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Research Project

Follow-Up After a Sedentary Reducing Intervention (FASRI): A Pilot Study

The aim of this study, the Follow-Up After Sedentary Reducing Intervention (FASRI) Study, is to investigate the feasibility of post-intervention follow-up and the preliminary efficacy of a sedentary reducing intervention to lead to sustained decreases in sedentary time in a diverse, representative sample of adults with CKD.

Principal Investigator
Hannan, Mary
Start Date
2022-12-01
End Date
2024-05-31
Funding Source
Internal Research Support Program

Abstract

Chronic kidney disease (CKD) is a common chronic condition that disproportionately affects individuals from historically marginalized, under-resourced groups. Adults with CKD have worse health outcomes than those in the general population. Additionally, adults with CKD are commonly found to have extremely high levels of sedentary behavior. Sedentary behavior is associated with poor health outcomes in the general population and is an area beginning to be investigated in the CKD population. The poor health outcomes associated with CKD may be modifiable by addressing sedentary behavior. In the general population, interventions to decrease sedentary behavior have successfully reduced sedentary time and been associated with positive health outcomes. There is a paucity of research on interventions aimed specifically at reducing sedentary time in the diverse population of adults with CKD in the US, particularly interventions that evaluate whether postintervention follow-up is feasible in the CKD population and if interventions lead to sustained changes in behavior and improved long-term outcomes. The aim of this study, the Follow-Up After Sedentary Reducing Intervention (FASRI) Study, is to investigate the feasibility of post-intervention follow-up and the preliminary efficacy of a sedentary reducing intervention to lead to sustained decreases in sedentary time in a diverse, representative sample of adults with CKD. Our current ongoing intervention study utilizes motivational interviewing guided by the social cognitive theory to address individual personal, behavioral, and environmental factors that promote sedentary behavior to help participants decrease their sedentary time. FASRI expands on this ongoing work by investigating the feasibility of post-intervention follow-up in the CKD population, a population who experiences many potential barriers to being able to participate in post-intervention follow-up. The proposed study also seeks to evaluate the preliminary efficacy of the intervention to lead to sustained changes in sedentary behavior. FASRI has important implications for behavioral intervention work in the CKD population by investigating the influence of a social cognitive theory-based intervention on sustained changes in sedentary behavior. The findings from FASRI will inform and lay the foundation for an R01 application for a randomized controlled trial of a theory-based sedentary reducing intervention investigating short-term and long-term changes in sedentary behavior and clinical outcomes for a diverse population of adults with CKD.