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Web-based physical activity promotion in young people with CF: a randomised controlled trial

Narelle S Cox, Beverley Eldridge, Sarah Rawlings, Julianna Dreger, Jennifer Corda, Jennifer Hauser, Brenda M Button, Jennifer R Bishop, Amanda Nichols, Anna Middleton, Nathan Ward, Tiffany Dwyer Orcid Logo, Ruth Dentice, Raynuka Lazarus, Paul O'Halloran, Joanna Y T Lee, Christie Mellerick, Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo, Craig Anthony Williams, Anne E Holland

Thorax, Volume: 78, Issue: 1, Pages: thoraxjnl - 2022

Swansea University Authors: Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo

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DOI (Published version): 10.1136/thorax-2022-218702

Abstract

Background: Physical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity...

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Published in: Thorax
ISSN: 0040-6376 1468-3296
Published: BMJ 2022
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2023-01-05T13:22:20.7035507</datestamp><bib-version>v2</bib-version><id>61302</id><entry>2022-09-22</entry><title>Web-based physical activity promotion in young people with CF: a randomised controlled trial</title><swanseaauthors><author><sid>bdb20e3f31bcccf95c7bc116070c4214</sid><ORCID>0000-0003-0355-6357</ORCID><firstname>Kelly</firstname><surname>Mackintosh</surname><name>Kelly Mackintosh</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>062f5697ff59f004bc8c713955988398</sid><ORCID>0000-0003-0813-7477</ORCID><firstname>Melitta</firstname><surname>McNarry</surname><name>Melitta McNarry</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-09-22</date><deptcode>STSC</deptcode><abstract>Background: Physical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity in young pwCF.Methods: Multi-centre RCT with assessor blinding and qualitative evaluation. People with CF (12-35 years) admitted to hospital for a respiratory cause were eligible and randomised to the 12-week ActivOnline intervention (AO) or usual care (UC). The primary outcome was change in device-based time spent in moderate-to-vigorous physical activity (MVPA) from baseline to post-intervention. Follow-up was at six-months from hospital discharge when qualitative evaluation was undertaken. Results: 107 participants were randomised to AO (n=52) or UC (n=55). Sixty-three participants (59%) contributed to the intention to treat analysis. Mean (SD) age was 21(6) years (n=46 &lt;18years). At baseline physical activity levels were high in both groups (AO 102(52) versus UC 127(73) mins&#xB7;day-1). There was no statistically significant difference in MVPA between groups at either time-point (post-intervention mean difference (MD)(95%CI) -14 mins(-45 to 16)). Uptake of the intervention was low with only 40% (n=21) of participants accessing the web-application.Conclusion: A web-based application, including individualised goal-setting, real-time feedback, and motivation for behaviour change, was no better than usual care at promoting physical activity in young pwCF following hospital discharge. High levels of baseline physical activity levels in both groups, and limited engagement with the intervention, suggest alternative strategies may be necessary to identify and support young pwCF who would benefit from enhanced physical activity.</abstract><type>Journal Article</type><journal>Thorax</journal><volume>78</volume><journalNumber>1</journalNumber><paginationStart>thoraxjnl</paginationStart><paginationEnd>2022</paginationEnd><publisher>BMJ</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0040-6376</issnPrint><issnElectronic>1468-3296</issnElectronic><keywords>Paediatric, Telehealth, Adults, Exercise, Internet, Rehabilitation</keywords><publishedDay>30</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-09-30</publishedDate><doi>10.1136/thorax-2022-218702</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>Funding for this trial was from a competitive UK Cystic Fibrosis Trust Strategic Research Centre grant award No: 008.</funders><projectreference/><lastEdited>2023-01-05T13:22:20.7035507</lastEdited><Created>2022-09-22T12:14:18.8606961</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences</level></path><authors><author><firstname>Narelle S</firstname><surname>Cox</surname><order>1</order></author><author><firstname>Beverley</firstname><surname>Eldridge</surname><order>2</order></author><author><firstname>Sarah</firstname><surname>Rawlings</surname><order>3</order></author><author><firstname>Julianna</firstname><surname>Dreger</surname><order>4</order></author><author><firstname>Jennifer</firstname><surname>Corda</surname><order>5</order></author><author><firstname>Jennifer</firstname><surname>Hauser</surname><order>6</order></author><author><firstname>Brenda M</firstname><surname>Button</surname><order>7</order></author><author><firstname>Jennifer R</firstname><surname>Bishop</surname><order>8</order></author><author><firstname>Amanda</firstname><surname>Nichols</surname><order>9</order></author><author><firstname>Anna</firstname><surname>Middleton</surname><order>10</order></author><author><firstname>Nathan</firstname><surname>Ward</surname><order>11</order></author><author><firstname>Tiffany</firstname><surname>Dwyer</surname><orcid>0000-0001-6403-2894</orcid><order>12</order></author><author><firstname>Ruth</firstname><surname>Dentice</surname><order>13</order></author><author><firstname>Raynuka</firstname><surname>Lazarus</surname><order>14</order></author><author><firstname>Paul</firstname><surname>O'Halloran</surname><order>15</order></author><author><firstname>Joanna Y T</firstname><surname>Lee</surname><order>16</order></author><author><firstname>Christie</firstname><surname>Mellerick</surname><order>17</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>18</order></author><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>19</order></author><author><firstname>Craig Anthony</firstname><surname>Williams</surname><order>20</order></author><author><firstname>Anne E</firstname><surname>Holland</surname><order>21</order></author></authors><documents><document><filename>61302__25191__71f2cd1504604e47961df8da2286a0b2.pdf</filename><originalFilename>61302.pdf</originalFilename><uploaded>2022-09-22T12:19:48.3254710</uploaded><type>Output</type><contentLength>351624</contentLength><contentType>application/pdf</contentType><version>Accepted Manuscript</version><cronfaStatus>true</cronfaStatus><documentNotes>Released under the terms of a Creative Commons Attribution Non-Commercial License (CC-BY-NC)</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2023-01-05T13:22:20.7035507 v2 61302 2022-09-22 Web-based physical activity promotion in young people with CF: a randomised controlled trial bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2022-09-22 STSC Background: Physical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity in young pwCF.Methods: Multi-centre RCT with assessor blinding and qualitative evaluation. People with CF (12-35 years) admitted to hospital for a respiratory cause were eligible and randomised to the 12-week ActivOnline intervention (AO) or usual care (UC). The primary outcome was change in device-based time spent in moderate-to-vigorous physical activity (MVPA) from baseline to post-intervention. Follow-up was at six-months from hospital discharge when qualitative evaluation was undertaken. Results: 107 participants were randomised to AO (n=52) or UC (n=55). Sixty-three participants (59%) contributed to the intention to treat analysis. Mean (SD) age was 21(6) years (n=46 <18years). At baseline physical activity levels were high in both groups (AO 102(52) versus UC 127(73) mins·day-1). There was no statistically significant difference in MVPA between groups at either time-point (post-intervention mean difference (MD)(95%CI) -14 mins(-45 to 16)). Uptake of the intervention was low with only 40% (n=21) of participants accessing the web-application.Conclusion: A web-based application, including individualised goal-setting, real-time feedback, and motivation for behaviour change, was no better than usual care at promoting physical activity in young pwCF following hospital discharge. High levels of baseline physical activity levels in both groups, and limited engagement with the intervention, suggest alternative strategies may be necessary to identify and support young pwCF who would benefit from enhanced physical activity. Journal Article Thorax 78 1 thoraxjnl 2022 BMJ 0040-6376 1468-3296 Paediatric, Telehealth, Adults, Exercise, Internet, Rehabilitation 30 9 2022 2022-09-30 10.1136/thorax-2022-218702 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University Funding for this trial was from a competitive UK Cystic Fibrosis Trust Strategic Research Centre grant award No: 008. 2023-01-05T13:22:20.7035507 2022-09-22T12:14:18.8606961 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Narelle S Cox 1 Beverley Eldridge 2 Sarah Rawlings 3 Julianna Dreger 4 Jennifer Corda 5 Jennifer Hauser 6 Brenda M Button 7 Jennifer R Bishop 8 Amanda Nichols 9 Anna Middleton 10 Nathan Ward 11 Tiffany Dwyer 0000-0001-6403-2894 12 Ruth Dentice 13 Raynuka Lazarus 14 Paul O'Halloran 15 Joanna Y T Lee 16 Christie Mellerick 17 Kelly Mackintosh 0000-0003-0355-6357 18 Melitta McNarry 0000-0003-0813-7477 19 Craig Anthony Williams 20 Anne E Holland 21 61302__25191__71f2cd1504604e47961df8da2286a0b2.pdf 61302.pdf 2022-09-22T12:19:48.3254710 Output 351624 application/pdf Accepted Manuscript true Released under the terms of a Creative Commons Attribution Non-Commercial License (CC-BY-NC) true eng https://creativecommons.org/licenses/by-nc/4.0/
title Web-based physical activity promotion in young people with CF: a randomised controlled trial
spellingShingle Web-based physical activity promotion in young people with CF: a randomised controlled trial
Kelly Mackintosh
Melitta McNarry
title_short Web-based physical activity promotion in young people with CF: a randomised controlled trial
title_full Web-based physical activity promotion in young people with CF: a randomised controlled trial
title_fullStr Web-based physical activity promotion in young people with CF: a randomised controlled trial
title_full_unstemmed Web-based physical activity promotion in young people with CF: a randomised controlled trial
title_sort Web-based physical activity promotion in young people with CF: a randomised controlled trial
author_id_str_mv bdb20e3f31bcccf95c7bc116070c4214
062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Kelly Mackintosh
Melitta McNarry
author2 Narelle S Cox
Beverley Eldridge
Sarah Rawlings
Julianna Dreger
Jennifer Corda
Jennifer Hauser
Brenda M Button
Jennifer R Bishop
Amanda Nichols
Anna Middleton
Nathan Ward
Tiffany Dwyer
Ruth Dentice
Raynuka Lazarus
Paul O'Halloran
Joanna Y T Lee
Christie Mellerick
Kelly Mackintosh
Melitta McNarry
Craig Anthony Williams
Anne E Holland
format Journal article
container_title Thorax
container_volume 78
container_issue 1
container_start_page thoraxjnl
publishDate 2022
institution Swansea University
issn 0040-6376
1468-3296
doi_str_mv 10.1136/thorax-2022-218702
publisher BMJ
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 1
active_str 0
description Background: Physical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity in young pwCF.Methods: Multi-centre RCT with assessor blinding and qualitative evaluation. People with CF (12-35 years) admitted to hospital for a respiratory cause were eligible and randomised to the 12-week ActivOnline intervention (AO) or usual care (UC). The primary outcome was change in device-based time spent in moderate-to-vigorous physical activity (MVPA) from baseline to post-intervention. Follow-up was at six-months from hospital discharge when qualitative evaluation was undertaken. Results: 107 participants were randomised to AO (n=52) or UC (n=55). Sixty-three participants (59%) contributed to the intention to treat analysis. Mean (SD) age was 21(6) years (n=46 <18years). At baseline physical activity levels were high in both groups (AO 102(52) versus UC 127(73) mins·day-1). There was no statistically significant difference in MVPA between groups at either time-point (post-intervention mean difference (MD)(95%CI) -14 mins(-45 to 16)). Uptake of the intervention was low with only 40% (n=21) of participants accessing the web-application.Conclusion: A web-based application, including individualised goal-setting, real-time feedback, and motivation for behaviour change, was no better than usual care at promoting physical activity in young pwCF following hospital discharge. High levels of baseline physical activity levels in both groups, and limited engagement with the intervention, suggest alternative strategies may be necessary to identify and support young pwCF who would benefit from enhanced physical activity.
published_date 2022-09-30T04:20:02Z
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