The Virtually Engaging Socially With Physical Activity (VESPA) Pilot Study
Wake Forest University
Summary
Physical activity has been described by the US federal government as a 'best buy' for public health. Unfortunately, most adults in the United States are not sufficiently active, and this worsens with age. Low levels of participation are driven by many challenging barriers, including lack of access, few opportunities for enjoyable activity, and few supportive social relationships, which is especially important given the central role of social connection for lasting behavior change. A half-century of research in behavioral sciences has generated effective group-based physical activity programs, but these are inaccessible to most as they are often delivered in a few select research centers. Recent advances in telehealth have offered media for extending these interventions more broadly, but the experience of such programs is often hampered by technology that does not allow for a sense of physical and social presence. Fortunately, uptake of virtual reality (VR) is increasing rapidly, and the medium has a high level of potential for advancing the delivery of immersive evidence-based group interventions to those that most need it. Thus our specific aims are: Specific aim 1: To test the feasibility and acceptability of a group-mediated physical activity intervention delivered fully via modern VR to older adults. Specific aim 2: To examine the impact of this program on overall physical activity among older adults compared to the current standard-of-care for telehealth: the video conference meeting platform.
Eligibility
- Age range
- 45–80 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Age of 45-80 years * Body mass index between 30-45 kg/m2 * Low-active (30 or more minutes of moderate intensity physical activity on 2 or fewer days per week) * Have access to home Wi-Fi * Have regular access to a computer, tablet, or smartphone to receive teleconferencing calls * Have a clear "VR space" (7'x7' object-free space) * Have an "Activity buddy" (spouse, child, caregiver, etc.) * Modified Telephone Interview for Cognitive Status (TICS-M) score of 32 or greater * Consent from a physician for study participation * Proficient in the English language * Willingness…
Interventions
- BehavioralVirtual Reality
Participants in this arm participate in 4 group-based behavioral counseling sessions plus 8 one-on-one coaching session within virtual reality software. Participants aim to engage in approximately 150 minutes per week of moderate-to-vigorous activity, with options including both virtual reality and real-world physical activities.
- BehavioralVideo Conference
Participants in this arm participate in 4 group-based behavioral counseling sessions plus 8 one-on-one coaching session within video conference software. Participants aim to engage in approximately 150 minutes per week of moderate-to-vigorous activity, with options including both streaming video and real-world physical activities.
Location
- Wake Forest UniversityWinston-Salem, North Carolina