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Internet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults: Results of a randomized controlled trial
Abstract
Objectives To determine whether the Active Living Every Day (ALED-I) internet-delivered theory-based physical activity (PA) behavior change program increases PA and improves cardiometabolic disease risk factors (CDRF) in sedentary overweight adults.Methods The study was a randomized control trial that took place in southern Wyoming and northern Colorado from 2005-2007. Thirty-two men and women (21-65 years) were randomized to a 16-week ALED-I intervention (n=14; age=41.4+/-3.7 years; BMI=32.3+/-1.3 kg/m(2)) or a delayed intent-to-treat control condition (n=18; age=49.4+/-1.7 years; BMI=30.6+/-0.8 kg/m(2)). At baseline and post-intervention, PA by pedometer and CDRFs were measured.Results Both groups had similar baseline PA levels. ALED-I increased PA by an average of 1384 steps/day (p=0.03) compared to 816 steps/day (p=0.14) for the control group. Waist circumference (100.6+/-2.4 vs. 96.6+/-2.7 cm) and Coronary Risk Ratio (5.1+/-0.3 vs. 4.7+/-0.3) decreased in the ALED-I group and did not change in the control group (99.2+/-2.2 vs.99.8+/-2.1 cm) and (3.7+/-0.1 vs. 3.7+/-0.1), respectively.Conclusions The internet-delivered ALED program increased PA and improved some CDRFs in sedentary overweight/obese adults. To our knowledge, this is the first efficacy trial of the internet-delivered ALED program. Further studies are warranted due to the reach and cost-effectiveness of internet-delivered PA programs.
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“Using the previously described rating system, logins were found to be positively associated with outcome in studies targeting food and vegetable consumption [32], physical activity [33-37], and weight management [38-40].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [33]
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“In studies targeting physical activity [33,34] or depression [45], the number of activities completed was not found to correlate with outcomes.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [33]
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“Several studies categorized participants into adherent or not [49,54,57,75], or usage categories such as low, medium, and high [60], while others used continuous variables [23,24,33-36,38-41,43-45,50-52,55,56,58,59,61,76] or a combination of these [42,46,53,64-66,77].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [33]
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“In all, 12 studies described in 14 publications (hereafter, the number of publications referenced may exceed the number of studies to which they refer) targeted physical activity [16,28,36-47], 4 targeted nutrition (eg fruit, vegetable, or saturated fat consumption) [48-53], 14 targeted weight management (eg, weight l…”
Background
Metadata
- Authors
- Carr, L. J., Bartee, R. T., Dorozynski, C., Broomfield, J. F., Smith, M. L., & Smith, D. T.
- Affiliations
- University of Wyoming (US)
- Corresponding author
- Smith, Derek T.
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 46
- Issue
- 5
- Pages
- 431-438
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W1976954873
- Cited by
- 118
- References
- 52
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 8 · 2023: 10 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 10
- FWCI
- 7.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2p20rr016474-09)
- National Center for Research Resources (P20-RR-016474)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- online intervention, physical activity, behaviour change interventions, cardiometabolic risk factors, sedentary adults, overweight adults, theory-based intervention, waist circumference, pedometer-measured steps, obesity
- MeSH terms
- Adult, Analysis of Variance, Colorado, Computer-Assisted Instruction, Female, Health Promotion, Humans, Male, Middle Aged, Obesity, Risk Factors, Wyoming, Exercise, Internet, Metabolic Syndrome
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