The Power of 24-hour: Co-designing Intervention Components

Ghent University Hospital (UZ)

Status: Enrolling

Conditions: Overweight and Obesity

Treatments: Other: Concept mapping: brainstorm; Other: Concept mapping: clustering and rating

Study type: Observational

Funder types: Other

Identifiers

NCT06269159

ONZ-2023-0185

Details and patient eligibility

About

Most of the existing lifestyle interventions in adults with overweight or obesity focus on one movement behavior in isolation (i.e. moderate to vigorous physical activity (MVPA)). However, recent research suggests to incorporate all movement behaviors performed in one day to explore the possible synergistic health effects of targeting more than one behavior. Moreover, more optimal 24-hour movement behavior compositions are related with better cardiometabolic health. Literature shows that adults with obesity have less optimal 24-hour compositions (8-9). Therefore it would be of interest to discover the needs related to an optimal 24-hour movement behavior intervention for a group of adults with overweight and obesity using co-design to develop an intervention.

This study will conduct a concept mapping protocol to explore the needs to of people with overweight and obesity to change their sedentary behavior into more physical activity as well to include the opinion of health care providers (HCP are physiotherapists) on the needs of their patients.

Enrollment: 210 estimated patients

Sex: All

Ages: 25 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Group Health Care providers

Inclusion Criteria:

• The HCP will consist of physiotherapists and movement on referral coaches (https://www.gezondleven.be/projecten/bewegen-op-verwijzing). HCP are included when working on a healthy lifestyle as well as working with clients struggling with overweight or obesity.

Group Adults with overweight and obesity

Inclusion Criteria:

• Adults aged 25-64 years
• Active on the job market for at least 50 percent
• BMI ≥25kg/m²

Exclusion Criteria:

• • Retirement and early retirement
• Unemployment
• Working for less than 50 percent
• Working in night shifts
• Physical (e.g. amputations, paralysis, recovering from stroke, osteoarthritis), cognitive (e.g. dementia, psychological disorders) and major medical (e.g. Chronic respiratory diseases, heart failure, cardiovascular diseases, cancer) conditions that obstruct daily functioning
• Diabetes diagnosed by a general practitioner
• Pregnancy
• Pregnancy <1 year ago
• Currently involved in study specific weight loss interventions
• Post-surgery weight loss interventions
• Waitlist for weight loss surgery
• Hospitalized

Trial design

210 participants in 2 patient groups

Health care providers

Description:

10 health care providers: physiotherapist working with adults with overweight and obesity

Treatment:

Other: Concept mapping: clustering and rating

Other: Concept mapping: brainstorm

Adults with overweight and obesity

Description:

Inclusion criteria Adults aged 25-64 years Active on the job market for at least 50 percent BMI ≥25kg/m² Exclusion criteria Retirement and early retirement Unemployment Working for less than 50 percent Working in night shifts Physical (e.g. amputations, paralysis, recovering from stroke, osteoarthritis), cognitive (e.g. dementia, psychological disorders) and major medical (e.g. Chronic respiratory diseases, heart failure, cardiovascular diseases, cancer) conditions that obstruct daily functioning Diabetes diagnosed by a general practitioner Pregnancy Pregnancy <1 year ago Currently involved in study specific weight loss interventions Post-surgery weight loss interventions Waitlist for weight loss surgery Hospitalized

Treatment:

Other: Concept mapping: clustering and rating

Other: Concept mapping: brainstorm