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Enhancing Adherence by Building Online Communities

This study has been completed.
Information provided by:
Robert Wood Johnson Foundation Identifier:
First received: August 1, 2008
Last updated: January 27, 2009
Last verified: January 2009
The purpose of this study is to determine whether online peer support will increase adherence to an internet-based pedometer walking program.

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

Study Type: Interventional
Study Design: 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

Further study details as provided by Robert Wood Johnson Foundation:

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

Secondary Outcome Measures:
  • dropout rate [ Time Frame: Four months ]
  • days and hours pedometer worn [ Time Frame: four months ]
  • login frequency [ Time Frame: four months ]
  • upload frequency [ Time Frame: four months ]
  • content of posts (qualitative) [ Time Frame: four months ]

Enrollment: 324
Study Start Date: January 2008
Study Completion Date: January 2009
Primary Completion Date: October 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

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.


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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00729040

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

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
Study First Received: August 1, 2008
Last Updated: January 27, 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 processed this record on September 21, 2017