An online delivered running and walking group program to support low-active post-secondary students' well-being and exercise behavior during the COVID-19 pandemic: a pilot randomized controlled trial.

IF 2.8 3区医学 Q2 PSYCHOLOGY, CLINICAL

Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI:10.1007/s10865-024-00516-z

Colin M Wierts, Ryan E Rhodes, Guy Faulkner, Bruno D Zumbo, Mark R Beauchamp

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Abstract

Objective: Examine the feasibility and acceptability of a social identity-informed, online delivered, running and walking group program to support low-active post-secondary students' exercise behavior and well-being during the COVID-19 pandemic.

Methods: A two-arm, non-blinded, parallel pilot randomized controlled trial was conducted whereby low-active post-secondary students at a Canadian university were equally randomized to an online delivered running/walking group program or an attention control condition. Primary feasibility and acceptability outcomes included program interest, study enrolment and retention, questionnaire completion, program attendance, program satisfaction, and affective exercise attitudes. Post-program interviews were conducted to ascertain participants' experiences with the program. Secondary outcomes included well-being, exercise behavior, social identity, social support, and exercise identity.

Results: Ninety-two individuals were screened for eligibility, and 72 were equally randomized to the online group program or attention control condition. Recruitment exceeded the target sample size (60), study adherence and questionnaire completion were above 90%, program attendance was moderate (M = 5.03/8), self-report program satisfaction was moderate-to-high (M = 4.13/5), and there was no condition effect for affective attitudes. During interviews, participants expressed satisfaction with the program. They also discussed challenges with developing a shared sense of identity and social connection with group members via online platforms. There were small condition effects for exercise-related well-being and exercise identity and no condition effects for the remaining secondary outcomes. Social identity scores were moderate (M = 4.63/7).

Conclusions: The STRIDE program was feasible and acceptable but should be delivered and piloted in-person before a full-scale efficacy trial is conducted.

Trial registration: ClinicalTrials.gov NCT04857918; 2021-04-20.

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在 COVID-19 大流行期间，通过在线提供的跑步和步行小组计划来支持低活跃度大专学生的健康和锻炼行为：一项试点随机对照试验。

目的：研究在 COVID-19 大流行期间，以社会身份为基础、在线提供的跑步和步行小组计划的可行性和可接受性：在 COVID-19 大流行期间，研究一项以社会身份为基础的在线跑步和步行小组计划的可行性和可接受性，以支持低活跃度大专学生的锻炼行为和健康：方法：我们开展了一项双臂、非盲法、平行试验性随机对照试验，将加拿大一所大学的低活跃度大专生随机分配到在线跑步/步行小组项目或注意力控制条件下。主要的可行性和可接受性结果包括项目兴趣、学习注册和保留、问卷完成情况、项目出席率、项目满意度以及对运动的情感态度。项目结束后还进行了访谈，以了解参与者对项目的体验。次要结果包括幸福感、运动行为、社会认同、社会支持和运动认同：共有 92 人通过了资格筛选，其中 72 人被随机分配到在线小组项目或注意力控制项目中。招募人数超过了目标样本量（60 人），研究坚持率和问卷完成率均超过 90%，项目出勤率中等（M = 5.03/8），自我报告的项目满意度中等至高（M = 4.13/5），情感态度没有条件效应。在访谈中，参与者对项目表示满意。他们还讨论了通过网络平台与小组成员建立共同认同感和社会联系所面临的挑战。与运动相关的幸福感和运动认同感的条件效应较小，其余次要结果没有条件效应。社会认同感得分中等（M = 4.63/7）：结论：STRIDE计划是可行的、可接受的，但在进行全面的疗效试验之前，应进行面对面的交付和试点：试验注册：ClinicalTrials.gov NCT04857918；2021-04-20。

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来源期刊

Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.70

自引率

3.20%

发文量

112

期刊介绍： The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders. Reports of interdisciplinary approaches to research are particularly welcomed.