Promoting Walking Among Older Adults Through Affective Communication and Step-Monitoring (NOSTEP)
2026年9月15日 更新者：Patrizia Catellani、Catholic University, Italy
Self-Continuity Messages and Step-Monitoring to Promote Walking Among Older Adults: Protocol of a 4-Arm Randomised Controlled Trial
Physical inactivity increases substantially after age 60 and represents a major public health challenge in older adults, as it is linked to increased risk of functional and cognitive decline and aging problems. Walking is one of the most accessible and recommended forms of light-to-moderate physical activity for this population. However, promoting sustained engagement in walking remains difficult, as traditional informational approaches often fail to activate personally meaningful motivations.
This study tests whether persuasive affective messages can promote walking by leveraging self-continuity, meaning the use of autobiographical memory to maintain the sense of being the same person across time and contexts, connecting the past, present, and future self. Self-continuity is associated with psychological resources such as self-esteem, self-efficacy, and a sense of meaning in life. The affective mechanism that sustains self-continuity is nostalgia: both promote emotional and behavioral regulation and support goal achievement. Building on this framework, the present trial examines whether activating feelings of self-continuity and positive nostalgic memories can strengthen older adults' motivation to engage in walking behavior.
In addition, the study investigates whether combining self-continuity messaging with a self-regulation strategy (daily step monitoring) enhances intervention effectiveness. Self-monitoring is a well-established behavioral technique that supports goal pursuit by increasing awareness and feedback.
Using a 4-arm randomised controlled factorial design, the study compares the effects of self-continuity messages, step-monitoring reminders, their combination, and an active control condition on walking behaviour and its psychological determinants.
A national sample of 1,000 Italian adults aged 65-74, recruited through a certified panel provider (Ipsos) and balanced for age, gender, and geographic region, will be randomly assigned to one of the four conditions. All participants will receive one message per day through a mobile application over a 14-day period. Participants in the step-monitoring conditions will also be asked to track and report their daily step count using a pedometer application. Behavioral, psychological, and process measures will be collected at baseline, post-intervention, and follow-up.
The study therefore aims to provide experimental evidence on the role of self-continuity as a motivational driver of health behaviour change, and to clarify whether combining affective and self-regulatory strategies enhances intervention effectiveness in older adults.
研究概览
地位
招聘中
研究类型
介入性
注册 (估计的)
1000
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Patrizia Catellani, PhD in Social Psychology
- 电话号码：393356741468
- 邮箱：patrizia.catellani@unicatt.it
研究联系人备份
- 姓名：Valentina Carfora, PhD in Social Psychology
- 电话号码：393338569908
- 邮箱：valentina.carfora@unicatt.it
学习地点
-
-
Milan
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Milan、Milan、意大利、20123
- 招聘中
- Catholic University of the Sacred Heart (Milan)
-
接触：
- Patrizia Catellani, PhD in Social Psychology
- 电话号码：393356741468
- 邮箱：patrizia.catellani@unicatt.it
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 年长者
接受健康志愿者
是的
描述
Inclusion Criteria:
- Age between 65 and 74 years
- Willingness and ability to install and use the mobile applications required for study participation
- Sufficient proficiency in the Italian language to understand study materials and complete the questionnaires.
Exclusion Criteria:
- Physical disabilities or medical conditions that preclude engagement in light to moderate physical activity, specifically:
- medical advice or prescription prohibiting engagement in light to moderate physical activity, assessed via a close-ended screening question;
- positive screening on a study specific close-ended question assessing ability to perform physical activity;
- positive screening on the adapted revised Physical Activity Readiness Questionnaire (rPAR-Q), indicating that participant may be unsafe.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：阶乘赋值
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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其他：Control
Participants assigned to this arm will receive daily messages about the benefits of recommended daily water intake via the PsyMe app over 14 days.
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The Day 1 introductory message presents a daily water-intake goal consistent with standard recommendations and informs participants that subsequent messages describe the benefits of adequate hydration.
Participants will be encouraged to pursue the goal according to their individual capabilities.
Messages delivered from Day 2 to Day 13 provide brief information about different beneficial effects of adequate water intake and link hydration to each outcome using counterfactual formulations (e.g., "If you drink the recommended amount of water today, you may support your energy levels and help prevent lapses in concentration").
Message openings vary and include exclamatory statements, memory prompts, or rhetorical questions.
The Day 14 message concludes the intervention.
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有源比较器：Step-monitoring
Participants assigned to this arm will receive daily reminders to monitor and record their step count through a step-tracking application via the PsyMe app over 14 days.
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The Day 1 introductory message presents a daily walking goal consistent with WHO recommendations and informs participants that subsequent messages prompt them to monitor their daily step count.
Participants will be encouraged to pursue the physical activity goal according to their individual capabilities.
Messages delivered from Day 2 to Day 13 provide reminders to monitor step counts throughout the day using the pedometer app and to record the total number of daily steps in PsyMe at the end of the day (e.g., "During the day, monitor your step count using the pedometer app.
This evening, record the total number of steps in the app.").
The Day 14 message concludes the intervention.
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实验性的：Self-continuity + Step-monitoring
Participants assigned to this arm will receive daily messages via the PsyMe app over 14 days.
These messages combine prompts recalling relevant past experiences and promoting walking behavior with reminders to monitor and record their daily step count.
|
The Day 1 introductory message presents a daily walking goal consistent with WHO recommendations and informs participants that subsequent messages describe the benefits of walking.
Participants will be encouraged to pursue the physical activity goal according to their individual capabilities.
Messages delivered from Day 2 to Day 13 aim to activate different positive nostalgic experiences related to walking and movement, including past memories, emotions, bodily sensations, personal values, and self-concepts.
The messages link walking behaviour to such positive experiences using counterfactual formulations (e.g., "If you walk a little more today, you may reconnect with sensations your body knows well.").
Message openings vary and include exclamatory statements, memory prompts, or rhetorical questions.
The Day 14 message concludes the intervention.
The Day 1 introductory message presents a daily walking goal consistent with WHO recommendations and informs participants that subsequent messages prompt them to monitor their daily step count.
Participants will be encouraged to pursue the physical activity goal according to their individual capabilities.
Messages delivered from Day 2 to Day 13 provide reminders to monitor step counts throughout the day using the pedometer app and to record the total number of daily steps in PsyMe at the end of the day (e.g., "During the day, monitor your step count using the pedometer app.
This evening, record the total number of steps in the app.").
The Day 14 message concludes the intervention.
|
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实验性的：Self-continuity
Participants assigned to this arm will receive daily messages via the PsyMe app over 14 days.
These messages are designed to prompt recall of personally relevant past experiences and to promote walking behavior.
|
The Day 1 introductory message presents a daily walking goal consistent with WHO recommendations and informs participants that subsequent messages describe the benefits of walking.
Participants will be encouraged to pursue the physical activity goal according to their individual capabilities.
Messages delivered from Day 2 to Day 13 aim to activate different positive nostalgic experiences related to walking and movement, including past memories, emotions, bodily sensations, personal values, and self-concepts.
The messages link walking behaviour to such positive experiences using counterfactual formulations (e.g., "If you walk a little more today, you may reconnect with sensations your body knows well.").
Message openings vary and include exclamatory statements, memory prompts, or rhetorical questions.
The Day 14 message concludes the intervention.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change from Baseline in Self-Reported Walking Frequency and Duration at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Assessed by International Physical Activity Questionnaire - Short Version (IPAQ).
Higher scores (mean daily time spent in walking activities, number of days per week with walking activity, and mean time spent in walking activities multiplied by the number of days per week with walking activity) indicate greater self-reported walking activity over the past week and in a usual week.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Self-Reported Walking Intensity at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed by International Physical Activity Questionnaire - Short Version (IPAQ).
Higher scores indicate greater self-reported walking intensity over the past week and in a usual week, with 3 ordinal response options: slow, moderate, and vigorous intensity.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Daily Step Count at 2-Week Post-Intervention as Measured Via Pedometer App
大体时间：Baseline and 2 weeks
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Higher self-reported step counts indicate greater walking activity over the past week and in a usual week.
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Baseline and 2 weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change from Baseline in Attitude toward Walking at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Measured using an ad-hoc 7-point semantic differential scale assessing anticipated attitude toward walking in the next two weeks, across six bipolar adjective pairs.
Higher scores are associated with more positive attitudes toward walking.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Intention to Walk at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Measured using an ad hoc 7-point Likert scale comprising 3 items and assessing intention to walk as much as possible over the next two weeks.
Responses range from 1 (completely disagree) to 7 (completely agree), with higher values indicating stronger intention to walk.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Self-Efficacy to Walk at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Measured using a 12-item scale adapted from the Self-efficacy to Regulate Exercise scale (Carfora et al., 2022) to assess confidence in being able to walk as much as possible over the next two weeks under a variety of challenging circumstances.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicating greater self-efficacy to walk.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Anticipated Positive Emotions Toward Walking at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Evaluated using an ad-hoc 6-item scale assessing anticipated positive emotions associated with walking as much as possible over the next two weeks.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicating stronger anticipated positive emotions toward walking.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Anticipated Negative Emotions Toward Walking at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Evaluated using an ad-hoc 6-item scale assessing anticipated negative emotions associated with not walking as much as possible over the next two weeks.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicating stronger anticipated negative emotions toward not walking.
|
Baseline and 2 weeks and 4 weeks
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Change from Baseline in Self-Reported Daily Water Intake at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
|
Measured using an ad-hoc close-ended single-item measure assessing usual number of glasses of water consumed in an ordinary day.
|
Baseline and 2 weeks
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Change from Baseline in Attitude toward Water Intake at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
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Measured using an ad-hoc 7-point semantic differential scale assessing anticipated attitude toward drinking at least 2 liters of water per day over the next two weeks, across six bipolar adjective pairs.
Higher scores are associated with more positive attitudes toward drinking water.
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Baseline and 2 weeks
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Change from Baseline in Intention to Drink Water at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
|
Measured using an ad hoc 7-point Likert scale comprising 3 items and assessing intention to drink at least 2 liters of water per day over the next two weeks.
Responses range from 1 (completely disagree) to 7 (completely agree), with higher values indicating stronger intention to drink water.
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Baseline and 2 weeks
|
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Change from Baseline in Self-Reported Sedentary Behaviour Duration at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed by International Physical Activity Questionnaire - Short Version (IPAQ).
Higher self-reported minutes spent in sedentary activities indicate greater sedentary behaviour in a usual week.
|
Baseline and 2 weeks and 4 weeks
|
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Change from Baseline in Self-Reported Light Physical Activity Frequency and Duration at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
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Adapted from the International Physical Activity Questionnaire - Short Version (IPAQ), specifically for light physical activity.
Higher scores (mean daily time spent in light physical activities, number of days per week with light physical activity, and mean daily time multiplied by the number of days per week with light physical activity) indicate greater self-reported light physical activity in a usual week.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Self-Reported Moderate Physical Activity Frequency and Duration at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed by International Physical Activity Questionnaire - Short Version (IPAQ).
Higher scores (mean daily time spent in moderate physical activities, number of days per week with moderate physical activity, and mean daily time multiplied by the number of days per week with moderate physical activity) indicate greater self-reported moderate physical activity in a usual week.
|
Baseline and 2 weeks and 4 weeks
|
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Change from Baseline in Self-Reported Vigorous Physical Activity Frequency and Duration at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed by International Physical Activity Questionnaire - Short Version (IPAQ).
Higher scores (mean daily time spent in vigorous physical activities, number of days per week with vigorous physical activity, and mean daily time multiplied by the number of days per week with vigorous physical activity) indicate greater self-reported vigorous physical activity in a usual week.
|
Baseline and 2 weeks and 4 weeks
|
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Change from Baseline in Pedometer Usage and Usage Frequency (Past Week) at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Measured using a study-specific single item with 5 ordinal response options.
Higher scores indicate more frequent mean daily use of the pedometer app/device.
|
Baseline and 2 weeks and 4 weeks
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change from Baseline in Self-Continuity at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed using a 4-item scale translated from the Self-Continuity Index to measure perceived continuity and stability between past and present self.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicating greater self-continuity.
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Baseline and 2 weeks and 4 weeks
|
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Change from Baseline in State Nostalgia at 2-Week Post-Intervention and 4-Week Follow-up
大体时间：Baseline and 2 weeks and 4 weeks
|
Assessed using a study-adapted 3-item scale to measure recent feelings of nostalgia.
The scale asks participants to indicate their agreement with statements such as "During the past week, I have felt rather nostalgic."
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicate greater state nostalgia.
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Baseline and 2 weeks and 4 weeks
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Change from Baseline in Temporal Comparison at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
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Assessed using a 11-item scale translated from the Measure of Temporal Comparison Orientation to assess how frequently and intensely a person engages in temporal comparisons.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher scores indicating greater temporal comparison proneness.
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Baseline and 2 weeks
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Change from Baseline in Attitudes Toward Aging at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
|
Assessed using a study-adapted 4-item scale based on the Positive View of Aging subscale of the AgeCog scale of Ongoing Development to measure positive attitudes toward aging.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher values reflecting more positive attitudes toward aging.
|
Baseline and 2 weeks
|
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Change from Baseline in Psychological Well-Being at 2-Week Post-Intervention
大体时间：Baseline and 2 weeks
|
Assessed using the Italian translation of the 5-item Short Warwick-Edinburgh Mental Well-Being Scale to measure psychological well-being over the past two weeks.
Responses are given on a 7-point Likert scale ranging from 1 (completely disagree) to 7 (completely agree), with higher values reflecting greater psychological well-being.
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Baseline and 2 weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
合作者
调查人员
- 首席研究员：Patrizia Catellani, Social Psychology、Catholic University, Italy
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
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研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2026年6月29日
初级完成 (估计的)
2026年10月1日
研究完成 (估计的)
2026年10月1日
研究注册日期
首次提交
2026年4月30日
首先提交符合 QC 标准的
2026年4月30日
首次发布 (实际的)
2026年5月6日
研究记录更新
最后更新发布 (实际的)
2026年9月17日
上次提交的符合 QC 标准的更新
2026年9月15日
最后验证
2026年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.