TY - JOUR
T1 - Multicentred randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support in individuals with metabolic, musculoskeletal and mental health conditions
T2 - protocol for the e-coachER trial
AU - Trial Steering Committee
AU - Ingram, Wendy
AU - Webb, Douglas
AU - Taylor, Rod S
AU - Anokye, Nana
AU - Yardley, Lucy
AU - Jolly, Kate
AU - Mutrie, Nanette
AU - Campbell, John L
AU - Dean, Sarah Gerard
AU - Greaves, Colin
AU - Steele, Mary
AU - Lambert, Jeffrey D
AU - McAdam, Chloe
AU - Jane, Ben
AU - King, Jennie
AU - Jones, Ray B
AU - Little, Paul
AU - Woolf, Anthony
AU - Erwin, Jo
AU - Charles, Nigel
AU - Terry, Rohini H
AU - Taylor, Adrian H
N1 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.
PY - 2018/9/21
Y1 - 2018/9/21
N2 - INTRODUCTION: Physical activity is recommended for improving health among people with common chronic conditions such as obesity, diabetes, hypertension, osteoarthritis and low mood. One approach to promote physical activity is via primary care exercise referral schemes (ERS). However, there is limited support for the effectiveness of ERS for increasing long-term physical activity and additional interventions are needed to help patients overcome barriers to ERS uptake and adherence.This study aims to determine whether augmenting usual ERS with web-based behavioural support, based on the LifeGuide platform, will increase long-term physical activity for patients with chronic physical and mental health conditions, and is cost-effective.METHODS AND ANALYSIS: A multicentre parallel two-group randomised controlled trial with 1:1 individual allocation to usual ERS alone (control) or usual ERS plus web-based behavioural support (intervention) with parallel economic and mixed methods process evaluations. Participants are low active adults with obesity, diabetes, hypertension, osteoarthritis or a history of depression, referred to an ERS from primary care in the UK.The primary outcome measure is the number of minutes of moderate-to-vigorous physical activity (MVPA) in ≥10 min bouts measured by accelerometer over 1 week at 12 months.We plan to recruit 413 participants, with 88% power at a two-sided alpha of 5%, assuming 20% attrition, to demonstrate a between-group difference of 36-39 min of MVPA per week at 12 months. An improvement of this magnitude represents an important change in physical activity, particularly for inactive participants with chronic conditions.ETHICS AND DISSEMINATION: Approved by North West Preston NHS Research Ethics Committee (15/NW/0347). Dissemination will include publication of findings for the stated outcomes, parallel process evaluation and economic evaluation in peer-reviewed journals.Results will be disseminated to ERS services, primary healthcare providers and trial participants.TRIAL REGISTRATION NUMBER: ISRCTN15644451; Pre-results.
AB - INTRODUCTION: Physical activity is recommended for improving health among people with common chronic conditions such as obesity, diabetes, hypertension, osteoarthritis and low mood. One approach to promote physical activity is via primary care exercise referral schemes (ERS). However, there is limited support for the effectiveness of ERS for increasing long-term physical activity and additional interventions are needed to help patients overcome barriers to ERS uptake and adherence.This study aims to determine whether augmenting usual ERS with web-based behavioural support, based on the LifeGuide platform, will increase long-term physical activity for patients with chronic physical and mental health conditions, and is cost-effective.METHODS AND ANALYSIS: A multicentre parallel two-group randomised controlled trial with 1:1 individual allocation to usual ERS alone (control) or usual ERS plus web-based behavioural support (intervention) with parallel economic and mixed methods process evaluations. Participants are low active adults with obesity, diabetes, hypertension, osteoarthritis or a history of depression, referred to an ERS from primary care in the UK.The primary outcome measure is the number of minutes of moderate-to-vigorous physical activity (MVPA) in ≥10 min bouts measured by accelerometer over 1 week at 12 months.We plan to recruit 413 participants, with 88% power at a two-sided alpha of 5%, assuming 20% attrition, to demonstrate a between-group difference of 36-39 min of MVPA per week at 12 months. An improvement of this magnitude represents an important change in physical activity, particularly for inactive participants with chronic conditions.ETHICS AND DISSEMINATION: Approved by North West Preston NHS Research Ethics Committee (15/NW/0347). Dissemination will include publication of findings for the stated outcomes, parallel process evaluation and economic evaluation in peer-reviewed journals.Results will be disseminated to ERS services, primary healthcare providers and trial participants.TRIAL REGISTRATION NUMBER: ISRCTN15644451; Pre-results.
KW - Activities of Daily Living/psychology
KW - Chronic Disease/psychology
KW - Depression/physiopathology
KW - Distance Counseling/methods
KW - Female
KW - Health Behavior/physiology
KW - Health Promotion/methods
KW - Humans
KW - Male
KW - Mental Health
KW - Middle Aged
KW - Primary Health Care/methods
KW - Psychosocial Support Systems
KW - Quality of Life
U2 - 10.1136/bmjopen-2018-022382
DO - 10.1136/bmjopen-2018-022382
M3 - Article
C2 - 30244214
SN - 2044-6055
VL - 8
JO - BMJ Open
JF - BMJ Open
IS - 9
M1 - e022382
ER -
