Mishra Sonali R, Dempsey Walter, Klasnja Predrag
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United States.
Department of Biostatistics, University of Michigan, Ann Arbor, MI, United States.
JMIR Res Protoc. 2023 Sep 1;12:e46560. doi: 10.2196/46560.
BACKGROUND: Physical activity is a critical target for health interventions, but effective interventions remain elusive. A growing body of work suggests that interventions targeting affective attitudes toward physical activity may be more effective for sustaining activity long term than those that rely on cognitive constructs alone, such as goal setting and self-monitoring. Anticipated affective response in particular is a promising target for intervention. OBJECTIVE: We will evaluate the efficacy of an SMS text messaging intervention that manipulates anticipated affective response to exercise to promote physical activity. We hypothesize that reminding users of a positive postexercise affective state before their planned exercise sessions will increase their calories burned during this exercise session. We will deploy 2 forms of affective SMS text messages to explore the design space: low-reflection messages written by participants for themselves and high-reflection prompts that require users to reflect and respond. We will also explore the effect of the intervention on affective attitudes toward exercise. METHODS: A total of 120 individuals will be enrolled in a 9-week microrandomized trial testing affective messages that remind users about feeling good after exercise (40% probability), control reminders (30% probability), or no message (30% probability). Two types of affective SMS text messages will be deployed: one requiring a response and the other in a read-only format. Participants will write the read-only messages themselves to ensure that the messages accurately reflect the participants' anticipated postexercise affective state. Affective attitudes toward exercise and intrinsic motivation for exercise will be measured at the beginning and end of the study. The weighted and centered least squares method will be used to analyze the effect of delivering the intervention versus not on calories burned over 4 hours around the time of the planned activity, measured by the Apple Watch. Secondary analyses will include the effect of the intervention on step count and active minutes, as well as an investigation of the effects of the intervention on affective attitudes toward exercise and intrinsic motivation for exercise. Participants will be interviewed to gain qualitative insights into intervention impact and acceptability. RESULTS: Enrollment began in May 2023, with 57 participants enrolled at the end of July 2023. We anticipate enrolling 120 participants. CONCLUSIONS: This study will provide early evidence about the effect of a repeated manipulation of anticipated affective response to exercise. The use of 2 different types of messages will yield insight into optimal design strategies for improving affective attitudes toward exercise. TRIAL REGISTRATION: ClinicalTrials.gov NCT05582369; https://classic.clinicaltrials.gov/ct2/show/NCT05582369. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/46560.
背景:体育活动是健康干预的关键目标,但有效的干预措施仍难以捉摸。越来越多的研究表明,针对对体育活动的情感态度的干预措施,可能比仅依赖认知结构(如目标设定和自我监测)的干预措施更有效地长期维持体育活动。特别是预期的情感反应是一个有前景的干预目标。 目的:我们将评估一种短信干预措施的效果,该措施通过操纵对运动的预期情感反应来促进体育活动。我们假设,在计划的锻炼课程之前提醒用户运动后会有积极的情感状态,将增加他们在该锻炼课程中燃烧的卡路里。我们将部署两种形式的情感短信来探索设计空间:参与者为自己编写的低反思性短信和要求用户反思并回复的高反思性提示。我们还将探索该干预措施对运动情感态度的影响。 方法:总共120名个体将参加一项为期9周的微随机试验,测试提醒用户运动后感觉良好的情感信息(40%的概率)、对照提醒(30%的概率)或无信息(30%的概率)。将部署两种类型的情感短信:一种需要回复,另一种为只读格式。参与者将自己编写只读短信,以确保短信准确反映参与者预期的运动后情感状态。在研究开始和结束时测量对运动的情感态度和运动的内在动机。将使用加权和中心化最小二乘法分析提供干预措施与不提供干预措施对计划活动时间前后4小时内苹果手表测量的燃烧卡路里的影响。二次分析将包括干预措施对步数和活跃分钟数的影响,以及对干预措施对运动情感态度和运动内在动机影响的调查。将对参与者进行访谈,以获得关于干预影响和可接受性的定性见解。 结果:招募工作于2023年5月开始,截至2023年7月底有57名参与者入组。我们预计招募120名参与者。 结论:本研究将提供关于反复操纵对运动的预期情感反应效果的早期证据。使用两种不同类型的信息将深入了解改善对运动情感态度的最佳设计策略。 试验注册:ClinicalTrials.gov NCT05582369;https://classic.clinicaltrials.gov/ct2/show/NCT05582369。 国际注册报告识别码(IRRID):PRR1-10.2196/46560。
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