AzTrials
AzTrials

Multiple SclerosisNCT03136744

Reducing Sedentary Behaviour: A Novel Opportunity for Managing Comorbidity in MS?

A study testing Sit Less with MS in people with Multiple Sclerosis, run by University of Alberta at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Activity recommendations for the general population and those with multiple sclerosis (MS) focus on the promotion of activity that has a moderate intensity - in other words, activity intense enough to breathe heavily and sweat. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
Sit Less with MS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteCanada
Study dates
3 Feb 2018to 31 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • confirmed diagnosis of MS of at least one-year duration.
  • Expanded Disability Status Scale (EDSS) scores between 1 and 6.5.
  • stable in terms of disease modifying drugs and rehabilitation over the previous 6 months.
  • relapse free within the previous 3 months.
  • physically inactive, defined as insufficiently active by Godin-Shephard Leisure-Time Physical Activity Questionnaire.
  • able to walk with or without a walking aid for 10 meters.

Who cannot join

  • other neurological problems besides MS or medically unstable to engage in the program.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • University of Alberta

    Edmonton, Alberta, T6G 2G4

Other trials in Canada

About this study

Activity recommendations for the general population and those with multiple sclerosis (MS) focus on the promotion of activity that has a moderate intensity - in other words, activity intense enough to breathe heavily and sweat. Most adults do not achieve the recommended 150 minutes of moderate-intensity activity per week. Even fewer persons with MS meet the recommendations. Those with MS often have problems with walking and fatigue, thus it is not difficult to understand that moderate intensity activity is challenging. Our study will test the feasibility of a new approach focusing on activity over the whole day - promoting light activity such as standing or walking around the house while reducing prolonged sitting (sedentary behaviour). This approach is supported by research evidence showing that too much sedentary time, especially prolonged bouts of sitting, is associated with health risk factors such as obesity and cholesterol level. Recent work with persons with MS confirms that prolonged sitting is a problem for this population and emphasises the potential importance of this approach.

This study tests the feasibility of an internet-based intervention designed to decrease sedentary behaviour and to increase upright time in people with MS.

Read the detailed description

Background: The health risks of sedentary behaviour or 'sitting too much' for the general population are receiving widespread media attention, with bylines that include, "comfy chairs are killing us very softly" or "don't just sit there!" Others have suggested that sitting is the new smoking! This media attention reflects the exponential growth of research on sedentary behaviour in the last 10 years [1-4]. The investigators believe that learning more about sedentary behaviour and its health risks may be particularly relevant for those with multiple sclerosis (MS). People with MS are substantially less active than persons without MS and have co-morbidities such as walking disability and fatigue that may make achieving the 'typical' moderate to vigorous intensity exercise targets very difficult. The investigators will test a new approach to activity promotion that focuses on reducing sedentary behaviour and moving more during the day. This approach is likely to be more feasible and lead to more sustainable activity behaviour change in persons with MS. It's broad applicability - to persons with MS who move well, to those who need help to walk, and perhaps only walk at home - is a major strength of this new approach. In the end, if found to be effective, it could mean that a large majority of those with MS could receive the benefits of activity that they may be missing out on if only the usual moderate to vigorous activity programme is recommended.

Purpose: The purpose of this project is to test the feasibility of a sedentary behaviour intervention program on reducing sedentary behaviour and improving co-morbidities such as walking disability and fatigue in people with MS.

Methods: Forty persons with MS will be recruited from the community (mostly from Edmonton through our collaboration with the MS Society of Alberta) and the MS Clinic (University of Alberta Campus). The participants will be involved with the study for 24 weeks, including a 16-week intervention and an 8-week follow-up. The intervention includes two 8-week stages; 1) Sit Less Stage- Interruptions to prolonged sitting, and 2) Move More Stage- Reduction in total sitting time through replacing sitting with light physical activities.

Baseline testing will consist of demographic, anthropometric, impairment and functional testing. Subsequently, participants will be set up with an activity monitor (ActivPAL) to wear for 7 days. All outcomes, including those from the ActivPAL, will be assessed at three-time points: Baseline (Week 0), Post-intervention (Week 16), and Follow-up (Week 24). However, at mid-intervention (Week 8), data will be collected only from the ActivPAL activity monitor. A log book will be used by participants to record their wake-time and sleep-time and times when they didn't wear the monitor.

Intervention: Once baseline testing is completed, in the first week of intervention a Fitbit monitor will be attached to each participant's waist, and the participants will be asked to do the activities that they normally do every day. This information will be used to determine usual activity behaviour. Also, participants will be asked to wear the Fitbit throughout the entire 16 weeks of the intervention. A program manual will be provided to the participants to guide them throughout the 16 weeks of the intervention. In addition to the program manual, participants will receive (via email) a weekly newsletter that emphasises an aspect of behaviour change from social cognitive theory and Skype chats will be conducted as well.

Analysis: Most of the feasibility outcomes will be descriptive related to recruitment (e.g., number of participants enrolled/number of participants approached) and adherence to the intervention. Descriptive statistics (mean, SD) will be used to characterize the sample. A two-way mixed factor ANOVA will be used to determine whether there are main (time, level of disability) and/or interaction effects for two primary sedentary behaviour outcomes - the average number of sedentary interruptions, and average sedentary time per day. Effect sizes will be calculated for each of the sedentary behaviour and the co-morbidity outcomes. Where clinically meaningful change benchmarks are available, we will determine if changes achieved from the intervention were clinically significant.

Being tested
Sit Less with MS
Keywords
Sedentary behaviour, Co-morbidity, Intervention
Medical subject headings
Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sit Less with MSBehavioural

    The Sit Less with MS intervention has a total duration of 16 weeks and consists of two stages: sit less and move more stages. During the first stage (sit less), we will conduct coaching sessions with participants every week and the focus will be on interrupting their sitting time every 30 minutes. Facebook and Twitter will be also used to provide information and supplement coaching sessions. During the second stage, the focus will be on encouraging the participants to move more by replacing sitting with light intensity activities frequently throughout waking hours.

Study groups in NCT03136744
Study groupRoleWhat they receive
Sit Less with MSExperimentalThe Sit Less with MS program is based on Social Cognitive Theory (SCT) and consists of strategies that will enable people with MS to 'sit less' by frequently interrupting sitting and 'move more' by replacing sitting with light-intensity activity during waking hours.
Receives: Behavioral: Sit Less with MS

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of sedentary interruptions per day

    Change in number of sedentary breaks from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  2. Average sedentary time per day

    Change in sedentary time from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

Secondary outcomes (12)
  1. Patient Determined Disease Steps (PDDS)

    The PDDS will be used to track patient-reported impairment level from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  2. Fatigue Severity Scale (FSS)

    The FSS will be used to track patient-reported fatigue level from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  3. Modified Fatigue Impact Scale

    The Modified Fatigue Impact Scale will be used to track the impact of fatigue from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  4. Symbol Digit Modality Test

    The Symbol Digit Modality Test will be used to monitor cognitive status from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  5. Hospital Anxiety and Depression Scale

    The Hospital Anxiety and Depression Scale will be used to monitor level of depression from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  6. Short Form McGill Pain Questionnaire

    The Short Form McGill Pain Questionnaire will be used to monitor level of pain from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  7. Pittsburgh Sleep Quality Questionnaire

    The Pittsburgh Sleep Quality Questionnaire will be used to monitor sleep quality from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  8. Godin-Shephard Leisure-Time Physical Activity Questionnaire

    The Godin-Shephard Leisure-Time Physical Activity Questionnaire will be used to track self-reported physical activity level from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  9. 6-minute Walk Test

    The 6-minute Walk test will be used to measure endurance from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  10. 10-meter Walk test

    The 10-meter Walk test will be used to assess gait speed from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  11. Short Physical Performance Battery

    The Short Physical Performance Battery will be monitor balance, walking speed, and function from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

  12. Quality of Life (SF-36) Questionnaire

    The Quality of Life (SF-36) Questionnaire will be used to monitor patient-reported quality of life from baseline to post-intervention and follow-up

    Measured: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 May 2017
  2. Study start3 Feb 2018
  3. Primary completion12 Jun 2019
  4. Study completion31 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03136744
Sponsor's protocol ID
RES0026185
Status last verified
Feb 2020
First submitted
24 Apr 2017
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Participants de-identified data may be shared with our co-PI, Dr. Motl, with University of Alabama at Birmingham

Publications

  • Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008 Apr;31(4):661-6. doi: 10.2337/dc07-2046. Epub 2008 Feb 5.

    PubMed 18252901
  • Healy GN, Matthews CE, Dunstan DW, Winkler EA, Owen N. Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003-06. Eur Heart J. 2011 Mar;32(5):590-7. doi: 10.1093/eurheartj/ehq451. Epub 2011 Jan 11.

    PubMed 21224291
  • Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010 Jul;38(3):105-13. doi: 10.1097/JES.0b013e3181e373a2.

    PubMed 20577058
  • van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in 222 497 Australian adults. Arch Intern Med. 2012 Mar 26;172(6):494-500. doi: 10.1001/archinternmed.2011.2174.

    PubMed 22450936
  • Mehrabani G, Aminian S, Norton S, Motl RW, Manns PJ. Preliminary efficacy of the "SitLess with MS" intervention for changing sedentary behaviour, symptoms, and physical performance in multiple sclerosis. Disabil Rehabil. 2022 Oct;44(21):6374-6381. doi: 10.1080/09638288.2021.1966520. Epub 2021 Aug 25.

    PubMed 34433359
  • Aminian S, Motl RW, Rowley J, Manns PJ. Management of multiple sclerosis symptoms through reductions in sedentary behaviour: protocol for a feasibility study. BMJ Open. 2019 Apr 1;9(4):e026622. doi: 10.1136/bmjopen-2018-026622.

    PubMed 30940762

Questions about this trial

What is this clinical trial studying?

A study testing Sit Less with MS in people with Multiple Sclerosis, run by University of Alberta at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of sedentary interruptions per day (time frame: Baseline (week 0), post-intervention (week 16), and follow-up (week 24)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03136744, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024; AzTrials last refreshed its copy on 30 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in