Reframing Retirement: An Examination of Identity Change and Self-Regulation Approaches to Promote Physical Activity

Condition(s) studied

Investigational drug(s) / intervention(s)

Self Regulation Digital Health Online Platform: The Digital Health Online Platform has 10 lessons that the participant will gain access to on a weekly basis. The Self Regulation (SR) Intervention Condition will have access to Lessons 1 through 6 (reflective and regulatory processes). Lesson titles are as follows: Lesson 1: Why Physical Activity Matters During Retirement Lesson 2: Physical Activity Enhances Your Mood and Wellbeing Lesson 3: Social Connections, Confidence and Enjoyment: Keys to an Active Life Lesson 4: Setting Goals and Planning Ahead for Active Living Lesson 5: Staying on Track: Monitoring Your Activity on Your Own and With Others Lesson 6: How to Keep Moving When You Don't Feel Like It 4 additional lessons will be included in the SR condition to ensure equivalence of dose across conditions.

Identity Digital Health Online Platform: The Digital Health Online platform has 10 lessons that the Identity (ID) Intervention Condition participant will gain access to on a weekly basis. Lesson titles are as follows: Lesson 1: Why Physical Activity Matters During Retirement Lesson 2: Physical Activity Enhances Your Mood and Wellbeing Lesson 3: Social Connections, Confidence and Enjoyment: Keys to an Active Life Lesson 4: Setting Goals and Planning Ahead for Active Living Lesson 5: Staying on Track: Monitoring Your Activity on Your Own and With Others Lesson 6: How to Keep Moving When You Don't Feel Like It Lesson 7: How to Build Lasting Habits Lesson 8: Habits That Last: Staying Active Through Change Lesson 9: Who You Are When You Move: Understanding and Building Identities Lesson 10: Staying Connected and True to Your Values

Control Digital Health Online Platform: Control Group will have access to education lessons 1 to 3 (reflective processes). 7 additional education lessons are included in the Control Education group to ensure equivalence of dose across conditions. Participants will be provided with an accelerometer-mailed or delivered-to wear for seven consecutive days. Following accelerometer wear, participants will complete an online questionnaire and attend the laboratory for fitness testing. All groups will receive support/booster check-ins on the same material as their intervention designation at 3-,6-, and 12 weeks and 6-months. - After the initial 6-week intervention period, participants will be given follow-up online questionnaires and accelerometers. - This will follow a similar protocol for the 3-, 6- and 12-month time period (6-month assessment will include fitness testing). - In addition, all participants will be asked to participate in an end-of-trial semi-structured interview (at 6-months).

Study summary

The primary objective of this clinical trial is to test the efficacy of an innovative multimodal eHealth \& mHealth intervention (focused on emphasizing identity/habit and/or self-regulation) on increasing moderate to vigorous (MVPA) across 12 months among newly retired adults not meeting Physical Activity guidelines at study baseline, thus at higher risk of age-related chronic diseases.

The secondary objectives are to examine whether these approaches improve physical and mental well-being and health related fitness-outcomes.

Principal Research Question 1: Does an intervention focused on identity/habit + self-regulation skills + education (ID) increase moderate-to-vigorous intensity physical activity (MVPA) compared with an intervention focused on self-regulation skills + education (SR), and an education control condition (ED)? Three-arm parallel design single blinded randomized controlled trial. Participants will be randomized to one of three groups (ID, SR, ED) for 12 months duration.

* After the initial screening process, eligible participants will be provided with an accelerometer-mailed or delivered in person-to wear for seven consecutive days. Data collected will verify baseline physical activity levels and determine final eligibility based on adherence to physical activity guideline thresholds.
* Participants will visit the lab for fitness testing and complete an online questionnaire See below in "detailed description" the breakdown/delivery given for each of the 3 arms.

Eligibility

Primary outcome measure(s)

• MVPA — From enrollment to the end of data collection (Baseline, 6 Weeks, 3 Months & 6 Months & 12 months )
  Primary Outcome - MVPA will be measured with wGT3X-BT ActiGraph accelerometers, the gold standard for PA measurement in field settings. Participants will wear the devices during waking hours on a belt around the waist (with the device positioned above the right iliac crest) for seven consecutive days. Valid cut-points (counts per minute) for adults will be used to classify MVPA. For a day to be considered valid, there will need to be a minimum of 300 minutes (6 hours) within a 24-hour period of valid wear time.Missing data will be modelled from available data.

Trial sites (1)

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