StandUPTV App for Sedentary Lifestyle

(SUTV Habits Trial)

Recruiting at 1 trial location

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: Arizona State University

Disqualifiers: Major illness, Diabetes, Pregnant, others

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

Compensation: Varies

Number of Visits: Unknown

48 Participants Needed

Trial Summary

What is the purpose of this trial?

Our goal in this study is to further refine StandUPTV, an application designed to reduce SST in adults in our first study (ASU IRB # STUDY00012109), for the StandUPTV Habits program. This program aims to establish a non-sedentary habit triggered by an alert from the StandUPTV application after participants engage in approximately 30 minutes of SST in the evening.

Will I have to stop taking my current medications?

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

What data supports the effectiveness of the StandUPTV Application treatment for a sedentary lifestyle?

Research on similar smartphone apps shows they can help reduce inactivity by sending reminders and providing feedback, as seen in studies with overweight women and hospitalized patients. These apps have shown trends towards increasing physical activity, suggesting that the StandUPTV Application might also be effective in encouraging people to move more. ^{1 2 3 4 5}

Is the StandUPTV App safe for humans?

There is no specific safety data available for the StandUPTV App, but similar interventions to reduce sitting time, like the stAPP smartphone app, have been studied without reported safety concerns. ^{1 6 7 8 9}

How does the StandUPTV App treatment differ from other treatments for sedentary lifestyle?

The StandUPTV App is unique because it uses a mobile health application to specifically target and reduce sedentary behavior by encouraging users to take breaks from sitting and increase their activity levels. Unlike traditional methods, this app-based approach provides real-time feedback and motivation, making it a novel and accessible option for individuals looking to decrease their sedentary time. ^{1 10 11 12 13}

Eligibility Criteria

This trial is for adults who have participated in the first StandUPTV study and are looking to reduce sedentary screen time (SST) to improve physical activity, sleep quality, and potentially manage conditions like diabetes. Specific eligibility criteria details are not provided.

Inclusion Criteria

Able to read/understand English (above 5th grade literacy)

Willing to download StandUPTV Habits

Willing to have data shared in de-identified form in Dexcom Clarity platform

Exclusion Criteria

Planned relocation

Current smoker

I have been diagnosed with diabetes or had diabetes during pregnancy.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants use the StandUPTV application to reduce sedentary screen time with personalized action plans and financial incentives

4 months

Weekly virtual check-ins

Follow-up

Participants are monitored for changes in sedentary screen time, physical activity, sleep quality, and glucose metabolism

8 months

Monthly virtual check-ins

Treatment Details

Interventions

• StandUPTV Application

Trial Overview The trial is testing the StandUPTV Habits program, which uses an application that alerts users after about 30 minutes of evening SST to encourage forming a habit of less sedentary behavior.

Participant Groups

Group I: StandUPTV only Experimental Treatment 1 Intervention

The StandUPTV application is used to monitor and reduce sedentary screen time (SST). The StandUPTV app has three components: LOCKOUT: Electronic lockout turns off screens when a predetermined limit is reached (50% of baseline value of weekly sedentary screen time). The app also includes planning tools and personalized strategies to limit SST. TEXT: Push notification prompts provide reminders, coaching, and personalized feedback (up to 2 per day). EARN: Opportunities to earn SST by engaging in MVPA, measured in 10-minute bouts.

Group II: StandUPTV + Action Plans Experimental Treatment 2 Interventions

Combining the StandUPTV application with personalized action plans to enhance the maintenance of reduced eSST. At baseline, participants will receive Action Planning Education, action planning worksheet, and weekly personalized text messages reinforcing the action plan. Participant will then receive a daily StandUPTV alert after performing 30 minutes of eSST, and they have 60 minutes after the alert to engage in their active chosen non-sedentary behavior. Financial Incentives: Participants can earn up to $30 per month during the 4-month intervention by starting 10 minutes of their non-sedentary replacement behavior within 60 minutes of the alert. Participants start with $30 in their account and lose $2 for each day they do not perform the behavior. Notifications will be sent via SMS and the StandUPTV app.

Who Is Running the Clinical Trial?

Arizona State University

Lead Sponsor

Trials

311

Recruited

109,000+

California Polytechnic State University-San Luis Obispo

Collaborator

Trials

33

Recruited

3,400+

National Institutes of Health (NIH)

Collaborator

Trials

2,896

Recruited

8,053,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials

2,513

Recruited

4,366,000+

Findings from Research

A study involving 78 hospitalized patients showed that using the Hospital Fit app alongside usual physiotherapy led to a trend of increased physical activity, particularly in standing and walking, although the results were not statistically significant.

Patients who used the app for longer periods experienced greater increases in physical activity, suggesting that the app may be beneficial for functionally independent patients in promoting movement during hospitalization.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Effect of a Smartphone App with an Accelerometer on the Physical Activity Behavior of Hospitalized Patients: A Randomized Controlled Trial. Dijk-Huisman, HCV., Senden, R., Smeets, MHH., et al.[2023]

In a study of 28 overweight/obese active duty soldiers over 6 months, using a web-linked accelerometer combined with mandatory physical training did not lead to significant weight loss or improvements in fitness outcomes compared to usual care.

Both groups showed minimal changes in weight and body fat, with no significant differences in blood pressure or heart rate, indicating that the accelerometer did not enhance the effectiveness of the physical training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of an accelerometer on body weight and fitness in overweight and obese active duty soldiers. Shrestha, M., Combest, T., Fonda, SJ., et al.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

Stand Up Now: A Sedentary Behavior Intervention in Older Adults of Moderate to Low Physical Function. [2022]

2. England pubmed.ncbi.nlm.nih.gov

A smartphone app for sedentary behaviour change in cardiac rehabilitation and the effect on hospital admissions: the ToDo-CR randomised controlled trial study protocol. [2022]

3. Switzerland pubmed.ncbi.nlm.nih.gov

The Effect of a Smartphone App with an Accelerometer on the Physical Activity Behavior of Hospitalized Patients: A Randomized Controlled Trial. [2023]

4. Netherlands pubmed.ncbi.nlm.nih.gov

Mobile App to Reduce Inactivity in Sedentary Overweight Women. [2018]

5. United States pubmed.ncbi.nlm.nih.gov

Can mobile-health applications contribute to long-term increase in physical activity after medical rehabilitation?-A pilot-study. [2023]

6. New Zealand pubmed.ncbi.nlm.nih.gov

Can reducing sitting time in the university setting improve the cardiometabolic health of college students? [2022]

7. Canada pubmed.ncbi.nlm.nih.gov

Heterogeneity of muscle activity during sedentary behavior. [2022]

8. England pubmed.ncbi.nlm.nih.gov

Effect of an accelerometer on body weight and fitness in overweight and obese active duty soldiers. [2019]

9. England pubmed.ncbi.nlm.nih.gov

Evaluation of stAPP: a smartphone-based intervention to reduce prolonged sitting among Belgian adults. [2019]

10. China pubmed.ncbi.nlm.nih.gov

Considerations when using the activPAL monitor in field-based research with adult populations. [2023]

11. United States pubmed.ncbi.nlm.nih.gov

Classification of daily physical activities from a single kinematic sensor. [2020]

12. England pubmed.ncbi.nlm.nih.gov

Mobile health apps to reduce sedentary behavior: a scoping review. [2022]

13. United States pubmed.ncbi.nlm.nih.gov

Using Activity Monitors to Measure Sit-to-Stand Transitions in Overweight/Obese Youth. [2019]