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The purpose of this study is to evaluate the impact of an intervention combining a workshop during a balneotherapy and the use after the end of the balneotherapy of a web and smartphone-based physical activity program using connected devices, on physical activity level among patients 12 months after they participated in a balneotherapy in thermal care center.
A multi center randomized controlled trial is setting to evaluate the impact of the intervention on physical activity recommendations achievement of the patients.
Investigators hypothesize that an intervention including a workshop during a balneotherapy and an automated physical activity program using web, mobile phone and connected devices will help patients to be engaged in more physical activities and to reach physical activity recommendations.
New technologies such as mobile phone and connected devices have been recognized as useful tools to assist chronic patients in their disease's management. they are also considering as promising tools to help patients to change their lifestyle behavior.
Balneotherapy is a very special moment to initiate changes and to raise awareness about healthier behavior in terms of food and physical activity.
The objective of the intervention is to help patients with chronic diseases, taking part in a balneotherapy, to increase or maintain their physical activity level in the long term to reach the national recommendations of 150 minutes of moderate physical activity per week.
Patients will be randomized either in the intervention group or in the control group.
The intervention group will participate in a workshop during the balneotherapy providing them informations about physical activity and also about the way to use the web and smartphone-based physical activity program along with the use of the connected devices (scale and pedometer). After the end of the balneotherapy, the intervention group will have access to the web and smartphone-based physical activity program during 12 months.
The control group will receive a booklet including informations about physical activity practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | The 'Physical activity program after a balneotherapy' intervention involves providing a workshop during a balneotherapy about physical activity and use of automated physical activity program including website, mobile app and connected devices, and after the balneotherapy, the access to the automated program during 12 months. |
|
| Control | No Intervention | Patients included in the control arm will receive a booklet including informations about physical activity recommendations and practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical activity program after a balneotherapy | Behavioral | workshop during the balneotherapy associated to an automated program of physical activity after the end of the balneotherapy available during 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Achievement of Physical activity recommendations | Proportion of patients in each arm of the study (intervention and control) who achieve physical activity recommendations. Physical activity will be measured by IPAQ questionnaire (International Physical Activity Questionnaire). Achievement of physical activity recommendations corresponds to 150 minutes of moderate physical activity per week. To compare physical activity at 12 months, a constrained Longitudinal Data Analysis will be used involving the repeated measure of physical activity at inclusion and every 2 months until the end of the 12 months of follow-up. | at 12 months of follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity | IPAQ questionnaire to evaluate in each arm of the study physical activity (like physical activity level, sedentary time, the proportion of patients reporting an increase of at least 20 minutes of moderate physical activity per week) | at inclusion, 6 and 12 months of follow-up |
| Weight |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martine DUCLOS, MD-PhD | Centre Hospitalier Universitaire Gabriel Montpied, Clermont Ferrand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Thermes CHEVALLEY | Aix-les-Bains | 73100 | France | |||
| Centre thermal d'Amélie-les-Bains |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26209025 | Background | van der Weegen S, Verwey R, Spreeuwenberg M, Tange H, van der Weijden T, de Witte L. It's LiFe! Mobile and Web-Based Monitoring and Feedback Tool Embedded in Primary Care Increases Physical Activity: A Cluster Randomized Controlled Trial. J Med Internet Res. 2015 Jul 24;17(7):e184. doi: 10.2196/jmir.4579. | |
| 21628005 | Background |
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| at inclusion, 6 and 12 months of follow-up |
| Waist circumference | at inclusion, 6 and 12 months of follow-up |
| Quality of life | The quality of life will be measured thanks to the SF-12 questionnaire (Short Form Health Survey) | at inclusion, 6 and 12 months of follow-up |
| Captured physical activity | Physical activity will be measured thanks to accelerometers integrated into smartphones | at return home after the end of the balneotherapy, at 6 months and at 12 months of follow-up |
| Amélie-les-Bains |
| 66110 |
| France |
| Thermes de Bourbon-Lancy | Bourbon-Lancy | 71140 | France |
| Thermes de Brides-les-Bains | Brides-les-Bains | 73573 | France |
| Caleden Complexe Thermal | Chaudes-Aigues | 15110 | France |
| Centre thermal d'Eugénie-les-Bains | Eugénie-les-Bains | 40320 | France |
| Thermes du Boulou | Le Boulou | 66160 | France |
| Thermes de Vals-les-Bains | Vals-les-Bains | 07600 | France |
| Thermes CALLOU | Vichy | 03200 | France |
| Aalbers T, Baars MA, Rikkert MG. Characteristics of effective Internet-mediated interventions to change lifestyle in people aged 50 and older: a systematic review. Ageing Res Rev. 2011 Sep;10(4):487-97. doi: 10.1016/j.arr.2011.05.001. Epub 2011 May 20. |
| 23077157 | Background | Ammann R, Vandelanotte C, de Vries H, Mummery WK. Can a website-delivered computer-tailored physical activity intervention be acceptable, usable, and effective for older people? Health Educ Behav. 2013 Apr;40(2):160-70. doi: 10.1177/1090198112461791. Epub 2012 Oct 16. |
| 26553211 | Background | Martin SS, Feldman DI, Blumenthal RS, Jones SR, Post WS, McKibben RA, Michos ED, Ndumele CE, Ratchford EV, Coresh J, Blaha MJ. mActive: A Randomized Clinical Trial of an Automated mHealth Intervention for Physical Activity Promotion. J Am Heart Assoc. 2015 Nov 9;4(11):e002239. doi: 10.1161/JAHA.115.002239. |
| 20558196 | Background | Krebs P, Prochaska JO, Rossi JS. A meta-analysis of computer-tailored interventions for health behavior change. Prev Med. 2010 Sep-Oct;51(3-4):214-21. doi: 10.1016/j.ypmed.2010.06.004. Epub 2010 Jun 15. |
| 23470322 | Background | Irvine AB, Gelatt VA, Seeley JR, Macfarlane P, Gau JM. Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. J Med Internet Res. 2013 Feb 5;15(2):e19. doi: 10.2196/jmir.2158. |
| 35708743 | Derived | Fillol F, Paris L, Pascal S, Mulliez A, Roques CF, Rousset S, Duclos M. Possible Impact of a 12-Month Web- and Smartphone-Based Program to Improve Long-term Physical Activity in Patients Attending Spa Therapy: Randomized Controlled Trial. J Med Internet Res. 2022 Jun 16;24(6):e29640. doi: 10.2196/29640. |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D002908 | Chronic Disease |
| D009765 | Obesity |
| D003920 | Diabetes Mellitus |
| D012216 | Rheumatic Diseases |
| D002318 | Cardiovascular Diseases |
| D001943 | Breast Neoplasms |
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D009140 | Musculoskeletal Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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