Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol

Introduction Physical inactivity and excessive sedentary behaviours are major preventable causes in both the development and the treatment of obesity and type 2 diabetes mellitus (T2DM). Nevertheless, current programmes struggle to engage and sustain physical activity (PA) of patients over long peri...

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Main Authors: Bruno Pereira, Martine Duclos, Alexandre Mazéas, Aïna Chalabaev, Marine Blond
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e058015.full
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author Bruno Pereira
Martine Duclos
Alexandre Mazéas
Aïna Chalabaev
Marine Blond
author_facet Bruno Pereira
Martine Duclos
Alexandre Mazéas
Aïna Chalabaev
Marine Blond
author_sort Bruno Pereira
collection DOAJ
description Introduction Physical inactivity and excessive sedentary behaviours are major preventable causes in both the development and the treatment of obesity and type 2 diabetes mellitus (T2DM). Nevertheless, current programmes struggle to engage and sustain physical activity (PA) of patients over long periods of time. To overcome these limitations, the Digital Intervention Promoting Physical Activity among Obese people randomised controlled trial (RCT) aims to evaluate the effectiveness of a group-based digital intervention grounded on gamification strategies, enhanced by social features and informed by the tenets of the self-determination theory and the social identity approach.Methods and analysis This trial is a two-arm parallel RCT testing the effectiveness of the Kiplin digital intervention on obese and patients with T2DM in comparison to the usual supervised PA programme of the University Hospital of Clermont-Ferrand, France. A total of 50 patients will be randomised to one of the two interventions and will follow a 3-month programme with a 6-month follow-up postintervention. The primary outcome of the study is the daily step count change between the baseline assessment and the end of the intervention. Accelerometer data, self-reported PA, body composition and physical capacities will also be evaluated. To advance our understanding of complex interventions like gamified and group-based ones, we will explore several psychological mediators relative to motivation, enjoyment, in-group identification or perceived weight stigma. Finally, to assess a potential superior economic efficiency compared with the current treatment, we will conduct a cost–utility analysis between the two conditions. A mixed-model approach will be used to analyse the change in outcomes over time.Ethics and dissemination The research protocol has been reviewed and approved by the Local Human Protection Committee (CPP Ile de France XI, No 21 004-65219). Results will inform the Kiplin app development, be published in scientific journals and disseminated in international conferences.Trial registration number NCT04887077.
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spelling doaj-art-de8a6493c4ff4c0cba4efaf61681ef602025-01-28T08:30:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058015Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocolBruno Pereira0Martine Duclos1Alexandre Mazéas2Aïna Chalabaev3Marine Blond4Department of Biostatistics Unit (DRCI), University Hospital Centre, Clermont-Ferrand, FranceDepartment of Sport Medicine and Functional Exploration, University Hospital CHU G. Montpied, INRA, UNH, CRNH Auvergne, University of Auvergne, Clermont-Ferrand, FranceSENS, Univ. Grenoble Alpes, 38000 Grenoble, FranceSENS, Univ. Grenoble Alpes, 38000 Grenoble, FranceKiplin, Nantes, FranceIntroduction Physical inactivity and excessive sedentary behaviours are major preventable causes in both the development and the treatment of obesity and type 2 diabetes mellitus (T2DM). Nevertheless, current programmes struggle to engage and sustain physical activity (PA) of patients over long periods of time. To overcome these limitations, the Digital Intervention Promoting Physical Activity among Obese people randomised controlled trial (RCT) aims to evaluate the effectiveness of a group-based digital intervention grounded on gamification strategies, enhanced by social features and informed by the tenets of the self-determination theory and the social identity approach.Methods and analysis This trial is a two-arm parallel RCT testing the effectiveness of the Kiplin digital intervention on obese and patients with T2DM in comparison to the usual supervised PA programme of the University Hospital of Clermont-Ferrand, France. A total of 50 patients will be randomised to one of the two interventions and will follow a 3-month programme with a 6-month follow-up postintervention. The primary outcome of the study is the daily step count change between the baseline assessment and the end of the intervention. Accelerometer data, self-reported PA, body composition and physical capacities will also be evaluated. To advance our understanding of complex interventions like gamified and group-based ones, we will explore several psychological mediators relative to motivation, enjoyment, in-group identification or perceived weight stigma. Finally, to assess a potential superior economic efficiency compared with the current treatment, we will conduct a cost–utility analysis between the two conditions. A mixed-model approach will be used to analyse the change in outcomes over time.Ethics and dissemination The research protocol has been reviewed and approved by the Local Human Protection Committee (CPP Ile de France XI, No 21 004-65219). Results will inform the Kiplin app development, be published in scientific journals and disseminated in international conferences.Trial registration number NCT04887077.https://bmjopen.bmj.com/content/12/6/e058015.full
spellingShingle Bruno Pereira
Martine Duclos
Alexandre Mazéas
Aïna Chalabaev
Marine Blond
Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
BMJ Open
title Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
title_full Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
title_fullStr Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
title_full_unstemmed Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
title_short Digital intervention promoting physical activity among obese people (DIPPAO) randomised controlled trial: study protocol
title_sort digital intervention promoting physical activity among obese people dippao randomised controlled trial study protocol
url https://bmjopen.bmj.com/content/12/6/e058015.full
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