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Effectiveness of a ...
Effectiveness of a 3-Month Mobile Phone-Based Behavior Change Program on Active Transportation and Physical Activity in Adults : Randomized Controlled Trial.
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- Ek, Anna (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Alexandrou, Christina (author)
- Linköpings universitet,Karolinska Institutet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Söderström, Emmie (author)
- Linköpings universitet,Karolinska Institutet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Bergman, Patrick (author)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Hållbar hälsa,Ehälsoinstitutet;eHealth Institute,Linnaeus Univ, Sweden
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- Delisle Nyström, Christine (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Direito, Artur (author)
- National University of Singapore, Singapore,Natl Univ Singapore, Singapore
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- Eriksson, Ulf (author)
- Strömstad Academy, Sweden,Stromstad Acad, Sweden
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- Henriksson, Pontus (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Maddison, Ralph (author)
- Deakin University, Australia,Deakin Univ, Australia
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- Trolle Lagerros, Ylva (author)
- Karolinska Institutet,Karolinska Inst, Sweden; Stockholm Hlth Serv, Sweden
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- Bendtsen, Marcus, 1982- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Löf, Marie (author)
- Linköpings universitet,Karolinska Institutet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Karolinska Inst, Sweden
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(creator_code:org_t)
- 2020-06-08
- 2020
- English.
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In: JMIR mhealth and uhealth. - : JMIR Publications. - 2291-5222. ; 8:6, s. 1-15
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Abstract
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- BACKGROUND: Active transportation (AT; ie, walking and cycling as a mode for transportation) has been associated with decreased morbidity and mortality; however, low-cost and scalable intervention programs are lacking.OBJECTIVE: The goal of the research was to determine the effectiveness of a 3-month behavior change program delivered via a mobile phone app to promote AT (TravelVu Plus) on time spent in moderate-to-vigorous physical activity (MVPA).METHODS: For this 2-arm parallel randomized controlled trial, we recruited a population-based sample of 254 adults from Stockholm County who were aged 20 to 65 years and had access to a smartphone. On completion of 1-week baseline measures, the 254 participants were randomized to either the control or intervention group (1:1 ratio). Both groups had access to the standard TravelVu app (Trivector AB) for monitoring their AT for 6 months. The intervention group also received a 3-month behavior change program to promote AT (TravelVu Plus app). Assessors of outcomes were blinded to group allocation. Outcomes were objectively measured MVPA at 3 (primary) and 6 months. Secondary outcomes were AT, attitudes toward AT, and health-related quality of life at 3 and 6 months.RESULTS: No effect on MVPA was observed after 3 months (P=.29); however, at 6 months the intervention group had a greater improvement in MVPA than the controls (6.05 minutes per day [95% CI 0.36 to 11.74; P=.04]). A Bayesian analyses showed that there was a 98% probability that the intervention had any effect at 6 months, and a 63% probability that this effect was >5 minute MVPA per day.CONCLUSIONS: No effect on MVPA immediately after the intervention period (at 3 months) was observed; however, there was a delayed effect on MVPA (6 minutes per day) at 6 months, which corresponds to approximately 30% of the weekly MVPA recommendation. Our findings suggest that a behavior change program promoting AT delivered via an app may have a relevant effect on PA.TRIAL REGISTRATION: ClinicalTrials.gov NCT03086837; https://clinicaltrials.gov/ct2/show/NCT03086837.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12889-018-5658-4.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- active transportation
- behavior change
- mobile phone app
- mobile phone intervention
- physical activity
- smartphone app
- Health Informatics
- Hälsoinformatik
- Health and Caring Sciences
- Hälsovetenskap
Publication and Content Type
- ref (subject category)
- art (subject category)
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Ek, Anna
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Alexandrou, Chri ...
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Söderström, Emmi ...
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Bergman, Patrick
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Delisle Nyström, ...
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Direito, Artur
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Eriksson, Ulf
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Henriksson, Pont ...
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Maddison, Ralph
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Trolle Lagerros, ...
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Bendtsen, Marcus ...
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Löf, Marie
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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JMIR mhealth and ...
- By the university
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Linnaeus University
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Karolinska Institutet
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Linköping University