Move Often eVery Day (MOV'D): An occupationally-tailored, remotely-delivered, socially-supported short exercise break intervention to decrease sedentary behavior in receptionist office staff

每天经常运动 (MOVD)：一种根据职业量身定制、远程实施、社会支持的短期运动休息干预措施，以减少接待办公室工作人员的久坐行为

• 批准号: 10742427
• 负责人: Marily Oppezzo
• 金额: $ 23.17万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-11 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10742427
• 关键词: Adult; Age; American; Behavior Therapy; Benchmarking; Body Weight; Cardiovascular Diseases; Cartoons; Cause of Death; Clinical; Communication; Consent; Control Groups; Data; Detection; Dropout; Education; Educational process of instructing; Effectiveness; Eligibility Determination; Employee; Ensure; Ethnic Origin; Exercise; Funding; Goals; Grant; Health care facility; Healthcare; Hour; Interruption; Intervention; Interview; Knowledge; Learning; Length; Libraries; Maintenance; Measurement; Modeling; Moderate Exercise; Monitor; Motivation; Movement; National Heart, Lung, and Blood Institute; Noise; Occupational; Occupations; Outcome; Participant; Patient Recruitments; Patients; Personal Satisfaction; Persons; Phase; Physical activity; Population; Positioning Attribute; Privatization; Race; Randomized; Research; Research Personnel; Risk; Risk Factors; Role; Running; Series; Signal Transduction; Social support; Somatotype; Support Groups; Target Populations; Techniques; Testing; Text Messaging; United States National Institutes of Health; Wages; Women' s Group; Work; animation; arm; behavior change; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; clinically significant; comparison control; comparison intervention; cost; effective intervention; efficacy testing; efficacy trial; empowerment; evidence base; experimental study; fitbit; fitness; follow-up; high risk population; innovation; moderate-to-vigorous physical activity; novel; peer coaching; peer support; phase III trial; pilot trial; premature; professional atmosphere; programs; recruit; remote delivery; sedentary; sedentary lifestyle; social; social media; study population; tool; treatment group; vigorous intensity; Adult; Age; American; Behavior Therapy; Benchmarking; Body Weight; Cardiovascular Diseases; Cartoons; Cause of Death; Clinical; Communication; Consent; Control Groups; Data; Detection; Dropout; Education; Educational process of instructing; Effectiveness; Eligibility Determination; Employee; Ensure; Ethnic Origin; Exercise; Funding; Goals; Grant; Health care facility; Healthcare; Hour; Interruption; Intervention; Interview; Knowledge; Learning; Length; Libraries; Maintenance; Measurement; Modeling; Moderate Exercise; Monitor; Motivation; Movement; National Heart, Lung, and Blood Institute; Noise; Occupational; Occupations; Outcome; Participant; Patient Recruitments; Patients; Personal Satisfaction; Persons; Phase; Physical activity; Population; Positioning Attribute; Privatization; Race; Randomized; Research; Research Personnel; Risk; Risk Factors; Role; Running; Series; Signal Transduction; Social support; Somatotype; Support Groups; Target Populations; Techniques; Testing; Text Messaging; United States National Institutes of Health; Wages; Women' s Group; Work; animation; arm; behavior change; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; clinically significant; comparison control; comparison intervention; cost; effective intervention; efficacy testing; efficacy trial; empowerment; evidence base; experimental study; fitbit; fitness; follow-up; high risk population; innovation; moderate-to-vigorous physical activity; novel; peer coaching; peer support; phase III trial; pilot trial; premature; professional atmosphere; programs; recruit; remote delivery; sedentary; sedentary lifestyle; social; social media; study population; tool; treatment group; vigorous intensity

7. Project Summary / Abstract. Prolonged sitting and inadequate moderate to vigorous intensity physical activity (MVPA) are pervasive risk factors for cardiovascular disease (CVD).1–6 CVD is the leading cause of death globally, prematurely taking 655,000 American lives annually.7 Recent research has shown that some benefits of moderate to vigorous physical activity can be accrued in motivationally accessible, short, 2-5 minute bouts throughout the day rather than needing to be a single, longer, continuous bout.8–13 Identifying an effective intervention to interrupt prolonged sitting throughout the day with short, 2-5 minute bouts of MVPA, “exercise snacks,” can provide an accessible way for adults with sedentary jobs to change two CVD risk factors. The current R34 proposes to user-test and pilot the acceptability, feasibility, and clinical signal detection of a novel intervention, MOV’D, to interrupt prolonged sitting with short bouts of MVPA, compared with a Fitbit-only control. Preliminary evidence from an NHLBI K01-funded proof-of-concept study found that evidence-based behavior change technique (BCT) texts to a private, social-media based support group increased steps throughout the day compared to a Fitbit-only control group, but the effects did not last. MOV’D significantly adds to this initial work by: adding videos teaching exercise snacks and BCTs to increase initial and maintained change; adding a peer-coach feature to increase engagement; targeting exercise snacks instead of single exercise bouts; and targeting an at-risk, understudied population (receptionists and clerical health care staff with CVD risk factors). Our team partnered with upper management of Stanford clerical health care staff (low wage positions with high job constraints on physical activity). Together, we have occupationally-tailored the MOV’D program. Before conducting a fully-powered efficacy trial (ORBIT Phase III), we need to user-test and refine two intervention components with our target population (ORBIT Phase Ib; Aim 1); and conduct the necessary acceptability, feasibility, and clinical signal detection pilot trial (ORBIT Phase IIb; Aim 2), which will obtain recruitment and retention parameters to inform the Phase III trial. The Aim 1 user-testing of both the exercise snack and BCT videos will be done with participants from the target population to ensure learning effectiveness, appropriateness, and acceptability. The Aim 2 pilot will randomly assign n=60 participants from the target population to either MOV’D or a Fitbit-only control for 6-weeks, with a 6-month follow-up. We will compare immediate and 6-month data to a priori benchmarks for acceptability, feasibility, and clinical signal detection in workday prolonged sitting bout length and workday MVPA minutes. Results from the proposed R34 will directly inform the R01 for the Phase III trial of MOV’D to test efficacy and duration of effects. The long-term objective is to have a scalable, widely-accessible, remotely-delivered, low-cost behavioral intervention to decrease CVD risk, and is easily adaptable to different populations. Additionally, we will have a library of vetted exercise snack and BCT videos and a guide for occupational-tailoring and adapting videos for researchers in this space.

7。项目摘要 /摘要。 长时间的坐姿和不足的中度至有力强度的体育锻炼（MVPA）是普遍的风险 心血管疾病（CVD）的因素。1-6CVD是全球死亡的主要原因，过早服用 每年有655,000美国人的生活。7最近的研究表明，现代至有活力的一些好处 体育锻炼可以在整天的动机上，短，2-5分钟的回合中积累 比需要一个单一的，更长的，持续的回合。8-13确定有效的干预措施中断 整天长时间坐着，短2-5分钟的MVPA“运动小吃”可以提供 对于有久坐工作的成年人，可以改变两个CVD风险因素。当前的R34提案 用户测试和驾驶新型干预措施的可接受性，可行性和临床信号检测， 与仅Fitbit的控制相比，与MVPA的短次发作相比，中断了漫长的坐姿。初步证据 从NHLBI K01资助的概念证明研究发现，循证行为改变技术 （BCT）与一个基于社会媒体的私人社会媒体支持小组的文本相比 仅Fitbit的对照组，但效果并没有持续。通过以下方式向这项最初的工作添加：添加 视频教学练习零食和BCT，以增加最初和维持变化；添加同行教练 提高参与度的功能；定位运动零食，而不是单次锻炼；并针对一个 处于危险中，了解人口（接受CVD风险因素的接待员和文书卫生保健人员）。我们的团队 与斯坦福大学文书医疗保健人员的高层管理人员合作（工作较高的职位高工作 对体育活动的限制）。一起，我们占领了Mov’d计划。前 进行完全供电的效率试验（Orbit III阶段），我们需要用户测试和完善两次干预措施 具有目标群体的组成部分（轨道IB； AIM 1）；并具有必要的可接受性 可行性和临床信号检测试验试验（Orbit IIB； AIM 2），将获得招聘和 保留参数以告知III期试验。 AIM 1锻炼小吃和BCT的用户测试 视频将与目标人群的参与者一起完成，以确保学习效率， 适当性和可接受性。目标2飞行员将随机分配目标的n = 60名参与者 6周的人口进行了6周的活动或仅限Fitbit的控制。我们将比较 直接和6个月的数据到先验基准，以可接受性，可行性和临床信号检测 工作日延长了坐姿长度和工作日MVPA分钟。拟议的R34的结果将直接 通知R01进行MOV的III期试验，以测试有效性和效果持续时间。长期目标 将具有可扩展的，广泛的，可远程交付的，低成本的行为干预以减少CVD 风险，很容易适应不同的人群。此外，我们将有一个审查的练习库 小吃和BCT视频以及为该领域的研究人员提供职业范围和调整视频的指南。