Gamified App vs Simple App for Healthy Lifestyle in Teens

(LiGHT Trial)

Overseen By LiGHT Trial study coordinator

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Population Health Research Institute

Disqualifiers: Non-English speakers, Dietary restrictions, Weight management, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 5

Duration: 6 months

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests two smartphone apps to determine which one better helps teens improve health habits such as eating better, exercising, sleeping well, and reducing screen time. The Aim2Be app includes fun game elements, while the BnLt app provides simple links to healthy living websites. The goal is to identify which app more effectively encourages healthier lifestyles for teens and their parents. Families with a smartphone or tablet, who believe they could improve their health behaviors, might be a good fit for this trial. As an unphased trial, this study offers families the chance to contribute to innovative research that could enhance health habits for teens.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that Aim2Be, a fun smartphone app, helps young people and their families improve health habits like eating better and being more active. Studies have examined similar apps to assess their effectiveness in promoting healthy weight and lifestyle changes. People generally like these apps, and they seem to encourage healthier behaviors without major safety concerns. As a digital tool rather than a medication, Aim2Be does not involve traditional safety issues like side effects. The app aims to make healthier choices more engaging, and similar studies have reported no significant problems. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Aim2Be app because it offers a gamified approach to promoting a healthy lifestyle among teens, which is a fresh take on traditional health education methods like pamphlets or standard apps. Unlike typical lifestyle apps that may simply track habits, Aim2Be actively engages users through interactive challenges and rewards, making the process of adopting healthier habits more engaging and fun. This approach is designed to enhance motivation and adherence, potentially leading to better long-term health outcomes for teens and their families.

What evidence suggests that this trial's app treatments could be effective for improving health behaviors in teens?

Research shows that the Aim2Be app, one of the apps studied in this trial, aims to help young people and their families improve health habits, focusing on diet, exercise, sleep, and screen time. However, studies have shown mixed results. Some users, especially those who frequently use the app, notice significant behavioral changes. On the downside, the app has not consistently improved weight-related outcomes like zBMI, a measure of weight adjusted for age and sex, in teenagers who are overweight or obese. Overall, while the app has potential, its effectiveness may depend on user engagement. Participants in this trial will be randomized to use either the Aim2Be app or the BnLt app to compare their effectiveness in promoting a healthy lifestyle. ^{2 6 7 8 9}

Who Is on the Research Team?

Zubin Punthakee, MD, MSc

Principal Investigator

Population Health Research Institute

Are You a Good Fit for This Trial?

This trial is for Canadian youth aged 10-16 who, along with a parent, want to improve their health behaviors like diet and exercise. They must have access to a smartphone or tablet with internet and be able to read English at a grade 5 level. Families already in weight management programs or other clinical trials can't join.

Inclusion Criteria

I or my child need to improve our health habits.

One parent or guardian (the "primary parent") who is able to attend all study visits.

Living in a home setting with at least one smartphone or tablet and internet access in the household,

Exclusion Criteria

Current or prior participation of another member of the household/family in this trial

A member of your family is currently enrolled in a weight loss program.

You have a health condition that makes it difficult for you to eat different types of food or participate in physical activity during your childhood.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Initial evaluations including questionnaires and physical assessments

1 week

1 visit (in-person or virtual)

Treatment

Participants use the assigned app (Aim2Be or BnLt) to improve health behaviours

6 months

3 visits (in-person or virtual) at baseline, 3 months, and 6 months

Follow-up

Participants are monitored for changes in health behaviours and outcomes

6 months

1 visit (virtual)

What Are the Treatments Tested in This Trial?

Interventions

• Aim2Be smartphone app system
• BnLt smartphone app

Trial Overview The study compares two smartphone apps: Aim2Be which gamifies healthy living, and BnLt which provides links to health websites. It's designed to see if the game-like app helps kids and parents make better choices about food, physical activity, sleep, and screen time.

How Is the Trial Designed?

Group I: Aim2Be Experimental Treatment 1 Intervention

Youth-parent dyads randomized to Aim2Be

Group II: BnLt Active Control 1 Intervention

Youth-parent dyads randomized to BnLt

Who Is Running the Clinical Trial?

Population Health Research Institute

Lead Sponsor

Trials

165

Recruited

717,000+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials

1,417

Recruited

26,550,000+

Ayogo Health Inc.

Collaborator

Trials

3

Recruited

770+

Childhood Obesity Foundation

Collaborator

Trials

4

Recruited

880+

University of British Columbia

Collaborator

Trials

1,506

Recruited

2,528,000+

Published Research Related to This Trial

A study involving 32 young adults revealed that a gamified smartphone app could effectively promote vegetable intake, with participants favoring features like visual guides for tracking vegetable quantities and a simple user interface.

Social media strategies that include appealing food pictures and relatable 'Gen Y' language were found to be the most motivating, suggesting that engaging and visually attractive content is key to encouraging healthier eating habits among young adults.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Exploring young adult perspectives on the use of gamification and social media in a smartphone platform for improving vegetable intake. Nour, MM., Rouf, AS., Allman-Farinelli, M.[2018]

The Food Game intervention successfully engaged high school students in Northern Italy through gamification, promoting peer-led activities and competition, although it did not significantly change adherence to the Mediterranean diet.

While there was no notable improvement in dietary adherence, students showed increased pro-environmental behaviors and positive attitudes towards healthy eating, suggesting the program's potential as a motivational strategy for promoting healthier lifestyles.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Process Evaluation of Food Game: A Gamified School-Based Intervention to Promote Healthier and More Sustainable Dietary Choices. Aresi, G., Giampaolo, M., Chiavegatti, B., et al.[2023]

In a study of 2500 Czech adolescents aged 11 to 16, over half (58.21%) reported using mobile health (mHealth) apps, with older age, higher physical activity, and better eHealth literacy being key factors associated with their use.

Adolescents with higher BMI, health anxiety, and lower sleep quality were more likely to use mHealth apps for tracking calorie intake and health indicators, highlighting the potential role of these apps in managing health concerns.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Individual and Parental Factors of Adolescents' mHealth App Use: Nationally Representative Cross-sectional Study. Gulec, H., Smahel, D.[2023]

The app-based intervention 'Mila Blooms' was developed to promote healthy eating and physical activity among adolescent survivors of childhood cancer, and it showed high participant retention (93.8%) over an 8-week period, indicating strong feasibility.

While the initial evaluation did not show significant behavior change, participants reported positive experiences with the app, highlighting its ease of use and enjoyment, and there were no adverse side effects, suggesting it is a safe and appealing option for health promotion.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Mila Blooms: A Mobile Phone Application and Behavioral Intervention for Promoting Physical Activity and a Healthy Diet Among Adolescent Survivors of Childhood Cancer. Fuemmeler, BF., Holzwarth, E., Sheng, Y., et al.[2021]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8683902/

A look at engagement profiles and behavior change The Aim2Be app has four engagement profiles: Uninvolved, Dabblers, Engaged, and Keeners. Keeners showed significant behavior change, and parental engagement ...

2. jmir.org jmir.org/2023/1/e38545/

Efficacy of the Aim2Be Intervention in Changing Lifestyle ... Conclusions: The Aim2Be intervention did not improve zBMI and lifestyle behaviors in adolescents with overweight and obesity compared with the ...

3. clinicaltrials.gov clinicaltrials.gov/study/NCT03651284

Investigating the Efficacy of a Mobile App Intervention to ... Aim2Be is an app for 10 to 17 year olds and their families that is intended to help them shift from an healthy lifestyle toward better health habits in four ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6998843/

Aim2Be mHealth intervention for children with overweight and ... The primary aim of this study is to test the efficacy of Aim2Be, a gamified app based on behavior change theory with health coaching to improve weight outcomes.

5. researchgate.net researchgate.net/publication/368701367_Efficacy_of_the_Aim2Be_Intervention_in_Changing_Lifestyle_Behaviors_Among_Adolescents_With_Overweight_and_Obesity_Randomized_Controlled_Trial

Efficacy of the Aim2Be Intervention in Changing Lifestyle ... The primary aim was to test the efficacy of the Aim2Be app with support from a live coach to reduce weight outcomes (BMI Z score [zBMI]) and improve lifestyle ...

6. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/32014057/

Aim2Be mHealth intervention for children with overweight ... The primary aim of this study is to test the efficacy of Aim2Be, a gamified app based on behavior change theory with health coaching to improve weight outcomes.

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10877670/

Mobile health (m‐health) smartphone interventions for ... Behaviour change interventions are increasingly delivered as mobile health (m‐health) interventions, using smartphone apps and wearables.

8. sciencedirect.com sciencedirect.com/science/article/abs/pii/S1551714414000135

Weight loss intervention for young adults using mobile ... The Cell Phone Intervention for You (CITY) study is a comparative effectiveness trial in which we test and compare the effect on weight loss of 1) a novel ...

9. jmir.org jmir.org/2021/9/e20520/

Use of a Mobile Lifestyle Intervention App as an Early ... This study aims to assess the effectiveness of and adolescent engagement with a mobile app–based lifestyle intervention program as an early intervention.