Sedentary

Researchers are evaluating how supportive environments, policies, and practices in licensed childcare centers in British Columbia BC can increase physical activity and motor skills among children aged 2.5 to 6 years. The study builds on provincial Active Play Standards and the Appetite to Play program, aiming to assess the impact of an enhanced intervention called Appetite to Play that supports childcare providers in sustaining active play best practices. The Appetite to Play intervention includes advanced training for childcare managers and staff through workshops and e-learning modules focused on physical literacy, fundamental movement skills, and creating supportive environments for active play and healthy eating. Childcare centers participating in the study are randomized to either receive this intervention immediately or after a 3-month waitlist period, with the control group having access to standard Appetite to Play materials. Participants, including childcare managers, staff, and children, will be involved in baseline and follow-up assessments up to 6 months post-intervention. Researchers will measure changes in active play practices at childcare centers and childrens motor skill development, along with characteristics of childcare settings and providers. The study includes questionnaires, observations, and data collection at multiple time points to monitor adherence and outcomes throughout the trial.

Researchers are evaluating a 12-week behavioral intervention designed to reduce sedentary behavior among prostate cancer survivors PCS. The study compares this intervention, which includes FitBit use and six behavioral support sessions guided by the Multi-Process Action Control M-PAC framework, to a control group that receives only a FitBit and access to public health physical activity resources. The study aims to measure changes in sedentary behavior immediately after the intervention and six months later, while also assessing impacts on physical activity, motivation, sleep quality, social support, physical function, quality of life, fatigue, disability, and mental health. Participants in the intervention group receive a FitBit Inspire 2 and six remote behavior change sessions delivered bi-weekly by a movement specialist, including four one-on-one sessions and two group webinars. They will monitor daily steps and work to increase their baseline step count progressively across phases. The control group receives the same FitBit device and an orientation session but only access to publicly available active living resources without additional behavioral support. The intervention sessions focus on planning, goal setting, social support, and habit formation based on the M-PAC theoretical framework. During the study, participants will wear activPAL inclinometers to objectively measure changes in sedentary behavior and physical activity at baseline, after the 12-week intervention, and at a 6-month follow-up. Self-reported sedentary behavior and physical activity will also be assessed using validated questionnaires. Researchers will monitor motivational factors, sleep, social support, physical function, and patient-reported outcomes such as quality of life, fatigue, disability, and mental health. The total participation involves these assessments across the intervention and follow-up periods, with data collected remotely.

Researchers are evaluating a 12-week home-based mobile health mHealth intervention called the Shining Star study, aimed at improving adherence to the 24-Hour Movement Guidelines among preschool-aged children 3-4 years old who currently meet zero or one of the guidelines for physical activity, screen time, and sleep. The trial seeks to determine if the intervention increases the number of children meeting all three guidelines and if the program is feasible for parents to implement. This randomized controlled trial compares an intervention group using the app to a waitlist control group. Participants in the intervention group will use the Shining Star mobile app, which delivers weekly lessons and behavior-related goals through concise messages, gamification features, behavior trackers, and a parent forum. The control group will receive no intervention during the initial 12 weeks but will complete the same assessments as the intervention group. After 12 weeks, control group participants will gain access to the app and resources. Physical activity and sleep will be tracked with accelerometers, and parents will complete questionnaires. Childrens physical activity, sedentary behavior, and sleep patterns will be assessed at baseline, 6 weeks, and 12 weeks using accelerometers. Parents will provide feedback on their childs movement behaviors, development, and app usability through questionnaires and weekly surveys. Additional measures include motor skills tests, cognition assessments, behavioral problems, executive function, and BMI. Data will be securely stored and analyzed to evaluate the interventions impact and app feasibility over the 12-week period.

Researchers are studying chronic pain in older adults, focusing on those with knee or hip osteoarthritis. This trial evaluates a mobile, remotely delivered behavioral intervention aimed at increasing physical activity and improving diet to reduce pain and enhance quality of life. The goal is to see if this approach can increase daily steps, reduce pain interference, lower body weight, and improve physical function over 6 months, with a follow-up maintenance phase lasting 12 months. Participants will be randomly assigned to one of two groups. The intervention group will join weekly group sessions with peers and receive individual coaching calls to encourage moving often throughout the day and adopting healthier eating habits to lose weight. They will use an activity monitor and a mobile app for feedback and goal-setting. The comparison group will receive an activity monitor and a wireless weight scale but no behavioral intervention. After 6 months, all participants enter a 12-month no-contact period to maintain their progress independently. During the study, participants will be assessed on daily steps, pain interference, body weight, physical function tests like the 30-second chair stand and gait speed at baseline, 6 months, and 18 months. Researchers will monitor changes in these areas to measure the interventions effectiveness. Participants will attend virtual testing appointments and complete questionnaires, with the total study duration being 18 months including follow-up.

Researchers are evaluating how feasible and acceptable it is to combine the Move physical activity support program with an existing lifestyle weight management program called Prevent T2. This study focuses on adults aged 18 to 65 who are overweight or obese and physically inactive. The goal is to understand how well these programs work together to support healthier lifestyles. Participants will engage in a 6-month lifestyle weight management program based on the Prevent T2 curriculum, which encourages modest weight loss and increased physical activity. Group classes from the Move program will be delivered virtually by a registered dietitian weekly for the first 12 weeks and biweekly for the following 14 weeks. Some participants will also receive additional support like a 6-month Peloton fitness app membership, online mental guided imagery sessions, and personalized 1-on-1 Move support to help integrate physical activity into daily life. During the study, participants will attend virtual group classes and may use fitness apps or participate in mental imagery sessions depending on their assigned group. Researchers will collect feedback on how acceptable and feasible the Move program and its components are over 6 months. They will monitor participants engagement and outcomes through qualitative and quantitative methods. The study aims to understand how well these combined interventions can support lifestyle changes in adults with overweight or obesity.

Researchers are evaluating whether it is possible to improve sleep quality and reduce sedentary behavior in adults living with Type 2 diabetes who have sleep problems. This clinical feasibility trial aims to find out if objectively measured sleep and sedentary habits can be improved and what effects these changes may have on physical and physiological health markers. The study will compare outcomes between participants who receive a special talking therapy and behavior change support and those who receive usual care. Participants in the intervention group will receive counseling on improving sleep and reducing sedentary time through Cognitive Behavioral Therapy for Insomnia CBTi and behavior change techniques over a 12-week period. They will keep sleep diaries and attend regular meetings with a qualified coach. The control group will receive a leaflet about good sleep hygiene and the benefits of less sedentary behavior. Both groups will complete tests and questionnaires at the start and end of the 12 weeks. During the study, researchers will collect data using devices like accelerometers to measure sleep efficiency and physical activity, along with questionnaires on sleep quality, fatigue, mood, and quality of life. They will also monitor blood pressure, blood glucose, body composition, and cognitive function before and after the intervention period. The total participation involves assessments at baseline and after 12 weeks, allowing researchers to compare changes across several health and lifestyle measures.

Researchers are evaluating the effectiveness of Actvatexto, a mobile intervention designed to help Latino adults who smoke quit smoking and increase their physical activity. This randomized controlled trial compares Actvatexto, which promotes both smoking cessation and physical activity, to Decdetexto, which focuses solely on smoking cessation. The study aims to understand how well these interventions work, with special attention to the factors that influence treatment effects among Latino smokers who do not meet recommended physical activity levels. Participants are randomly assigned to one of two groups. The Actvatexto group receives a text messaging program encouraging both quitting smoking and physical activity, wearable devices to track physical activity, nicotine replacement therapies, and an online dashboard for data management. The Decdetexto group receives a text messaging program focused only on smoking cessation, nicotine replacement therapies, and a similar online dashboard. All participants are provided with nicotine replacement therapies and a Fitbit Versa 4 device to monitor activity. Throughout the study, participants complete assessments at the start, and follow-up visits at three and six months. Researchers verify smoking abstinence using cotinine tests and collect self-reported smoking status. Physical activity is tracked via wearable devices, and all data from text messages and devices are managed through an online system. The study monitors participants over six months to measure smoking cessation success and physical activity improvements.

Researchers are evaluating a proactive care approach to encourage older adults with osteoarthritis to use their SilverSneakers exercise benefits provided through Medicare Advantage plans. This trial aims to see if mailed materials and phone calls can increase exercise participation, improve physical, social, and psychological health outcomes important to these adults, and reduce costly osteoarthritis-related healthcare use. About 1,454 participants aged 65 and older with osteoarthritis and no prior SilverSneakers use will be recruited across the United States for this randomized controlled trial. Participants will be assigned to either a Proactive Care group or a Usual Care group. The Proactive Care group receives one mailing alerting them to their SilverSneakers benefit, followed by two phone calls to help them plan and activate their exercise participation, including options to send information to their primary care providers. The Usual Care group receives the standard information about SilverSneakers benefits. Exercise options are available both online and in-person. The study follows participants for two years with assessments at baseline, 6, 12, and 24 months. During the study, researchers will collect data from health claims databases and self-report surveys to measure physical function, SilverSneakers enrollment and usage, physical activity levels, pain, fatigue, depression, social participation, healthcare visits, surgeries, medication use, and healthcare costs. The main outcomes focus on changes from baseline to 24 months. This comprehensive monitoring will help determine if proactive care improves exercise use and health outcomes while reducing healthcare service use over the two-year follow-up period.

Researchers are studying how aging affects insulin resistance, a key factor in type 2 diabetes and metabolic syndrome that is common in older adults. The study focuses on how fat deposits in muscles, liver, and heart relate to obesity, physical inactivity, and insulin resistance. It aims to understand whether exercise can improve fat burning capacity and reduce harmful fat metabolites, leading to better insulin resistance in sedentary obese, normal weight individuals, and masters athletes aged 60 to 80. Participants will be divided into groups based on their activity and weight sedentary obese, sedentary normal weight, and athletes who do not receive an intervention. The study involves a supervised exercise program designed to improve physical fitness and metabolic health. The intervention lasts up to 4 months and examines changes in insulin sensitivity, ectopic lipids, and oxidative capacity. During the study, participants will undergo assessments including body composition, metabolic flexibility, exercise efficiency, and physical fitness. Researchers will monitor insulin sensitivity and fat deposits in relevant tissues at the start and after 4 months. The study also tracks safety and adherence to the exercise program. Total participation time covers at least 4 months, with detailed evaluations throughout this period.

Researchers are investigating how physical activity and sedentary behavior relate to the development of additional chronic diseases and complications in patients with long-term health conditions. This study aims to identify a specific activity pattern or digital signature that could predict new health issues before they appear. The focus is on patients with various chronic diseases including inflammatory rheumatic diseases, osteoarthritis, major depressive and bipolar disorders, type 2 diabetes, obesity, COPD, and chronic pain. The study involves 700 patients followed over 4 years in a monocentric prospective cohort design. Participants will wear accelerometers three times a year for 5 days to precisely measure their movements and sedentary time. Annual visits will collect clinical data, assess physical capacity through tests like the 6-minute walk and hand grip, and involve questionnaires about pain, fatigue, anxiety, depression, quality of life, and other factors. Additional disease-specific data will also be gathered. Throughout the study, researchers will monitor the occurrence of new comorbidities yearly, correlating these with the recorded physical activity patterns. Electronic patient-reported outcomes will be collected every 4 months to assess health status, lifestyle, and psychological well-being. The main outcomes include identifying the digital signature of activity and sedentary lifestyle linked to new comorbidities after 4 years. Safety and ongoing health status will be regularly evaluated during the follow-up period.