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Move@NUS: a Digital Intervention Cohort Promoting Healthy Movement Behaviours
The aim of the Move@NUS pilot study is to determine the feasibility of establishing a digital intervention cohort to monitor and improve the health and wellbeing of students by encouraging them to engage in healthy movement behaviours (i.e., physical activity, sleep, and limiting smartphone-based recreational screentime).
The digital intervention cohort consists of:
- 6-months of continuous monitoring of movement behaviours, wellbeing and related factors via an Apple Watch and repeated bursts of ecological momentary assessments (EMAs).
- 3x embedded randomised controlled trials (RCTs) evaluating the efficacy of small-scale smartphone-based interventions designed to nudge participants toward participating in healthier movement behaviours.
- establishing a digital cohort study and continuously monitoring health behaviours and wellbeing (and related factors) for 6 months, and
- rapidly evaluating the effects of ecological momentary interventions (EMIs; small-scale interventions that provide support in real-time, delivered via the smartwatch and app) for promoting healthy movement behaviours via a series of embedded RCTs.
The investigators will enrol up to 150 first-year university students into an innovative hybrid study that combines a digital cohort with embedded randomised controlled trials (RCTs). The digital cohort consists of 6 months of continuous observations of movement behaviours, wellbeing, and related factors via a smartwatch (Apple Watch) and repeated bursts of smartphone-based ecological momentary assessment (EMA) surveys. Throughout the 6-month monitoring period, participants are enrolled in 3 embedded RCTs evaluating the effects of EMIs that, in turn, target sleep, physical activity, and smartphone-based recreational screentime. For each embedded-RCT we assess engagement and acceptability outcomes (e.g., whether a push notification is opened, whether it is responded to), and preliminary efficacy (i.e., whether there is a between group difference in the target behaviour from pre- to post-intervention). Participants also complete traditional questionnaires at baseline, 3-, and 6-month follow-up.
Move@NUS: Pilot Study of a Digital Intervention Cohort to Promote Healthy Sleep, Screen Viewing, and Physical Activity Habits for Improved Health and Wellbeing
- NUS-IRB-2023-800
smartwatch
Apple Watch
ecological momentary assessment (EMA)
ecological momentary intervention (EMI)
mhealth
digital health
| 참가자 그룹/시험군 | 개입/치료 |
|---|---|
실험적RCT 1 - group 1 Sleep Hygiene Ecological Momentary Intervention (EMI) | Educational Content (Sleep Hygiene) app-based sleep hygiene-related educational content Sleep Hygiene Strategies app-based self-selection of sleep hygiene strategies 알림 daily reminders sent via push notifications Review of Behavioural Goal app-based review of behavioural goal 목표 설정 prompt participant to set a goal in relation to targeted behaviour |
실험적RCT 1 - group 2 Personalised Sleep Guideline EMI | 알림 daily reminders sent via push notifications Review of Behavioural Goal app-based review of behavioural goal Educational Content (Sleep Guidelines) app-based educational content on recommended sleep guidelines Comparison of Current Behaviour to Ideal Behaviour use of smartwatch/smartphone data to assess current behaviour and compare it to ideal behaviour 목표 설정 prompt participant to set a goal in relation to targeted behaviour |
비개입RCT 1 - group 3 Control | 해당 없음 |
실험적RCT 2 - group 1 Stair Climbing EMI | 알림 daily reminders sent via push notifications Review of Behavioural Goal app-based review of behavioural goal Comparison of Current Behaviour to Ideal Behaviour use of smartwatch/smartphone data to assess current behaviour and compare it to ideal behaviour 목표 설정 prompt participant to set a goal in relation to targeted behaviour |
실험적RCT 2 - group 2 Vigorous Intermittent Lifestyle Physical Activity (VILPA) EMI | 알림 daily reminders sent via push notifications Review of Behavioural Goal app-based review of behavioural goal 목표 설정 prompt participant to set a goal in relation to targeted behaviour Educational Content (Vigorous Intermittent Lifestyle Physical Activity (VILPA)) app-based educational content on VILPA |
비개입RCT 2 - group 3 Control | 해당 없음 |
실험적RCT 3 - group 1 Screentime Breaktime EMI | Review of Behavioural Goal app-based review of behavioural goal Comparison of Current Behaviour to Ideal Behaviour use of smartwatch/smartphone data to assess current behaviour and compare it to ideal behaviour Screentime Breaks repeated daily reminders to break up screentime |
실험적RCT 3 - group 2 Screentime Goal EMI | 알림 daily reminders sent via push notifications Review of Behavioural Goal app-based review of behavioural goal Comparison of Current Behaviour to Ideal Behaviour use of smartwatch/smartphone data to assess current behaviour and compare it to ideal behaviour 목표 설정 prompt participant to set a goal in relation to targeted behaviour |
비개입RCT 3 - group 3 Control | 해당 없음 |
| 결과변수 | 측정값 설명 | 시간 범위 |
|---|---|---|
RCT 1. Sleep | Sleep duration, as assessed via Apple Watch | week 1 (pre-intervention), week 3 (intervention midpoint), week 5 (post-intervention), and continuously throughout the 6-month study |
RCT 2. Physical activity | Step counts, as assessed via Apple Watch | week 6 (pre-intervention), week 8 (intervention midpoint), week 10 (post-intervention), and continuously throughout the 6-month study |
RCT 2. Physical activity | Flights of stairs climbed, as assessed via Apple Watch | week 6 (pre-intervention), week 8 (intervention midpoint), week 10 (post-intervention), and continuously throughout the 6-month study |
RCT 2. Physical activity | Moderate-to-vigorous physical activity, as assessed via Apple Watch | week 6 (pre-intervention), week 8 (intervention midpoint), week 10 (post-intervention), and continuously throughout the 6-month study |
RCT 3. Screentime | Screenshots of passively captured smartphone screentime data | week 6 (pre-intervention), week 8 (intervention midpoint), week 10 (post-intervention), and continuously throughout the 6-month study |
Wellbeing | Mental wellbeing, WHO-5 Well-Being Index (WHO-5; World Health Organisation). Min value 0, max value 100; higher scores indicate greater wellbeing. | Continuously over 6-months |
Participants are eligible to join the study if they:
- are enrolled in the first year of an undergraduate degree at the National University of Singapore,
- own or use an Apple smartphone with a data plan,
- are willing to download and use a smartphone app, and
- have an Apple smartwatch (Series 6/SE or newer) and are willing to wear it continuously for the 6-month study duration.
Participants will be excluded if they are:
- pregnant, or
- planning to be overseas for more than 6 weeks (per trip) during the upcoming semester.