Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30967
Title: Web-based physical activity promotion in young people with CF: a randomised controlled trial.
Austin Authors: Cox, Narelle S ;Eldridge, Beverley;Rawlings, Sarah;Dreger, Julianna;Corda, Jennifer;Hauser, Jennifer;Button, Brenda M;Bishop, Jennifer R;Nichols, Amanda;Middleton, Anna;Ward, Nathan;Dwyer, Tiffany;Dentice, Ruth;Lazarus, Raynuka;O'Halloran, Paul;Lee, Joanna Y T;Mellerick, Christie;Mackintosh, Kelly;McNarry, Melitta;Williams, Craig Anthony;Holland, Anne E 
Affiliation: Institute for Breathing and Sleep
Physiotherapy, Sydney Children's Hospital Network Westmead, Sydney, New South Wales, Australia
Physiotherapy, Royal Adelaide Hospital, Adelaide, South Australia, Australia
Discipline of Physiotherapy, Sydney School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
Respiratory Medicine, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
Physiotherapy, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
Respiratory Research@Alfred, Department of Immunology and Pathology, Monash University, Melbourne, Victoria, Australia narelle.cox@monash.edu.. Institute for Breathing and Sleep, Melbourne, Victoria, Australia
College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
Children's Medical Research Institute, Melbourne, Victoria, Australia
Monash Health, Melbourne, Victoria, Australia
Physiotherapy, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
Tasmanian Adult CF Service, Royal Hobart Hospital, Hobart, Tasmania, Australia
Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
Allergy, Immunology and Respiratory Medicine, Alfred Health, Melbourne, Victoria, Australia
Faculty of Medicine, Monash University, Melbourne, Victoria, Australia
Respiratory Medicine, Westmead Hospital, Sydney, New South Wales, Australia
College of Engineering, Swansea University, Swansea, UK..
Children's Health and Exercise Research Centre, University of Exeter, Exeter, UK..
Issue Date: Jan-2023
Date: 2022
Publication information: Thorax 2023; 78(1)
Abstract: Physical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity in young pwCF. Multicentre randomised controlled trial with assessor blinding and qualitative evaluation. People with CF (12-35 years) admitted to hospital for a respiratory cause were eligible and randomised to the 12-week ActivOnline intervention (AO) or usual care (UC). The primary outcome was change in device-based time spent in moderate-to-vigorous physical activity (MVPA) from baseline to post-intervention. Follow-up was at 6 months from hospital discharge when qualitative evaluation was undertaken. 107 participants were randomised to AO (n=52) or UC (n=55). Sixty-three participants (59%) contributed to the intention-to-treat analysis. Mean (SD) age was 21 (6) years (n=46, <18 years). At baseline, physical activity levels were high in both groups (AO 102 (52) vs UC 127 (73) min/day). There was no statistically significant difference in MVPA between groups at either timepoint (post-intervention mean difference (95% CI) -14 mins (-45 to 16)). Uptake of the intervention was low with only 40% (n=21) of participants accessing the web application. A web-based application, including individualised goal setting, real-time feedback and motivation for behavioural change, was no better than usual care at promoting physical activity in young pwCF following hospital discharge. High levels of baseline physical activity levels in both groups, and limited engagement with the intervention, suggest alternative strategies may be necessary to identify and support young pwCF who would benefit from enhanced physical activity. ACTRN12617001009303, 13 July 13 2017.
URI: https://ahro.austin.org.au/austinjspui/handle/1/30967
DOI: 10.1136/thorax-2022-218702
ORCID: 0000-0001-6403-2894
0000-0002-6977-1028
0000-0003-2061-845X
Journal: Thorax
PubMed URL: 36180067
Type: Journal Article
Subjects: Cystic Fibrosis
Exercise
Pulmonary Rehabilitation
Appears in Collections:Journal articles

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