerometry and self-report. Interactions and main effects were examined, as well as mean differences in effect sizes.

Results: Analyses revealed significant improvements over time on subjectively reported weekly leisure-time physical activity (F1,18=8.426, P=.009, η2 = .319). However, there was no interaction between time and condition (F1,18=0.002, P=.968, η2 = .000). There were no significant time or interaction effects among the objectively measured physical activity variables. Examination of effect sizes revealed moderate-to-large changes in physical activity outcomes.

Conclusions: Results provide initial support for the feasibility of delivery of a physical activity intervention to low-active adolescents via social media. Whether by employing behavioral interventions via social media can result in statistically meaningful changes in health-related behaviors and outcomes remains to be determined.

Trial registration: ClinicalTrials.gov NCT01870323; https://ichgcp.net/clinical-trials-registry/NCT01870323 (Archived by WebCite at http://www.webcitation.org/6SUTmSeZZ).

Keywords: adolescents; behavior change; feasibility; physical activity; randomized controlled trial; social media.

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Screenshot of SMART Facebook Group post. PSA=public service announcements.
Figure 2
Figure 2
SMART Trial CONSORT diagram.

References

    1. Coe DP, Pivarnik JM, Womack CJ, Reeves MJ, Malina RM. Effect of physical education and activity levels on academic achievement in children. Med Sci Sports Exerc. 2006 Aug;38(8):1515–1519. doi: 10.1249/01.mss.0000227537.13175.1b.
    1. Salmon J, Timperio A. Prevalence, trends and environmental influences on child and youth physical activity. Med Sport Sci. 2007;50:183–199. doi: 10.1159/0000101391.
    1. Pate RR, Mitchell JA, Byun W, Dowda M. Sedentary behaviour in youth. Br J Sports Med. 2011 Sep;45(11):906–913. doi: 10.1136/bjsports-2011-090192.
    1. Centers for Disease Control and Prevention CDC. 2011. [2014-09-11]. Physical activity resources for health professionals .
    1. US Department of Health and Human Services (USDHHS) 2008 Physical activity guidelines for americans. Washington, DC: USDHHS; 2008. [2014-09-16]. .
    1. Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40. doi: 10.1186/1479-5868-7-40.
    1. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, Rowland T, Trost S, Trudeau F. Evidence based physical activity for school-age youth. J Pediatr. 2005 Jun;146(6):732–737. doi: 10.1016/j.jpeds.2005.01.055.
    1. Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: A review of reviews. Br J Sports Med. 2011 Sep;45(11):886–895. doi: 10.1136/bjsports-2011-090185.
    1. Ekeland E, Heian F, Hagen KB, Abbott J, Nordheim L. Exercise to improve self-esteem in children and young people. Cochrane Database Syst Rev. 2004;(1):CD003683. doi: 10.1002/14651858.CD003683.pub2.
    1. Hillman CH, Pontifex MB, Raine LB, Castelli DM, Hall EE, Kramer AF. The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children. Neuroscience. 2009 Mar 31;159(3):1044–1054. doi: 10.1016/j.neuroscience.2009.01.057.
    1. Sibley BA, Etnier JL. Pediatr Exerc Sci. 2003. [2014-09-19]. The relationship between physical activity and cognition in children: A meta-analysis .
    1. Nelson MC, Gordon-Larsen P. Physical activity and sedentary behavior patterns are associated with selected adolescent health risk behaviors. Pediatrics. 2006 Apr;117(4):1281–1290. doi: 10.1542/peds.2005-1692.
    1. Pate RR, Trost SG, Levin S, Dowda M. Sports participation and health-related behaviors among US youth. Arch Pediatr Adolesc Med. 2000 Sep;154(9):904–911.
    1. Johnson BT, Scott-Sheldon LA, Carey MP. Meta-synthesis of health behavior change meta-analyses. Am J Public Health. 2010 Nov;100(11):2193–2198. doi: 10.2105/AJPH.2008.155200.
    1. van den Berg MH, Schoones JW, Vliet Vlieland TP. Internet-based physical activity interventions: A systematic review of the literature. J Med Internet Res. 2007;9(3):e26. doi: 10.2196/jmir.9.3.e26.
    1. Lau PW, Lau EY, Wong del P, Ransdell L. A systematic review of information and communication technology-based interventions for promoting physical activity behavior change in children and adolescents. J Med Internet Res. 2011;13(3):e48. doi: 10.2196/jmir.1533.
    1. Ritterband LM, Tate DF. The science of internet interventions. Introduction. Ann Behav Med. 2009 Aug;38(1):1–3. doi: 10.1007/s12160-009-9132-5.
    1. Tsai AG, Wadden TA, Womble LG, Byrne KJ. Commercial and self-help programs for weight control. Psychiatr Clin North Am. 2005 Mar;28(1):171–192, ix. doi: 10.1016/j.psc.2004.10.003.
    1. Saperstein SL, Atkinson NL, Gold RS. The impact of Internet use for weight loss. Obes Rev. 2007 Sep;8(5):459–465. doi: 10.1111/j.1467-789X.2007.00374.x.
    1. Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The effectiveness of Web-based vs. non-Web-based interventions: A meta-analysis of behavioral change outcomes. J Med Internet Res. 2004 Nov 10;6(4):e40. doi: 10.2196/jmir.6.4.e40.
    1. Webb TL, Joseph J, Yardley L, Michie S. Using the internet to promote health behavior change: A systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010;12(1):e4. doi: 10.2196/jmir.1376.
    1. Herring S. Into the Blogosphere: Rhetoric, Community, and Culture of Weblogs. 2004. [2014-09-11]. Women and children last: The discursive construction of weblogs .
    1. Jones S. Generations online in 2009. Washington, DC: PEW Internet & life Project. Retrieved January 26, 2012 from; 2009. [2014-09-15].
    1. Lau AY, Siek KA, Fernandez-Luque L, Tange H, Chhanabhai P, Li SY, Elkin PL, Arjabi A, Walczowski L, Ang CS, Eysenbach G. The role of social media for patients and consumer health. Contribution of the IMIA Consumer Health Informatics Working Group. Yearb Med Inform. 2011;6(1):131–138.
    1. Park BK, Calamaro C. A systematic review of social networking sites: Innovative platforms for health research targeting adolescents and young adults. J Nurs Scholarsh. 2013 Sep;45(3):256–264. doi: 10.1111/jnu.12032.
    1. Foster D, Linehan C, Lawson S. ACM DL. 2010. [2014-10-03]. Motivating physical activity at work: Using persuasive social media extensions for simple mobile devices .
    1. Korda H, Itani Z. Harnessing social media for health promotion and behavior change. Health Promot Pract. 2013 Jan;14(1):15–23. doi: 10.1177/1524839911405850.
    1. Cavallo DN, Brown JD, Tate DF, DeVellis RF, Zimmer C, Ammerman AS. The role of companionship, esteem, and informational support in explaining physical activity among young women in an online social network intervention. J Behav Med. 2014 Oct;37(5):955–966. doi: 10.1007/s10865-013-9534-5.
    1. Napolitano MA, Hayes S, Bennett GG, Ives AK, Foster GD. Using Facebook and text messaging to deliver a weight loss program to college students. Obesity (Silver Spring) 2013 Jan;21(1):25–31. doi: 10.1002/oby.20232.
    1. Cavallo DN, Tate DF, Ries AV, Brown JD, DeVellis RF, Ammerman AS. A social media-based physical activity intervention: A randomized controlled trial. Am J Prev Med. 2012 Nov;43(5):527–532. doi: 10.1016/j.amepre.2012.07.019.
    1. Pedrana A, Hellard M, Gold J, Ata N, Chang S, Howard S, Asselin J, Ilic O, Batrouney C, Stoove M. Queer as F**k: Reaching and engaging gay men in sexual health promotion through social networking sites. J Med Internet Res. 2013;15(2):e25. doi: 10.2196/jmir.2334.
    1. Vyas AN, Landry M, Schnider M, Rojas AM, Wood SF. Public health interventions: Reaching Latino adolescents via short message service and social media. J Med Internet Res. 2012;14(4):e99. doi: 10.2196/jmir.2178.
    1. Bennett GG, Glasgow RE. The delivery of public health interventions via the Internet: Actualizing their potential. Annu Rev Public Health. 2009;30:273–292. doi: 10.1146/annurev.publhealth.031308.100235.
    1. Nielsen Company . Nielsen. USA: Nielsen; 2009. [2014-10-02]. Teens more normal than you think regarding media usage .
    1. Burbary K. Facebook. 2012. [2014-10-03]. Facebook demographics revisited 2011 statistics .
    1. Lenhart A, Purcell K, Smith A, Zickuhr K. Pew internet. 2010. [2014-10-02]. Social media and mobile internet use among teens and young adults .
    1. Levine D. Using new media to promote adolescent sexual health: Examples from the field. Ithaca, NY: 2009. [2014-09-16]. .
    1. Planner Ad. Retrieved January 16, from. 2012. [2014-10-02]. The demographics of social media users 2012
    1. Buddy Media Retrieved December 5, from. 2011. [2014-10-02]. Strategies for effective Facebook wall posts: A statistical review .
    1. Mei Z, Grummer-Strawn LM, Pietrobelli A, Goulding A, Goran MI, Dietz WH. Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr. 2002 Jun;75(6):978–985.
    1. Freedson P, Pober D, Janz KF. Calibration of accelerometer output for children. Med Sci Sports Exerc. 2005 Nov;37(11 Suppl):S523–530.
    1. Janz KF. Validation of the CSA accelerometer for assessing children's physical activity. Med Sci Sports Exerc. 1994 Mar;26(3):369–375.
    1. Puyau MR, Adolph AL, Vohra FA, Butte NF. Validation and calibration of physical activity monitors in children. Obes Res. 2002 Mar;10(3):150–157. doi: 10.1038/oby.2002.24.
    1. Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002 Feb;34(2):350–355.
    1. Trost SG, Pate RR, Freedson PS, Sallis JF, Taylor WC. Using objective physical activity measures with youth: How many days of monitoring are needed? Med Sci Sports Exerc. 2000 Feb;32(2):426–431.
    1. Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985 Sep;10(3):141–146.
    1. Sallis JF, Condon SA, Goggin KJ, Roby JJ, Kolody B, Alcaraz JE. The development of self-administered physical activity surveys for 4th grade students. Res Q Exerc Sport. 1993 Mar;64(1):25–31. doi: 10.1080/02701367.1993.10608775.
    1. Hardy LL, Booth ML, Okely AD. The reliability of the adolescent sedentary activity questionnaire (ASAQ) Prev Med. 2007 Jul;45(1):71–74. doi: 10.1016/j.ypmed.2007.03.014.
    1. Kamath CC, Vickers KS, Ehrlich A, McGovern L, Johnson J, Singhal V, Paulo R, Hettinger A, Erwin PJ, Montori VM. Clinical review: Behavioral interventions to prevent childhood obesity: A systematic review and metaanalyses of randomized trials. J Clin Endocrinol Metab. 2008 Dec;93(12):4606–4615. doi: 10.1210/jc.2006-2411.
    1. Kohl IIIHW, Fulton JE, Caspersen CJ. Assessment of physical activity among children and adolescents: A review and synthesis. Preventive Medicine. 2000 Aug;31(2):S54–S76. doi: 10.1006/pmed.1999.0542.
    1. Maher CA, Lewis LK, Ferrar K, Marshall S, De Bourdeaudhuij I, Vandelanotte C. Are health behavior change interventions that use online social networks effective? A systematic review. J Med Internet Res. 2014;16(2):e40. doi: 10.2196/jmir.2952.
    1. Turner-McGrievy G, Tate D. Tweets, apps, and pods: Results of the 6-month mobile pounds off digitally (mobile POD) randomized weight-loss intervention among adults. J Med Internet Res. 2011;13(4):e120. doi: 10.2196/jmir.1841.
    1. Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, Bakken S, Kaplan CP, Squiers L, Fabrizio C, Fernandez M. How we design feasibility studies. Am J Prev Med. 2009 May;36(5):452–457. doi: 10.1016/j.amepre.2009.02.002.
    1. Eysenbach G, CONSORT-EHEALTH Group CONSORT-EHEALTH: improving and standardizing evaluation reports of Web-based and mobile health interventions. J Med Internet Res. 2011;13(4):e126. doi: 10.2196/jmir.1923.

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