Action Planning for Physical Activity
(PACE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how different planning strategies can help older adults become more physically active and improve their thinking skills. It compares three planning approaches: general weekly planning, planning specifically for physical activity (PA Action Planning), and a trial-and-error method for finding the best personal plan (Consistency in Action Plans). Participants will wear a Fitbit for nine months, complete daily cognitive tests on their smartphone, and create weekly action plans to track their physical activity habits. Individuals aged 60 or older, who have a smartphone, and are currently not meeting physical activity guidelines but want to increase their activity, are well-suited for this study. As an unphased trial, this study provides a unique opportunity to explore personalized strategies for enhancing physical and cognitive health.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that these action planning approaches are safe for promoting physical activity in older adults?
In a previous study, researchers found that planning activities to increase physical activity were well-received by participants. These studies focused on creating specific plans, such as deciding when and where to exercise, to help people maintain their workout routines. The studies did not report any major negative effects, suggesting these plans are safe for most people.
Another study showed that planning activities significantly improved physical activity without causing harm. This approach proved both effective and safe for participants, as the study did not mention any serious side effects.
Overall, research indicates that planning-based methods for increasing physical activity are safe and can effectively encourage people to be more active without causing harm.12345Why are researchers excited about this trial?
Researchers are excited about the "Action Planning for Physical Activity" trial because it explores different ways to form habits that can boost physical activity. Unlike standard exercise programs that often provide a one-size-fits-all routine, this trial examines personalized weekly action plans that participants can tweak until they find what works best for them. The trial also includes smartphone prompts, which could improve consistency and help people build lasting habits. This approach is promising because it offers a flexible, individualized strategy to increase physical activity, potentially making it more sustainable in the long term.
What evidence suggests that this trial's planning approaches could be effective for promoting physical activity and improving cognitive functioning in older adults?
This trial will compare different planning strategies to increase physical activity. Studies have shown that planning can significantly boost exercise levels. Participants in the physical activity trial and error planning group will experiment with various action plans each week to find the most effective approach, which research suggests helps individuals discover and maintain optimal exercise routines. Meanwhile, the physical activity planning group will emphasize consistency, as consistent planning is linked to increased exercise and stronger habits and intentions over time. Overall, both adhering to a plan and remaining flexible have shown promise in enhancing physical activity levels, with research indicating that these strategies can help individuals maintain their exercise routines for up to 15 months.678910
Are You a Good Fit for This Trial?
This trial is for adults aged 60 or older who are not currently active enough but want to become more active in the next 6 months. Participants must speak English, own a smartphone, be able to walk without help, and be willing to use an app and wear a Fitbit. People with memory problems or planning major surgery/moving soon can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Participants complete mobile cognitive assessments daily for 7 days and wear Fitbit monitors to track baseline physical activity
Intervention
Participants engage in weekly action planning for physical activity or other health behaviors, with continuous Fitbit monitoring and monthly cognitive assessments
Follow-up
Participants are monitored for changes in physical activity and cognitive function, with assessments conducted at the end of the follow-up period
What Are the Treatments Tested in This Trial?
Interventions
- Consistency in Action Plans
- Non-PA Action Planning
- PA Action Planning
Trial Overview
The study compares three ways of making weekly plans: general planning (not about exercise), specific physical activity planning, and trying different PA plans until finding what works best. The goal is to see which method helps older adults build better exercise habits and improve thinking skills.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Placebo Group
Participants in this group will be instructed to create weekly action plans to engage in physical activity. Participants in this condition will be advised to spend 6 weeks trying different action plans each week to see what works best for them and then sticking to their preferred plan for the remaining weeks so their brain can 'learn' these mental cue-behavior associations that underpin habits. Further, participants in this group will be informed of the recommended volume of physical activity based on federal guidelines and instructed to develop action plans to engage in a self-selected physical activity (consistent with low-to-moderate intensity physical activity) that progressively increase in intensity and duration during the 6-month intervention. Participants in this group will receive weekly prompts and reminders to create action plans on their smartphone.
Participants in this group will be instructed to create weekly action plans to engage in physical activity. Further, participants in this group will be informed of the recommended volume of physical activity based on federal guidelines and instructed to develop action plans to engage in a self-selected physical activity (consistent with low-to-moderate intensity physical activity) that progressively increase in intensity and duration during the 6-month intervention. Participants in this group will receive weekly prompts and reminders to create action plans on their smartphone.
The non-physical activity planning group is our control condition, accounting for social contact and attention. Participants in this group will be instructed to create weekly action plans for one of four target health behavior (i.e., practice good sleep hygiene, make healthy food choices, wash my hands, practice good oral hygiene). Participants in this group will receive weekly prompts and reminders to create action plans on their smartphone.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of North Carolina, Greensboro
Lead Sponsor
University of South Carolina
Collaborator
Citations
The Effectiveness of Planning Interventions for Improving ...
The findings of this study indicate that planning interventions significantly improved PA behavior, and, in some contexts, the effects performed better. Future ...
The impact of action plans on habit and intention strength ...
Consistency of action planning during the intervention was associated with change in physical activity at 9-months, and intention and habit strength at 3-months ...
Consistent exercise timing as a strategy to increase physical ...
The purpose of this study was to assess the feasibility and acceptability of prescribed consistent exercise timing in a free-living setting among inactive ...
The Effectiveness of Planning Interventions for Improving ...
The findings of this study indicate that planning interventions significantly improved PA behavior, and, in some contexts, the effects performed ...
results of a cluster randomised controlled trial - Springer Nature
This study has shown that the PLAN-A intervention did not result in higher levels of weekday MVPA or associated secondary outcomes among Year 9 ...
NCT07447401 | Planning Actions for Consistent Engagement
Action plans will include specifying when, where, how, with whom participants will engage in physical activity over the upcoming week.
Increasing Physical Exercise through Action and Coping ...
A study that examined how two types of planning (Action and Coping) could bridge the intention-behaviour gap and increase physical exercise behaviours.
The impact of action plans on habit and intention strength ...
Results: Consistency of action planning during the intervention was associated with change in physical activity at 9-months, and intention ...
The impact of action plans on habit and intention strength ...
The effect of action planning consistency on physical activity behaviour was no longer significant when accounting for change in intention and habit strength.
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health.harvard.edu
health.harvard.edu/exercise-and-fitness/timing-and-consistency-of-activity-linked-to-better-fitnessTiming and consistency of activity linked to better fitness
A 2025 study found that exercising earlier in the day (before 1 p.m.) offered more benefits like better lung and heart health and walking ...
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