Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol

Maria L. Murphy; David R. Lubans; Kristen E. Cohen; Sara L. Robards; Magdalena Wilczynska; Sarah G. Kennedy; Erica L. James; Wendy J. Brown; Kerry S. Courneya; Ronald J. Sigal; Ronald C. Plotnikoff

doi:10.1016/j.cct.2019.01.007

Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol

Maria L. Murphy
, David R. Lubans
, Kristen E. Cohen
, Sara L. Robards
, Magdalena Wilczynska
, Sarah G. Kennedy
, Erica L. James
, Wendy J. Brown
, Kerry S. Courneya
, Ronald J. Sigal
, Ronald C. Plotnikoff^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

3 Citations (Scopus)

108 Downloads (Pure)

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a global public health concern. Aerobic physical activity (PA) and resistance training (RT) play significant roles in the prevention and management of T2DM. The aim of this pilot trial is to determine the preliminary efficacy and confirm feasibility of referral to exercise physiologists, psychologists, and provision of a technology-based behavior change support package to promote aerobic PA and RT in school teachers ‘at risk’ of or diagnosed with T2DM.

Research design and methods: The SMART (Support, Motivation and Physical Activity Research for Teachers’) Health pilot study will be evaluated using a three-arm randomized controlled trial. The intervention will be guided by Social Cognitive Theory, Health Action Process Approach Model and Cognitive Behavioral Therapy strategies. The participants will be randomly allocated to one of three study groups: Group 1: wait-list control group; Group 2: 5 face-to-face visits with a psychologist and exercise specialist over 3 months; and Group 3: same as Group 2 plus technology-based behavior change support package for an additional 6 months. Assessments will be conducted at baseline, 3-, 9- (primary time-point) and 18-months post-baseline. The primary outcome will be PA measured with pedometers.

Discussion: SMART Health is an innovative, multi-component intervention, that integrates referral to exercise specialists, psychologists and provision of a technology-based behavior support package to promote PA and RT in adults diagnosed with T2DM or ‘at risk’ of T2DM. The findings will be used to guide future PA interventions and to develop effective community-based diabetes prevention and treatment programs.

Trial Registration: Australian New Zealand Clinical Trials Registry No: ACTRN12616001309471

Original language	English
Pages (from-to)	53-62
Number of pages	10
Journal	Contemporary Clinical Trials
Volume	78
DOIs	https://doi.org/10.1016/j.cct.2019.01.007
Publication status	Published - Mar 2019
Externally published	Yes

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SDG 3 Good Health and Well-being

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10.1016/j.cct.2019.01.007

Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk' of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study ProtocolAccepted author manuscript, 1.11 MBLicence: CC BY-NC-ND

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Murphy, M. L., Lubans, D. R., Cohen, K. E., Robards, S. L., Wilczynska, M., Kennedy, S. G., James, E. L., Brown, W. J., Courneya, K. S., Sigal, R. J., & Plotnikoff, R. C. (2019). Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol. Contemporary Clinical Trials, 78, 53-62. https://doi.org/10.1016/j.cct.2019.01.007

Murphy, Maria L. ; Lubans, David R. ; Cohen, Kristen E. et al. / Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol. In: Contemporary Clinical Trials. 2019 ; Vol. 78. pp. 53-62.

@article{923200cf215648a4990ffaab78b38856,

title = "Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers {\textquoteleft}at risk{\textquoteright} of, or diagnosed with, type 2 diabetes: The {\textquoteleft}SMART Health{\textquoteright} Pilot Study Protocol",

abstract = "Introduction: Type 2 diabetes mellitus (T2DM) is a global public health concern. Aerobic physical activity (PA) and resistance training (RT) play significant roles in the prevention and management of T2DM. The aim of this pilot trial is to determine the preliminary efficacy and confirm feasibility of referral to exercise physiologists, psychologists, and provision of a technology-based behavior change support package to promote aerobic PA and RT in school teachers {\textquoteleft}at risk{\textquoteright} of or diagnosed with T2DM. Research design and methods: The SMART (Support, Motivation and Physical Activity Research for Teachers{\textquoteright}) Health pilot study will be evaluated using a three-arm randomized controlled trial. The intervention will be guided by Social Cognitive Theory, Health Action Process Approach Model and Cognitive Behavioral Therapy strategies. The participants will be randomly allocated to one of three study groups: Group 1: wait-list control group; Group 2: 5 face-to-face visits with a psychologist and exercise specialist over 3 months; and Group 3: same as Group 2 plus technology-based behavior change support package for an additional 6 months. Assessments will be conducted at baseline, 3-, 9- (primary time-point) and 18-months post-baseline. The primary outcome will be PA measured with pedometers. Discussion: SMART Health is an innovative, multi-component intervention, that integrates referral to exercise specialists, psychologists and provision of a technology-based behavior support package to promote PA and RT in adults diagnosed with T2DM or {\textquoteleft}at risk{\textquoteright} of T2DM. The findings will be used to guide future PA interventions and to develop effective community-based diabetes prevention and treatment programs. Trial Registration: Australian New Zealand Clinical Trials Registry No: ACTRN12616001309471",

author = "Murphy, \{Maria L.\} and Lubans, \{David R.\} and Cohen, \{Kristen E.\} and Robards, \{Sara L.\} and Magdalena Wilczynska and Kennedy, \{Sarah G.\} and James, \{Erica L.\} and Brown, \{Wendy J.\} and Courneya, \{Kerry S.\} and Sigal, \{Ronald J.\} and Plotnikoff, \{Ronald C.\}",

note = "Funding Information: This project is funded by Hunter Medical Research Institute (HMRI), grant number: HMRI 15-32 . The authors would like to acknowledge Beatrice Murawski for delivering some of the Psychology Specialist sessions. The authors would also like to acknowledge the Teachers{\textquoteright} Health Foundation. Publisher Copyright: {\textcopyright} 2019",

year = "2019",

month = mar,

doi = "10.1016/j.cct.2019.01.007",

language = "English",

volume = "78",

pages = "53--62",

journal = "Contemporary Clinical Trials",

issn = "1551-7144",

publisher = "CA: Journal of Cultural Analytics",

}

Murphy, ML, Lubans, DR, Cohen, KE, Robards, SL, Wilczynska, M, Kennedy, SG, James, EL, Brown, WJ, Courneya, KS, Sigal, RJ & Plotnikoff, RC 2019, 'Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol', Contemporary Clinical Trials, vol. 78, pp. 53-62. https://doi.org/10.1016/j.cct.2019.01.007

Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol. / Murphy, Maria L.; Lubans, David R.; Cohen, Kristen E. et al.
In: Contemporary Clinical Trials, Vol. 78, 03.2019, p. 53-62.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol

AU - Murphy, Maria L.

AU - Lubans, David R.

AU - Cohen, Kristen E.

AU - Robards, Sara L.

AU - Wilczynska, Magdalena

AU - Kennedy, Sarah G.

AU - James, Erica L.

AU - Brown, Wendy J.

AU - Courneya, Kerry S.

AU - Sigal, Ronald J.

AU - Plotnikoff, Ronald C.

N1 - Funding Information: This project is funded by Hunter Medical Research Institute (HMRI), grant number: HMRI 15-32 . The authors would like to acknowledge Beatrice Murawski for delivering some of the Psychology Specialist sessions. The authors would also like to acknowledge the Teachers’ Health Foundation. Publisher Copyright: © 2019

PY - 2019/3

Y1 - 2019/3

N2 - Introduction: Type 2 diabetes mellitus (T2DM) is a global public health concern. Aerobic physical activity (PA) and resistance training (RT) play significant roles in the prevention and management of T2DM. The aim of this pilot trial is to determine the preliminary efficacy and confirm feasibility of referral to exercise physiologists, psychologists, and provision of a technology-based behavior change support package to promote aerobic PA and RT in school teachers ‘at risk’ of or diagnosed with T2DM. Research design and methods: The SMART (Support, Motivation and Physical Activity Research for Teachers’) Health pilot study will be evaluated using a three-arm randomized controlled trial. The intervention will be guided by Social Cognitive Theory, Health Action Process Approach Model and Cognitive Behavioral Therapy strategies. The participants will be randomly allocated to one of three study groups: Group 1: wait-list control group; Group 2: 5 face-to-face visits with a psychologist and exercise specialist over 3 months; and Group 3: same as Group 2 plus technology-based behavior change support package for an additional 6 months. Assessments will be conducted at baseline, 3-, 9- (primary time-point) and 18-months post-baseline. The primary outcome will be PA measured with pedometers. Discussion: SMART Health is an innovative, multi-component intervention, that integrates referral to exercise specialists, psychologists and provision of a technology-based behavior support package to promote PA and RT in adults diagnosed with T2DM or ‘at risk’ of T2DM. The findings will be used to guide future PA interventions and to develop effective community-based diabetes prevention and treatment programs. Trial Registration: Australian New Zealand Clinical Trials Registry No: ACTRN12616001309471

AB - Introduction: Type 2 diabetes mellitus (T2DM) is a global public health concern. Aerobic physical activity (PA) and resistance training (RT) play significant roles in the prevention and management of T2DM. The aim of this pilot trial is to determine the preliminary efficacy and confirm feasibility of referral to exercise physiologists, psychologists, and provision of a technology-based behavior change support package to promote aerobic PA and RT in school teachers ‘at risk’ of or diagnosed with T2DM. Research design and methods: The SMART (Support, Motivation and Physical Activity Research for Teachers’) Health pilot study will be evaluated using a three-arm randomized controlled trial. The intervention will be guided by Social Cognitive Theory, Health Action Process Approach Model and Cognitive Behavioral Therapy strategies. The participants will be randomly allocated to one of three study groups: Group 1: wait-list control group; Group 2: 5 face-to-face visits with a psychologist and exercise specialist over 3 months; and Group 3: same as Group 2 plus technology-based behavior change support package for an additional 6 months. Assessments will be conducted at baseline, 3-, 9- (primary time-point) and 18-months post-baseline. The primary outcome will be PA measured with pedometers. Discussion: SMART Health is an innovative, multi-component intervention, that integrates referral to exercise specialists, psychologists and provision of a technology-based behavior support package to promote PA and RT in adults diagnosed with T2DM or ‘at risk’ of T2DM. The findings will be used to guide future PA interventions and to develop effective community-based diabetes prevention and treatment programs. Trial Registration: Australian New Zealand Clinical Trials Registry No: ACTRN12616001309471

UR - https://www.scopus.com/pages/publications/85060536616

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DO - 10.1016/j.cct.2019.01.007

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JO - Contemporary Clinical Trials

JF - Contemporary Clinical Trials

ER -

Murphy ML, Lubans DR, Cohen KE, Robards SL, Wilczynska M, Kennedy SG et al. Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers ‘at risk’ of, or diagnosed with, type 2 diabetes: The ‘SMART Health’ Pilot Study Protocol. Contemporary Clinical Trials. 2019 Mar;78:53-62. doi: 10.1016/j.cct.2019.01.007

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