An evaluation of the effects of a digital web-based intervention on the physical activity of people with a musculoskeletal condition

ISRCTN ISRCTN14174108
DOI https://doi.org/10.1186/ISRCTN14174108
Secondary identifying numbers SSPR-028
Submission date
26/05/2021
Registration date
29/07/2021
Last edited
26/11/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Musculoskeletal conditions affect the joints, bones and muscles. The aim of this study is to understand physical activity in people with a musculoskeletal condition, and the impact of a 12-week online physical activity programme on physical activity levels and quality of life. This study will allow for a greater understanding of the needs of people living with a musculoskeletal condition, in regards to physical activity, and how online physical activity programmes can be better designed, developed, and distributed in the future.

Who can participate?
People with a musculoskeletal condition, aged over 18 years, with the ability to read and write English and provide informed consent; who are not participating in 150 minutes (2.5 hours) or more of physical activity in a normal week. Participants should be willing to complete regular emailed surveys.

What does the study involve?
Participants will receive, over email, access to an online physical activity programme. This will either be sent straight away or three months after the start of the study – this will be decided randomly; this allows the researchers to understand the influence of the programme on physical activity (comparing those that did and did not receive access). Regardless of when participants receive access, they will be required to complete an online survey at the start of the research, once a week for 13 weeks, with a final survey at 6 months. Each online survey should take no more than 10 minutes to complete. The weekly surveys will ask participants to record their daily step count for the previous week, and their highest step count on any one day in the previous week, taken from their smartphone (if they have one) using the Pedometer α - Step Counter’ app; guidance on how to do this will be provided to all participants. Participants can still take part in this study even if they do not have a smartphone.

What are the possible benefits and risks of participation?
This study will support a greater understanding of the needs of people living with a musculoskeletal condition in regards to physical activity, and how services and information can be better designed, developed, and distributed in the future. Participants will receive an electronic copy of the final report.
The researchers do not anticipate any risks from taking part in the study. Participants will receive details of an online physical activity programme; what they do with this information and any actions that they take (or not) based on this information is up to them. Engagement with any activities mentioned within the programme is at the participant's discretion; no expectation is placed on the participant. Participants will be sent all of the information online, so no travel is required.

Where is the study run from?
London Metropolitan University (UK) - this study takes place online.

When is the study starting and how long is it expected to run for?
November 2020 to September 2022

Who is funding the study?
Versus Arthritis (UK)

Who is the main contact?
Dr Justin Webb
j.webb1@londonmet.ac.uk

Contact information

Dr Justin Webb
Public

166-220 Holloway Rd
London
N7 8DB
United Kingdom

ORCiD logoORCID ID 0000-0001-7637-068X
Phone +44 (0)20 7133 2783
Email j.webb1@londonmet.ac.uk
Dr Justin Webb
Scientific

166-220 Holloway Rd
London
N7 8DB
United Kingdom

Phone +44 (0)20 7133 2783
Email j.webb1@londonmet.ac.uk

Study information

Study designRandomized control trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Internet/virtual
Study typeQuality of life
Participant information sheet 39949_PIS.pdf
Scientific titleA randomized control trial, with embedded process evaluation, to examine the effects of a digital web-based intervention on the physical activity of people with a musculoskeletal condition
Study acronymLondonMetVa
Study objectivesIt is hypothesized that a digital web-based intervention will improve physical activity in people with musculoskeletal conditions over no intervention.
Ethics approval(s)Approved 04/03/2021, London Metropolitan University – School of Social Sciences and Professions – Research Ethics Committee (London Metropolitan University, School of Social Sciences and Professions, 166-220 Holloway Road, London, N7 8DB, UK, +44 (0)20 7423 000; research@londonmet.ac.uk), ref: SSPR-028
Health condition(s) or problem(s) studiedMusculoskeletal conditions
InterventionA two-arm randomised control trial is planned with a sample of 712 participants (306 in each arm, based on an estimated decrease in those classified inactive in the intervention group from 33% to 25%; alpha of 0.05; powered to 80%). Participants will be recruited through Facebook adverts. Those that express an interest will be sent further participant information, with consent provided digitally.

Recruited participants will be randomised using simple randomisation into a control arm and an intervention arm. The intervention arm will receive a 12-week online physical activity programme consisting of 12 x 30-45 minute weekly exercise videos, with access to a Facebook group, an online forum, and a printable activity tracker; the control arm will not receive the intervention and will be sent the physical activity programme after 3 months.

The intervention and control arms will be followed up at 3 months to assess outcomes. Additional follow-up will take place, in the intervention group, at 6 months to assess the maintenance of any changes. Data collection will be web-based.
Intervention typeBehavioural
Primary outcome measure1. Physical activity measured using the Sport England Active Lives questionnaire (short version) at baseline, weeks 1 through 13 and at 6 months
2. Step count measured using smartphone accelerometer data (for participants with a smartphone) using the ‘Pedometer α - Step Counter’ app at baseline, weeks 1 through 13 and at 6 months
Secondary outcome measures1. Health-related quality of life measured using the EQ5d-5L at baseline, weeks 1 through 13 and at 6 months
2. The capability, opportunity and motivation to be physically active assessed using a bespoke six-item questionnaire at baseline, weeks 1 through 13 and at 6 months
Overall study start date20/11/2020
Completion date30/09/2022

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants712
Total final enrolment403
Key inclusion criteria1. People living with a musculoskeletal condition
2. Aged 18 years or over
3. Who are not active to 150 minutes a week
4. Can read English
5. Able to provide consent
6. Have an active e-mail account
7. Have a smartphone
Key exclusion criteriaDoes not meet the inclusion criteria
Date of first enrolment01/08/2021
Date of final enrolment06/09/2021

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

London Metropolitan University
166-220 Holloway Road
London
N7 8DB
United Kingdom

Sponsor information

London Metropolitan University
University/education

166-220 Holloway Road
London
N7 8DB
England
United Kingdom

Phone +44 (0)20 7423 0000
Email d.stewart@londonmet.ac.uk
Website https://www.londonmet.ac.uk/
ROR logo "ROR" https://ror.org/00ae33288

Funders

Funder type

Charity

Versus Arthritis
Private sector organisation / Other non-profit organizations
Location
United Kingdom

Results and Publications

Intention to publish date31/07/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planA study protocol has not been published and will be made available as an additional document by the end of September 2021.

There is a plan to disseminate the study findings through a report (to be used by the charity funding this research) and through academic publications and conferences.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Justin Webb (j.webb1@londonmet.ac.uk). Participants will provide consent for anonymised data to be used in future studies that have received all ethical, legal and regulatory approvals. Anonymised quantitative data will be available for all participants on the primary and secondary outcome measures at baseline, weeks 1 through 13 and 6 months. The data will become available following completion and write up of the research, anticipated to be June 2022 and will be made available for a period of 12 months.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 29/07/2021 No Yes
Results article 04/03/2023 26/11/2024 Yes No

Additional files

39949_PIS.pdf

Editorial Notes

26/11/2024: Publication reference added.
30/09/2021: The total final enrolment number has been added.
02/08/2021: The following changes were made to the trial record:
1. The recruitment start date was changed from 09/08/2021 to 01/08/2021.
2. The recruitment end date was changed from 31/08/2021 to 06/09/2021.
3. The overall trial end date was changed from 30/09/2021 to 30/09/2022.
4. The intention to publish date was changed from 31/07/2022 to 31/07/2023.
5. Acronym added.
29/07/2021: Trial's existence confirmed by the London Metropolitan University – School of Social Sciences and Professions – Research Ethics Committee.