scholarly journals A Mobile Health App to Reduce Sedentary Time in Inactive Employees: Study Protocol for a Single-Group, Time Series Feasibility Trial (Preprint)

2018 ◽  
Author(s):  
Dustin S. Kehler ◽  
Andrew N. Stammers ◽  
Laura Meade ◽  
Alex Edye-Mazowita ◽  
Jacqueline L. Hay ◽  
...  

UNSTRUCTURED Extended bouts of sedentary time are common in the modern working environment. As such, effective interventions are needed to counter the adverse health effects of sitting. We developed a theory-informed, mobile health app (i.e. the ENCOURAGE App) designed to interrupt occupational sitting time. The objective of our study is to investigate the effect of the ENCOURAGE App on the number of breaks in sedentary time taken throughout the day. This is a single-group, time series quasi-experiment evaluating the effect of the ENCOURAGE App on breaks in sedentary time. Data will be collected at baseline pre-intervention, 1-week, 1-month and repeated monthly for 6-months thereafter. We will recruit up to 300 individuals that have downloaded the app using an electronic, mobile consent form. The primary outcome of the study will examine a change in the number of breaks in sedentary time from baseline to one-month. We will also recruit a sub-sample of 60 individuals to collect objective data on physical activity and sedentary behaviour. As the modern working environment continues to promote a sedentary lifestyle, there is an urgent need to identify cost-effective solutions that can be scaled for both small and large organizations. This study aims to develop a novel mobile health app to support employees to reduce their sedentary time and become more physically active. The trial has been registered on ClinicalTrials.gov, a registry database of privately and publicly funded clinical research studies (NCT03403270).

LOKABASA ◽  
2016 ◽  
Vol 7 (2) ◽  
pp. 214
Author(s):  
Trifalah Nurhuda ◽  
Dingding Haerudin ◽  
Nunuy Nurjanah

Penelitian ini bertujuan untuk mendéskripsikan (1) gambaran mengenai guguritan yang diilustrasikan dalam bentuk multimedia pembelajaran; dan (2) meningkatkan kemampuan menulis dalam pelajaran guguritan. Metode yang digunakan dalam penelitian ini adalah studi kuasi eksperimen dengan menggunakan desain “Single Group Time Series Design”. Sumber data dalam penelitian ini sebanyak 40 siswa yang diambil dari satu kelas yakni kelas X IBB SMA Negeri 1 Nagreg, Kabupaten Bandung. Tehnik yang digunakan adalah tehnik tes. Adapun instrumen yang digunakan adalah lembar tes menulis guguritan. Penelitian ini menerangkan bahwa (1) kemampuan menulis siswa terhadap guguritan sebelum menggunakan multimedia mendapatkan hasil dengan skor rata-rata 67.17; (2) kemampuan menulis siswa terhadap guguritan setelah menggunakan multimedia pembelajaran mendapatkan hasil dengan skor rata-rata 87.45, dan ada perbedaan yang signifikan antara kemampuan menulis guguritan siswa kelas X IBB SMA Negeri Nagreg sebelum dan sesudah menggunakan multimedia pembelajaran berdasarkan hasil thitung (30.34) > ttabel (2.68). Hal ini menunjukan bahwa hipotesis kerja (ha) diterima dan hipotesis nol (Ho) ditolak. Dengan demikian multimedia dapat meningkatkan menulis guguritan siswa kelas X IBB SMA Negeri 1 Nagreg.ABSTRACTThis study aimed to describe (1) a description of the guguritan illustrated in the form of multimedia learning; and (2) improve the ability to write in guguritan lesson. The method used in this study is a quasi-experimental study design using the "Single Group Time Series Design". Sources of data in this study were 40 students drawn from the class of the class X SMA Negeri 1 Nagreg IBB, Bandung regency. The technique used is the technique of tests. The instruments used were a test sheet write guguritan. This study explains that (1) the ability of the student's writing to guguritan before using multimedia get results with an average score of 67.17; (2) the ability of the student's writing against guguritan after using multimedia learning get of results with an average score of 87.45, and there is a significant difference between the ability to write guguritan class X IBB SMA Nagreg before and after using multimedia learning based on the results tcount (30.34)> ttabel (2.68). This shows that the working hypothesis (Ha) is accepted and the null hypothesis (Ho) is rejected. Thus multimedia can enhance writing guguritan of class X IBB SMA Negeri 1 Nagreg.


2019 ◽  
Vol 120 (1) ◽  
pp. 171-179 ◽  
Author(s):  
Aye C. Paing ◽  
Kathryn A. McMillan ◽  
Alison F. Kirk ◽  
Andrew Collier ◽  
Allan Hewitt ◽  
...  

Abstract Purpose To investigate how the pattern of sedentary behaviour affects intra-day glucose regulation in type 2 diabetes. Methods This intensive longitudinal study was conducted in 37 participants with type 2 diabetes (age, 62.8 ± 10.5 years). Glucose and sedentary behaviour/physical activity were assessed with a continuous glucose monitoring (Abbott FreeStyle Libre) and an activity monitor (activPAL3) for 14 days. Multiple regression models with generalised estimating equations (GEEs) approach were used to assess the associations of sedentary time and breaks in sedentary time with pre-breakfast glucose, pre-lunch glucose, pre-dinner glucose, post-breakfast glucose, post-lunch glucose, post-dinner glucose, bedtime glucose, the dawn phenomenon, time in target glucose range (TIR, glucose 3.9–10 mmol/L) and time above target glucose range (TAR, glucose > 10 mmol/L). Results Sedentary time was associated with higher pre-breakfast glucose (p = 0.001), pre-dinner glucose (p < 0.001), post-lunch glucose (p = 0.005), post-dinner glucose (p = 0.013) and the dawn phenomenon (p < 0.001). Breaks in sedentary time were associated with lower pre-breakfast glucose (p = 0.023), pre-dinner glucose (p = 0.023), post-breakfast glucose (p < 0.001) and the dawn phenomenon (p = 0.004). The association between sedentary time and less TIR (p = 0.022) and the association between breaks in sedentary time and more TIR (p = 0.001) were also observed. Conclusions Reducing sedentary time and promoting breaks in sedentary time could be clinically relevant to improve intra-day glucose regulation in type 2 diabetes.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Richard S. Mayne ◽  
Nigel D. Hart ◽  
Neil Heron

Abstract Background Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature. Methods A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data. Results The search criteria returned 1707 studies. Thirty four full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 h sitting each day, 24% between 4 and 7 h, and 16% less than or equal to 4 h. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 h and 36 min, with 56% sitting for over 6 h per day. Both studies were of satisfactory methodological quality but had a high risk of bias. Conclusion There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.


2018 ◽  
Vol 3 (Suppl 2) ◽  
pp. e000559 ◽  
Author(s):  
Peter Barron ◽  
Joanne Peter ◽  
Amnesty E LeFevre ◽  
Jane Sebidi ◽  
Marcha Bekker ◽  
...  

MomConnect is a flagship programme of the South African National Department of Health that has reached over 1.5 million pregnant women. Using mobile technology, MomConnect provides pregnant and postpartum women with twice-weekly health information text messages as well as access to a helpdesk for patient queries and feedback. In just 3 years, MomConnect has been taken to scale to reach over 95% of public health facilities and has reached 63% of all pregnant women attending their first antenatal appointment. The helpdesk has received over 300 000 queries at an average of 250 per day from 6% of MomConnect users. The service is entirely free to its users. The rapid deployment of MomConnect has been facilitated by strong government leadership, and an ecosystem of mobile health implementers who had experience of much of the content and technology required. An early decision to design MomConnect for universal coverage has required the use of text-based technologies (short messaging service and Unstructured Supplementary Service Data) that are accessible via even the most basic mobile phones, but cumbersome to use and costly at scale. Unlike previous mobile messaging services in South Africa, MomConnect collects the user’s identification number and facility code during registration, enabling future linkages with other health and population databases and geolocated feedback. MomConnect has catalysed additional efforts to strengthen South Africa’s digital health architecture. The rapid growth in smartphone penetration presents new opportunities to reduce costs, increase real-time data collection and expand the reach and scope of MomConnect to serve health workers and other patient groups.


AGE ◽  
2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Pedro B. Júdice ◽  
Analiza M. Silva ◽  
Diana A. Santos ◽  
Fátima Baptista ◽  
Luís B. Sardinha

2014 ◽  
Vol 26 (1) ◽  
pp. 110-117 ◽  
Author(s):  
Xanne Janssen ◽  
Dylan P. Cliff ◽  
John J. Reilly ◽  
Trina Hinkley ◽  
Rachel A. Jones ◽  
...  

10.2196/15927 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15927
Author(s):  
Scott Sittig ◽  
Jing Wang ◽  
Sriram Iyengar ◽  
Sahiti Myneni ◽  
Amy Franklin

Background Although there is a rise in the use of mobile health (mHealth) tools to support chronic disease management, evidence derived from theory-driven design is lacking. Objective The objective of this study was to determine the impact of an mHealth app that incorporated theory-driven trigger messages. These messages took different forms following the Fogg behavior model (FBM) and targeted self-efficacy, knowledge, and self-care. We assess the feasibility of our app in modifying these behaviors in a pilot study involving individuals with diabetes. Methods The pilot randomized unblinded study comprised two cohorts recruited as employees from within a health care system. In total, 20 patients with type 2 diabetes were recruited for the study and a within-subjects design was utilized. Each participant interacted with an app called capABILITY. capABILITY and its affiliated trigger (text) messages integrate components from social cognitive theory (SCT), FBM, and persuasive technology into the interactive health communications framework. In this within-subjects design, participants interacted with the capABILITY app and received (or did not receive) text messages in alternative blocks. The capABILITY app alone was the control condition along with trigger messages including spark and facilitator messages. A repeated-measures analysis of variance (ANOVA) was used to compare adherence with behavioral measures and engagement with the mobile app across conditions. A paired sample t test was utilized on each health outcome to determine changes related to capABILITY intervention, as well as participants’ classified usage of capABILITY. Results Pre- and postintervention results indicated statistical significance on 3 of the 7 health survey measures (general diet: P=.03; exercise: P=.005; and blood glucose: P=.02). When only analyzing the high and midusers (n=14) of capABILITY, we found a statistically significant difference in both self-efficacy (P=.008) and exercise (P=.01). Although the ANOVA did not reveal any statistically significant differences across groups, there is a trend among spark conditions to respond more quickly (ie, shorter log-in lag) following the receipt of the message. Conclusions Our theory-driven mHealth app appears to be a feasible means of improving self-efficacy and health-related behaviors. Although our sample size is too small to draw conclusions about the differential impact of specific forms of trigger messages, our findings suggest that spark triggers may have the ability to cue engagement in mobile tools. This was demonstrated with the increased use of capABILITY at the beginning and conclusion of the study depending on spark timing. Our results suggest that theory-driven personalization of mobile tools is a viable form of intervention. Trial Registration ClinicalTrials.gov NCT04132089; http://clinicaltrials.gov/ct2/show/NCT004122089


2020 ◽  
Vol 245 ◽  
pp. 03036
Author(s):  
M S Doidge ◽  
P. A. Love ◽  
J Thornton

In this work we describe a novel approach to monitor the operation of distributed computing services. Current monitoring tools are dominated by the use of time-series histograms showing the evolution of various metrics. These can quickly overwhelm or confuse the viewer due to the large number of similar looking graphs. We propose a supplementary approach through the sonification of real-time data streamed directly from a variety of distributed computing services. The real-time nature of this method allows operations staff to quickly detect problems and identify that a problem is still ongoing, avoiding the case of investigating an issue a-priori when it may already have been resolved. In this paper we present details of the system architecture and provide a recipe for deployment suitable for both site and experiment teams.


2019 ◽  
Author(s):  
Bo-Huei Huang ◽  
Mark Hamer ◽  
Sebastien Chastin ◽  
Annemarie Koster ◽  
Natalie Pearson ◽  
...  

AbstractObjectiveTo examine the independent and joint associations thigh-worn accelerometry assessed sedentary time and moderate to vigorous physical activity with cardiometabolic health markers.DesignCross-sectional study embedded in the age-46 wave an established birth cohort, the 1970 British Birth Cohort.SettingPopulation-based sample from Great Britain (England, Scotland, and Wales).MethodsOutcome measures included: body mass index, waist-to-hip ratio, blood pressure, glycated hemoglobin, high-density lipoprotein cholesterol, total cholesterol, triglycerides, and c-reactive protein. Sedentary behavior and other physical activity exposures, recorded by a thigh-worn activPAL3 accelerometry, included: daily sedentary time, breaks in sedentary time, daily time spent in moderate-to-vigorous physical activity. Multiple linear regression analyses, multiple logistic regression analyses, and general linear models were conducted as applicable.Results4,634 participants were available for the final analysis. After adjusting for potential confounders and moderate-to-vigorous physical activity, daily sedentary time was positively associated with triglycerides (β=0.052 [0.015, 0.089]) and inversely associated with high-density lipoprotein cholesterol (β=-0.015 [-0.022, -0.010]). Daily prolonged sedentary time (≥ 60 minutes) was positively associated with both glycated hemoglobin and log-transformed c-reactive protein (β=0.240 [0.030, 0.440] and 0.026 [0.007, 0.045], respectively) and inversely associated with systolic blood pressure and high-density lipoprotein cholesterol (β=-0.450 [-0.760, -0.150] and -0.013 [-0.022, -0.003], respectively). After adjusting for potential confounders and daily sedentary time, daily breaks in sedentary time were inversely associated with glycated hemoglobin (β=-0.020 [-0.037, -0.003]), and positively associated with both triglycerides and systolic blood pressure (β=0.006 [0.002, 0.010] and 0.030 [0.002, 0.050], respectively). The joint associations of prolonged sedentary time and moderate-to-vigorous physical activity with the prevalence of diabetes were not statistically significant.ConclusionProlonged sedentary time (≥ 60 minutes) and daily breaks in sedentary time were deleteriously associated with glycated hemoglobin, although we found no evidence that there were joint moderate-to-vigorous physical activity and sitting associations.


Pedagogika ◽  
2020 ◽  
Vol 139 (3) ◽  
pp. 111-135
Author(s):  
Siti Aimah ◽  
Dwi Rukmini ◽  
Mursid Saleh ◽  
Dwi Anggani Linggar Bharati

This study aims to determine the effect of microteaching guided by an expert secondary English teacher on pre-service English teachers PCK, focusing on the changes before and after expert-guided microteaching. The equivalent time-series design involves a single-group, repeatedly assessed, with the treatment introduced between the measurements. Expert-guided microteaching significantly affects pre-service English teachers’ PCK and triggers them to know what to teach and how to teach for students.


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