Enhancing Adherence by Building Online Communities

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00729040
Recruitment Status : Completed
First Posted : August 6, 2008
Last Update Posted : January 29, 2009
Information provided by:
Robert Wood Johnson Foundation

Brief Summary:
The purpose of this study is to determine whether online peer support will increase adherence to an internet-based pedometer walking program.

Condition or disease Intervention/treatment Phase
Type 2 Diabetes Coronary Artery Disease Obesity Behavioral: Stepping Up to Health Phase 1 Phase 2

Detailed Description:

Stepping Up to Health with eCommunities is a study that takes what we already know about motivating sedentary, chronically ill people to walk, and begins to explore what it takes to keep people motivated to exercise over time: the ability to self-monitor behavior with accurate ecological momentary assessments.

We have theorized that peer support, monitoring and competition are ways in which people can stay motivated to meet their walking goals; thus, we have built into this intervention online forums for participants to communicate with each other and garner support, as well as a pilot one-to-many competitive game based on the percent of an individual's goal met.

Our research question is whether online community participation can increase adherence to an Internet-mediated walking program, which consists of an uploading pedometer, and going to a website to receive graphical and textual feedback as to whether participants are meeting gradually increasing walking goals. Three hundred participants will spend four months in this randomized, controlled trial to compare the intervention alone to the intervention plus online community support.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 324 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Enhancing Adherence to an Internet-Mediated Walking Program by Building Online Communities
Study Start Date : January 2008
Actual Primary Completion Date : October 2008
Actual Study Completion Date : January 2009

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: 1
Stepping Up to Health only
Behavioral: Stepping Up to Health
Internet-mediated walking program with pedometers, goal-setting and tailored messaging
Experimental: 2
Stepping up to Health PLUS online message boards to talk with other participants
Behavioral: Stepping Up to Health
Internet-mediated walking program with pedometers, goal-setting and tailored messaging

Primary Outcome Measures :
  1. Total steps [ Time Frame: last 30 days of intervention ]

Secondary Outcome Measures :
  1. dropout rate [ Time Frame: Four months ]
  2. days and hours pedometer worn [ Time Frame: four months ]
  3. login frequency [ Time Frame: four months ]
  4. upload frequency [ Time Frame: four months ]
  5. content of posts (qualitative) [ Time Frame: four months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Must have one or more of the following: Coronary artery disease (CAD); BMI 25 or higher; Type 2 diabetes
  • Must be sedentary, defined by less than 150 minutes of self-reported activity per week
  • Must be 18 or older
  • Must have access to a computer with an Internet connection, a USB port, and Windows 2000 (latest service pack), XP or Vista
  • Must be a regular email user (checking weekly)
  • Must be able to communicate in English

Exclusion Criteria:

  • Pregnant
  • Cannot walk a block (self-report)
  • Not competent to sign consent
  • Unable to obtain medical clearance from a treating physician (primary care, cardiologist, endocrinologist)
  • Type 1 diabetes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00729040

Sponsors and Collaborators
Robert Wood Johnson Foundation
Principal Investigator: Caroline R Richardson, MD University of Michigan Health System Dept. of Family Medicine

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Caroline Richardson, MD, University of Michigan Health System Dept. of Family Medicine Identifier: NCT00729040     History of Changes
Other Study ID Numbers: 57408
First Posted: August 6, 2008    Key Record Dates
Last Update Posted: January 29, 2009
Last Verified: January 2009

Keywords provided by Robert Wood Johnson Foundation:
type 2

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Heart Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Vascular Diseases