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| ID | Type | Description | Link |
|---|---|---|---|
| UL1TR002537 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Center for Advancing Translational Sciences (NCATS) | NIH |
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Older adults are a growing population, with projections to reach 83.7 million by 2050. Furthermore, older adults are the most sedentary and least physically active adult population. It is estimated that nearly 90% of older adults 65 years of age or older do not meet the recommended levels of physical activity. Evidence suggests great health benefits can be achieved for older adults who are the most sedentary, and that replacing sitting with even light intensity walking can be beneficial.
The overarching goal of the project is to develop an inexpensive and scalable tool to increase volume of physical activity in our target population, older adults living in a residential facility. MapTrek is a web-based application that allows participants to take a virtual walk in interesting locations around the world while tracking their progress against the progress of other older adults living in a retirement community. Steps are counted using a commercially available accelerometer (e.g., Fitbit), and participants see their progress overlaid on Google Maps.
All participants will be provided with a Fitbit activity monitor and instructed to wear it 24 hours/day (except for bathing/swimming time) on their wrist for 12 weeks. Participants will participate in four team-based walking races, each two weeks long. Participants will view their team progress on TV monitors placed in various locations at the Oaknoll facility. The Oaknoll leadership has given the research team approval to do this at their facility. The monitors will present aggregated team data and will not report any individual data that could link back to the individual participant.
At the end of the 8 week active intervention, research team members will meet with participants at Oaknoll to administer an exit/process evaluation survey. The exit survey will ask about psychosocial predictors of physical activity as well as participants thoughts and opinions of the MapTrek game. This survey should take approximate 10-15 minutes to complete. The participants will then be asked to wear the Fitbit for four more weeks without playing MapTrek, which will act as a control condition since this is a single-arm study.
The specific aims of the study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MapTrek | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MapTrek | Behavioral | Participants will receive a Fitbit activity monitor and access to the MapTrek game which will be visible on monitors set up in the residential facility. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Physical Activity | Daily steps | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy | Self-efficacy was measured with the Self-Efficacy for Exercise scale, a 13-item questionnaire designed to assess participants' self-efficacy related to their ability to continue exercising in the face of barriers. | 8 weeks |
| Social Support |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lucas Carr, PhD | University of Iowa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Iowa | Iowa City | Iowa | 52242 | United States |
After providing their consent to participate, participants were asked to complete a baseline survey and provided a Fitbit activity monitor to wear for a minimum of 7 days to assess their baseline physical activity.
Participants were recruited from June 17, 2019 to June 27, 2019, by word of mouth and through advertisements posted on digital monitors located throughout the retirement community.
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| ID | Title | Description |
|---|---|---|
| FG000 | MapTrek | MapTrek: Participants will receive a Fitbit activity monitor and access to the MapTrek game for 8 weeks which will be visible on monitors set up in the residential facility. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | MapTrek | MapTrek: Participants will receive a Fitbit activity monitor and access to the MapTrek game which will be visible on monitors set up in the residential facility. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Physical Activity | Daily steps | Posted | Mean | 95% Confidence Interval | Steps/day | 8 weeks |
|
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12 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | MapTrek | MapTrek: Participants will receive a Fitbit activity monitor and access to the MapTrek game which will be visible on monitors set up in the residential facility. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lucas Carr | University of Iowa | 319-353-5432 | lucas-carr@uiowa.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 28, 2019 | Oct 13, 2021 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Sep 10, 2019 | Oct 13, 2021 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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Social support for physical activity was measured with a modified version of the Social Support and Exercise Survey. The Social Support and Exercise Survey is a 12-item (originally 13 item) questionnaire that assesses the level of support from family and friends that participants have in making health behavior changes (exercise) |
| 8 weeks |
| Outcome Expectations | Outcome expectations were measured with the Outcome Expectations for Exercise Scale. The Outcome Expectations for Exercise is a valid and reliable 9-item scale that assesses the participant's outcome expectations and benefits associated with exercise. | 8 weeks |
| Social Isolation | Social isolation was measured with a modified version of the Friendship Scale. The Friendship Scale is a 5-item (originally 6-item) scale that assesses 6 dimensions contributing to social isolation | 8 weeks |
| Participants |
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| Age, Continuous | Mean | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Physical Activity | Mean | Inter-Quartile Range | Steps/day |
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| Self-efficacy | cumulative score (0-90); higher=better | Mean | Standard Deviation | units on a scale |
|
| Social Support | mean score (0-4 range; higher = better) | Mean | Standard Deviation | units on a scale |
|
| Outcome Expectations | mean score (1-5 range) lower=better | Mean | Standard Deviation | units on a scale |
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| Social Isolation | cumulative score (4-20) higher=better | Mean | Standard Deviation | units on a scale |
|
|
|
| Secondary | Self-efficacy | Self-efficacy was measured with the Self-Efficacy for Exercise scale, a 13-item questionnaire designed to assess participants' self-efficacy related to their ability to continue exercising in the face of barriers. | Posted | Mean | Standard Deviation | cumulative score (0-90); higher=better | 8 weeks |
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|
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| Secondary | Social Support | Social support for physical activity was measured with a modified version of the Social Support and Exercise Survey. The Social Support and Exercise Survey is a 12-item (originally 13 item) questionnaire that assesses the level of support from family and friends that participants have in making health behavior changes (exercise) | Posted | Mean | Standard Deviation | mean score (0-4 range); higher=better | 8 weeks |
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| Secondary | Outcome Expectations | Outcome expectations were measured with the Outcome Expectations for Exercise Scale. The Outcome Expectations for Exercise is a valid and reliable 9-item scale that assesses the participant's outcome expectations and benefits associated with exercise. | Posted | Mean | Standard Deviation | mean score (1-5 range) lower=better | 8 weeks |
|
|
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| Secondary | Social Isolation | Social isolation was measured with a modified version of the Friendship Scale. The Friendship Scale is a 5-item (originally 6-item) scale that assesses 6 dimensions contributing to social isolation | Posted | Mean | Standard Deviation | cumulative score (4-20) higher=better | 8 weeks |
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| 0 |
| 54 |
| 0 |
| 54 |
| 0 |
| 54 |
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