Using "IF-THEN" plans to increase physical activity

ISRCTN ISRCTN58484767
DOI https://doi.org/10.1186/ISRCTN58484767
Secondary identifying numbers 2019-7332-10682
Submission date
04/06/2019
Registration date
17/06/2019
Last edited
06/09/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Implementation intentions (i.e., making if-then plans) are effective at changing behaviour. However, despite many studies showing this effect there are few studies that have been conducted on large samples and for more than a short term follow up. The aim of this study is to test the effectiveness of using two different interventions (standard volitional help sheet and single situation volitional help sheet) at increasing physical activity in comparison to a control group.

Who can participate?
UK adults who are capable of engaging in physical activity

What does the study involve?
Participants complete a series of questionnaires about their physical activity and are then randomly allocated to one of the three groups. The standard volitional help sheet includes a list of situations when people might not want to be physically active (e.g., If I’m tempted not to be physically active when I’m under a lot of stress) and a list of solutions to overcoming these (e.g., then I will make myself do some physical activity anyway because I know I will feel better afterward). Participants are asked to draw a line from the situations that are relevant to them to their chosen solutions. They can create as many situation and solution pairs as they want. The single situation volitional help sheet includes a stem but not a specific situation (e.g., If I’m tempted not to be physically active…) and a list of solutions to overcoming this (e.g., then I will make myself do some physical activity anyway because I know I will feel better afterward). Participants are asked to draw a line from the stem to them to their chosen solutions. They can create as many pairs as they want. The control group includes the same list as the standard volitional help sheet but people are asked just to tick situation and solutions that are relevant to them. After 6 months participants are asked the same physical activity questions to see if the intervention has increased their physical activity and also find who it will work best for.

What are the possible benefits and risks of participating?
The benefits of participating are that participants may increase their physical activity. There are no risks of participating.

Where is the study run from?
University of Manchester (UK)

When is the study starting and how long is it expected to run for?
May 2019 to June 2020

Who is funding the study?
Tesco (UK)

Who is the main contact?
1. Dr Tracy Epton
epton.tracy@gmail.com
2. Prof. Chris J Armitage
chris.armitage@manchester.ac.uk
3. Dr Christopher Keyworth
C.Keyworth@leeds.ac.uk

Contact information

Dr Tracy Epton
Public

University of Manchester
Coupland I
Coupland Street
Manchester
M13 9PT
United Kingdom

Phone +44 (0)1613060455
Email epton.tracy@gmail.com
Prof Chris J Armitage
Public

University of Manchester
Coupland I
Coupland Street
Manchester
M13 9PT
United Kingdom

Phone +44 (0)1613060455
Email chris.armitage@manchester.ac.uk
Dr Christopher Keyworth
Public

University of Manchester
Coupland I
Coupland Street
Manchester
M13 9PT
United Kingdom

Phone +44 (0)161 3060455
Email C.Keyworth@leeds.ac.uk

Study information

Study designThree-arm randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typePrevention
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleUsing "IF-THEN" plans to increase physical activity
Study objectivesCurrent study hypothesis as of 18/10/2019:
1. The two conditions that complete a volitional help sheet (standard VHS and single situation VHS) will report greater physical activity and lower sedentariness at follow up than the control condition
2. Increases in physical activity/reductions in sedentariness will be associated with improved subjective well-being
3. The VHS interventions will be most effective for those who have developed high habits, awareness of standards, self-monitoring, self-regulatory effort, capabilities, opportunities and motivations to increase physical activity and are currently not meeting health behaviour guidelines (including physical activity, smoking, alcohol consumption and diet)



Previous study hypothesis:
1. The two conditions that complete a volitional help sheet (standard VHS and single situation VHS) will report greater physical activity and lower sedentariness at follow up than the control condition
2. Increases in physical activity/reductions in sedentariness will be associated with improved subjective well-being
3. The VHS interventions will be most effective for those who have high habits, awareness of standards, self-monitoring, self-regulatory effort, capabilities, opportunities and motivations to increase physical activity and are currently not meeting health behaviour guidelines (including physical activity, smoking, alcohol consumption and diet)
Ethics approval(s)Approved 21/06/2019, University Research Ethics Committee at the University of Manchester (Research Governance, Ethics and Integrity, 2nd Floor Christie Building, The University of Manchester, Oxford Road, Manchester, M13 9PL; 0161 275 2206/2674; research.ethics@manchester.ac.uk), ref: 2019-7332-10682
Health condition(s) or problem(s) studiedPhysical activity
InterventionParticipants complete a series of questionnaires about their physical activity and are then randomly assigned to one of the three conditions:

1. The standard volitional help sheet includes a list of situations when people might not want to be physically active (e.g., If I’m tempted not to be physically active when I’m under a lot of stress) and a list of solutions to overcoming these (e.g., then I will make myself do some physical activity anyway because I know I will feel better afterward). People are asked to draw a line from the situations that are relevant to them to their chosen solutions. They can create as many situation and solution pairs as they want.
2. The single situation volitional help sheet includes a stem but not a specific situation (e.g., IIf I’m tempted not to be physically active… ) and a list of solutions to overcoming this (e.g., then I will make myself do some physical activity anyway because I know I will feel better afterward). People are asked to draw a line from the stem to them to their chosen solutions. They can create as many pairs as they want.
3. The control condition includes the same list as the standard volitional help sheet but people are asked just to tick situation and solutions that are relevant to them.

After 6 months participants are asked the same physical activity questions to see if the intervention has increased their physical activity and also find who it will work best for.
Intervention typeBehavioural
Primary outcome measure1. Physical activity is measured using the Sport England: Short active lives questionnaire and the IPAQ at baseline and 6 months follow up
2. Sedentary behaviour is measured using a sedentary behaviour questionnaire at baseline and 6 months follow up
Secondary outcome measures1. Capability, opportunity and motivation (based on COM-B model) is measured using the COM questionnaire at baseline and 6 months follow up
2. Habit is measured using the self-reported habit index (automaticity scale) at baseline and 6 months follow up
3. State self-regulation is measured at baseline and 6 months follow up (Sniehotta, F. F., Scholz, U., & Schwarzer, R. (2005). Bridging the intention-behavior gap: Planning, self-efficacy, and action control in the adoption and maintenance of physical activity. Psychology & Health, 20, 143–160. http://dx.doi.org/10.1080/08870440512331317670)
4. Daily smoking, weekly alcohol consumption and daily fruit and vegetable intake measured using three questions at baseline and 6 months follow up
5. Subjective well-being measured using the Office of National statistics measure of wellbeing at baseline and 6 months follow up
Overall study start date01/05/2019
Completion date28/02/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants3000
Total final enrolment3085
Key inclusion criteriaUK adults who are capable of engaging in physical activity
Key exclusion criteria1. Children
2. People who are not capable of engaging in physical activity
3. People not based in the UK
Date of first enrolment08/07/2019
Date of final enrolment16/08/2019

Locations

Countries of recruitment

  • United Kingdom

Study participating centre

YouGov will be distributing the questionnaires via its online platform
-
United Kingdom

Sponsor information

University of Manchester
University/education

Oxford Road
Manchester
M13 9PT
England
United Kingdom

Phone +44 (0)1613060455
Email epton.tracy@gmail.com
ROR logo "ROR" https://ror.org/027m9bs27

Funders

Funder type

Industry

Tesco

No information available

Results and Publications

Intention to publish date28/02/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe researchers will share all documents used in the study, statistical analysis plan and data on OSF. Planned publication in a high impact peer-reviewed journal
IPD sharing planThe data will be shared via OSF. However, people can contact Dr Tracy Epton (epton.tracy@gmail.com). The data will be available for 10 years, data will be freely available for anyone who wishes to use it. Consent from participants was obtained. The data will be fully anonymised.

The statistical analysis plan has been uploaded as an additional file (added 31/10/2019)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Statistical Analysis Plan 29/10/2019 31/10/2019 No No

Additional files

ISRCTN58484767_SAP_29Oct19.pdf
uploaded 31/10/2019

Editorial Notes

06/09/2022: A contact email was updated.
31/10/2019: The statistical analysis plan has been uploaded as an additional file.
18/10/2019: The study hypothesis has been changed.
05/09/2019: The final enrolment number has been added.
16/08/2019: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/07/2019 to 16/08/2019.
2. The overall trial end date was changed from 30/06/2020 to 28/02/2020.
3. The intention to publish date was changed from 01/01/2021 to 28/02/2021.
05/07/2019: The following changes were made to the trial record:
1. The ethics approval was added.
2. The recruitment start date was changed from 14/06/2019 to 08/07/2019.
3. The recruitment end date was changed from 30/06/2019 to 30/07/2019.
03/07/2019: The following changes were made to the trial record:
1. The overall trial end date was changed from 31/12/2019 to 30/06/2020.
2. The intention to publish date was changed from 31/01/2020 to 01/01/2021.
12/06/2019: Trial's existence confirmed by ethics committee.