Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Health effects of reduced occupational sedentary behaviour in type 2 diabetes using a mobile health intervention : a study protocol for a 12-month randomized controlled trial—the ROSEBUD study

Syrjälä, M. B. ; Bennet, L. LU orcid ; Dempsey, P. C. ; Fharm, E. ; Hellgren, M. LU ; Jansson, S. ; Nilsson, S. ; Nordendahl, M. ; Rolandsson, O. and Rådholm, K. , et al. (2022) In Trials 23(1). p.1-11
Abstract

Background: Short-term trials conducted in adults with type 2 diabetes mellitus (T2DM) showed that reducing sedentary behaviour by performing regular short bouts of light-intensity physical activity enhances health. Moreover, support for reducing sedentary behaviour may be provided at a low cost via mobile health technology (mHealth). There are a wide range of mHealth solutions available including SMS text message reminders and activity trackers that monitor the physical activity level and notify the user of prolonged sitting periods. The aim of this study is to evaluate the effects of a mHealth intervention on sedentary behaviour and physical activity and the associated changes in health in adults with T2DM. Methods: A dual-arm,... (More)

Background: Short-term trials conducted in adults with type 2 diabetes mellitus (T2DM) showed that reducing sedentary behaviour by performing regular short bouts of light-intensity physical activity enhances health. Moreover, support for reducing sedentary behaviour may be provided at a low cost via mobile health technology (mHealth). There are a wide range of mHealth solutions available including SMS text message reminders and activity trackers that monitor the physical activity level and notify the user of prolonged sitting periods. The aim of this study is to evaluate the effects of a mHealth intervention on sedentary behaviour and physical activity and the associated changes in health in adults with T2DM. Methods: A dual-arm, 12-month, randomized controlled trial (RCT) will be conducted within a nationwide Swedish collaboration for diabetes research in primary health care. Individuals with T2DM (n = 142) and mainly sedentary work will be recruited across primary health care centres in five regions in Sweden. Participants will be randomized (1:1) into two groups. A mHealth intervention group who will receive an activity tracker wristband (Garmin Vivofit4), regular SMS text message reminders, and counselling with a diabetes specialist nurse, or a comparator group who will receive counselling with a diabetes specialist nurse only. The primary outcomes are device-measured total sitting time and total number of steps (activPAL3). The secondary outcomes are fatigue, health-related quality of life and musculoskeletal problems (self-reported questionnaires), number of sick leave days (diaries), diabetes medications (clinical record review) and cardiometabolic biomarkers including waist circumference, mean blood pressure, HbA1c, HDL-cholesterol and triglycerides. Discussion: Successful interventions to increase physical activity among those with T2DM have been costly and long-term effectiveness remains uncertain. The use of mHealth technologies such as activity trackers and SMS text reminders may increase awareness of prolonged sedentary behaviour and encourage increase in regular physical activity. mHealth may, therefore, provide a valuable and novel tool to improve health outcomes and clinical management in those with T2DM. This 12-month RCT will evaluate longer-term effects of a mHealth intervention suitable for real-world primary health care settings. Trial registration: ClinicalTrials.gov NCT04219800. Registered on 7 January 2020.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Accelerometer, Behaviour change, Interventions, mHealth, Occupational sitting, Physical activity, Randomized controlled trial, Sedentary behaviour, Type 2 diabetes, Workplace
in
Trials
volume
23
issue
1
article number
607
pages
1 - 11
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85135188006
  • pmid:35897022
ISSN
1745-6215
DOI
10.1186/s13063-022-06528-x
project
Nationwide research collaboration in family medicine and type 2 diabetes - Swedish Primary Care Diabetes (SPACE)
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2022, The Author(s).
id
72d96b51-36fd-42f4-9f7a-1f95f97ad94c
date added to LUP
2022-09-01 17:54:44
date last changed
2024-04-15 17:12:52
@article{72d96b51-36fd-42f4-9f7a-1f95f97ad94c,
  abstract     = {{<p>Background: Short-term trials conducted in adults with type 2 diabetes mellitus (T2DM) showed that reducing sedentary behaviour by performing regular short bouts of light-intensity physical activity enhances health. Moreover, support for reducing sedentary behaviour may be provided at a low cost via mobile health technology (mHealth). There are a wide range of mHealth solutions available including SMS text message reminders and activity trackers that monitor the physical activity level and notify the user of prolonged sitting periods. The aim of this study is to evaluate the effects of a mHealth intervention on sedentary behaviour and physical activity and the associated changes in health in adults with T2DM. Methods: A dual-arm, 12-month, randomized controlled trial (RCT) will be conducted within a nationwide Swedish collaboration for diabetes research in primary health care. Individuals with T2DM (n = 142) and mainly sedentary work will be recruited across primary health care centres in five regions in Sweden. Participants will be randomized (1:1) into two groups. A mHealth intervention group who will receive an activity tracker wristband (Garmin Vivofit4), regular SMS text message reminders, and counselling with a diabetes specialist nurse, or a comparator group who will receive counselling with a diabetes specialist nurse only. The primary outcomes are device-measured total sitting time and total number of steps (activPAL3). The secondary outcomes are fatigue, health-related quality of life and musculoskeletal problems (self-reported questionnaires), number of sick leave days (diaries), diabetes medications (clinical record review) and cardiometabolic biomarkers including waist circumference, mean blood pressure, HbA1c, HDL-cholesterol and triglycerides. Discussion: Successful interventions to increase physical activity among those with T2DM have been costly and long-term effectiveness remains uncertain. The use of mHealth technologies such as activity trackers and SMS text reminders may increase awareness of prolonged sedentary behaviour and encourage increase in regular physical activity. mHealth may, therefore, provide a valuable and novel tool to improve health outcomes and clinical management in those with T2DM. This 12-month RCT will evaluate longer-term effects of a mHealth intervention suitable for real-world primary health care settings. Trial registration: ClinicalTrials.gov NCT04219800. Registered on 7 January 2020.</p>}},
  author       = {{Syrjälä, M. B. and Bennet, L. and Dempsey, P. C. and Fharm, E. and Hellgren, M. and Jansson, S. and Nilsson, S. and Nordendahl, M. and Rolandsson, O. and Rådholm, K. and Ugarph-Morawski, A. and Wändell, P. and Wennberg, P.}},
  issn         = {{1745-6215}},
  keywords     = {{Accelerometer; Behaviour change; Interventions; mHealth; Occupational sitting; Physical activity; Randomized controlled trial; Sedentary behaviour; Type 2 diabetes; Workplace}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{1--11}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Trials}},
  title        = {{Health effects of reduced occupational sedentary behaviour in type 2 diabetes using a mobile health intervention : a study protocol for a 12-month randomized controlled trial—the ROSEBUD study}},
  url          = {{http://dx.doi.org/10.1186/s13063-022-06528-x}},
  doi          = {{10.1186/s13063-022-06528-x}},
  volume       = {{23}},
  year         = {{2022}},
}