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Sedentary BehaviorStandUPTVNCT04464993

StandUPTV: Reducing Sedentary Screen Time in Adults

A study testing Device-based feedback, self-monitoring, and education: CORE, Sedentary Screen Time lockout: LOCKOUT and Context-based prompts: TEXT in people with Sedentary Behavior and Screen Time, run by Arizona State University at 2 sites in United States.

Completed

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

Official record
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Trial summary

The goal of this study is to develop an optimized intervention for reducing leisure sedentary screen time (SST) in middle-aged adults with overweight or obesity. Investigators will use the multiphase optimization (MOST) framework to conduct a highly efficient full-factorial experimental study to simultaneously test… Read more about this study

Who is it for?
Ages 23 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Sedentary Behavior, Screen Time, Physical Activity
What is being tested?
Device-based feedback, self-monitoring, and education: CORE, Sedentary Screen Time lockout: LOCKOUT and Context-based prompts: TEXT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
2 sitesUnited States
Study dates
21 Jun 2021to 30 Sep 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 23 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 23-64.90 years of age
  • BMI≥25 kg/m2
  • 3+ h/day of SST
  • Insufficiently active
  • Own an Apple or Android smartphone/tablet
  • Access to internet at home or unlimited data plan
Show all 9Show fewer
  • Willing to download StandUPTV
  • Able to read/understand English
  • Willing to be randomized

Who cannot join

  • Current smoker (more than once per week)
  • Major life event (e.g., move out of study area, pregnant)
  • MVPA contraindicated
  • Occupation requires media use or high amounts of physical activity
  • Drug abuse, major illness and/or psychological disorder

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • California Polytechnic University San Luis Obispo

    San Luis Obispo, California, 93407

  • Arizona State University

    Tempe, Arizona, 85281

Other trials in United States

About this study

The goal of this study is to develop an optimized intervention for reducing leisure sedentary screen time (SST) in middle-aged adults with overweight or obesity. Investigators will use the multiphase optimization (MOST) framework to conduct a highly efficient full-factorial experimental study to simultaneously test the main effects for each of three intervention components (LOCKOUT, TEXT, EARN) and their interactions (e.g., TEXT+EARN; LOCKOUT+EARN+TEXT) over 16 weeks.

Read the detailed description

Primary Aim: To identify which component(s) from three components under consideration for inclusion in StandUPTV reduce SST by >60 min per day per day at 16 weeks. The three components tested will be: (a) LOCKOUT (no vs. yes); (b) TEXT (no vs. yes); and (c) EARN (no vs. yes). The investigators will use a highly efficient experimental strategy to detect effects of individual components as well as all two- and three-way interactions.

The secondary aim of this study is to examine how reductions in SST displace time into other active behaviors, i.e., light-intensity physical activity (LPA), moderate-to vigorous physical activity (MVPA) and activity type (e.g., housework, walking, exercise behaviors). The investigators will use both device-based (activPAL3c) and self-report (ACT24) measures to understand whether SST displacement can increase active behaviors, particularly MVPA.

Being tested
Device-based feedback, self-monitoring, and education: CORE, Sedentary Screen Time lockout: LOCKOUT, Context-based prompts: TEXT, Earn sedentary screen time through moderate-vigorous physical activity: EARN
Keywords
Multiphase optimization strategy, Mobile health
Medical subject headings
Sedentary Behavior, Motor Activity

What participants receive

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

  • Device-based feedback, self-monitoring, and education: COREBehavioural

    Participants will receive a "core" intervention which will include a basic version of the StandUPTV app on an android tablet and a Fitbit to use throughout the 16-week intervention.t. SST feedback will be provided within the smartphone application. Self-monitoring will provide passive and objective feedback regarding SST behaviors. StandUPTV will also contain basic education including information on the risks of SST and tips for reducing SST. As part of this education, all participants will be provided a behavioral target of reducing their SST by 50% from their baseline. This target will be customized for the participant within StandUPTV based on a baseline week of observation.

  • Sedentary Screen Time lockout: LOCKOUTBehavioural

    Sedentary Screen Time lockout: LOCKOUT Sedentary Screen Time lockout: LOCKOUT The investigators will enforce a 50% per week reduction in SST, based upon a baseline week of observation. If SST reaches the prescribed threshold, the investigators will use the limits feature to restrict screen time through the end of the week (Monday-Sunday); at which point, 50% baseline allotment will be reinstated for an additional week. Participants will be prompted to plan for their screen time and provided modest allowances for exceeding their screen time in a given week.

  • Context-based prompts: TEXTBehavioural

    The TEXT component uses app-based prompts (i.e., prompts generated through StandUPTV, not text message based) that will provide simple adaptive content. Content of the prompts will be educational (i.e., based on risks of sedentary screen time) and motivational (i.e., advice to reduce sedentary screen time).

  • Earn sedentary screen time through moderate-vigorous physical activity: EARNBehavioural

    Earn sedentary screen time through moderate-vigorous physical activity: EARN Participants assigned to the EARN component will earn SST by engaging in a >5 min continuous bout of exercise (as defined by Fitbit minutes >4 metabolic equivalents). They will earn SST on a 3:1 ratio up until they reach their baseline level of MVPA (5 mins of exercise earns 15 mins of SST). They will receive behavioral strategies to reduce screen time within the app (e.g., self-efficacy, barriers, exercising safely) and a planning tool for scheduling MVPA.

Study groups in NCT04464993
Study groupRoleWhat they receive
COREExperimentalParticipants will receive a "core" intervention which will include a basic version of the StandUPTV app and a Fitbit watch to use throughout the 16-week intervention.The Fitbit will provide device-based behavioral feedback through the StandUPTV self-monitoring component. SST feedback will be Self-monitoring will provide passive and objective feedback regarding SST behaviors and MVPA drawn from Fitbit and SCREENTIME sources. StandUPTV will also contain basic education including information on the risks of SST and tips for reducing SST. As part of this education, all participants will be provided a behavioral target of reducing their SST by 50% from their baseline. This target will be customized for the participant within StandUPTV based on a baseline week of observation.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE
CORE + textExperimentalCORE components + The TEXT component uses app-based prompts (i.e., prompts generated through StandUPTV app) that will provide simple adaptive content based upon length of most recent SST bout and time of day. These prompts will specifically target outcome expectations around SST and MVPA.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Context-based prompts: TEXT
CORE + LockoutExperimentalCORE components + Lockout component will enforce a 50% per week reduction in SST, based upon a baseline week of observation. If SST reaches the prescribed threshold, the investigators will use the limits from the StandUPTV app to restrict screen time through the end of the week (Monday-Sunday); at which point, 50% baseline allotment will be reinstated for an additional week. Participants will be provided with a planning tool for planning SST on a daily basis in order to reach their over 50% reduction goal.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Sedentary Screen Time lockout: LOCKOUT
CORE + EarnActive comparatorCORE components + the investigators will enforce a 50% per week reduction in SST, based upon a baseline week of observation. If SST reaches the prescribed threshold, the investigators will use the limits from the StandUPTV app to restrict screen time through the end of the week (Monday-Sunday); at which point, 50% baseline allotment will be reinstated for an additional week. Participants will be provided a planning tool for planning SST on a daily basis in order to reach their over 50% reduction goal.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Earn sedentary screen time through moderate-vigorous physical activity: EARN
CORE + Text + EarnActive comparatorIntervention components will be delivered as described in simpler factorial conditions. App shows progress toward SST goal or if goal is exceeded. Can earn additional SST through exercise based on 3:1 ratio , simple adaptive content (by SST bout, time of day). Lockout component will enforce a 50% per week reduction in SST, based upon a baseline week of observation.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Context-based prompts: TEXT; Behavioral: Earn sedentary screen time through moderate-vigorous physical activity: EARN
CORE + Text + LockoutActive comparatorIntervention components will be delivered as described in simpler factorial conditions, and... If exceeded, the limits feature will restrict screen time through the end of the week (Monday-Sunday) so cannot exceed limit. Simple adaptive content (by SST bout, time of day).
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Sedentary Screen Time lockout: LOCKOUT; Behavioral: Context-based prompts: TEXT
CORE + Earn + LockoutActive comparatorIntervention components will be delivered as described in simpler factorial conditions, and... If exceeded, the limits feature will restrict screen time through the end of the week (Monday-Sunday) so cannot exceed limit. Can earn additional SST through exercise based on 3:1 ratio.
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Sedentary Screen Time lockout: LOCKOUT; Behavioral: Earn sedentary screen time through moderate-vigorous physical activity: EARN
CORE + Earn + Lockout + TextActive comparatorIntervention components will be delivered as described in simpler factorial conditions, and... If exceeded, the limits feature will restrict screen time through the end of the week (Monday-Sunday) so cannot exceed limit. Can earn additional SST through exercise based on 3:1 ratio). Simple adaptive content (by SST bout, time of day).
Receives: Behavioral: Device-based feedback, self-monitoring, and education: CORE; Behavioral: Sedentary Screen Time lockout: LOCKOUT; Behavioral: Context-based prompts: TEXT; Behavioral: Earn sedentary screen time through moderate-vigorous physical activity: EARN

What is being measured

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

  1. Changes in Sedentary Screen Time

    Minutes per day as measured by Stand UPTV app and activPAL

    Measured: Baseline to 16 weeks

Secondary outcomes (4)
  1. Changes in Moderate to Vigorous Physical Activity

    Changes in moderate to vigorous physical activity (minutes per day as measured by activPAL)

    Measured: Baseline to16 weeks

  2. Changes in Time Spent Sitting

    Changes in time spent sitting (Minutes per day as measured by activPAL)

    Measured: Baseline to 16 weeks

  3. Changes in Time Spent Standing

    Changes in minutes per day of standing time as measured by activPAL

    Measured: Baseline and 16 weeks

  4. Changes in Time Spent Stepping

    Minutes per day as measured by activPAL

    Measured: Baseline to 16 weeks

Timeline

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

  1. First posted9 Jul 2020
  2. Study start21 Jun 2021
  3. Primary completion30 Sep 2023
  4. Study completion30 Sep 2023

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
Prevention
Allocation
Randomised
Intervention model
Factorial
Model description
Investigators will use the multiphase optimization (MOST) framework to conduct a highly efficient full-factorial experimental study to simultaneously test the main effects for each of three intervention components (LOCKOUT, TEXT, EARN) and their interactions (e.g., TEXT+EARN; LOCKOUT+EARN+TEXT) over 16 weeks.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04464993
Sponsor's protocol ID
R01CA239612
Acronym
StandUPTV
Status last verified
Mar 2025
First submitted
3 Jul 2020
Last updated
15 Apr 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hasanaj K, Leonard KS, Sears DD, Yu F, Petrov ME, Keadle SK, Buman MP. Bidirectional associations of recreational sedentary screen time and 24-h behaviors: a dynamic cross-sectional multilevel model analysis. J Act Sedentary Sleep Behav. 2026 Feb 1;5(1):4. doi: 10.1186/s44167-026-00096-0.

    PubMed 41622211
  • Keadle SK, Hasanaj K, Leonard KS, Fernandez A, Freid L, Weiss S, Legato M, Anand H, Hagobian TA, Phillips SM, Phelan S, Guastaferro K, Seltzer RGN, Buman MP. StandUPTV: a full-factorial optimization trial to reduce sedentary screen time among adults. Int J Behav Nutr Phys Act. 2025 Jun 13;22(1):77. doi: 10.1186/s12966-025-01771-2.

    PubMed 40514642
  • Keadle S, Hasanaj K, Leonard-Corzo KS, Fernandez A, Freid L, Weiss S, Legato M, Anand H, Hagobian T, Phillips S, Phelan S, Guastaferro K, Seltzer R, Buman M. StandUPTV: A full-factorial optimization trial to reduce sedentary screen time among adults. Res Sq [Preprint]. 2025 Feb 24:rs.3.rs-5984168. doi: 10.21203/rs.3.rs-5984168/v1.

    PubMed 40060037

Questions about this trial

What is this clinical trial studying?

A study testing Device-based feedback, self-monitoring, and education: CORE, Sedentary Screen Time lockout: LOCKOUT and Context-based prompts: TEXT in people with Sedentary Behavior and Screen Time, run by Arizona State University at 2 sites in United States.

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 9 inclusion and 5 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 15 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

Yes. Results are posted in the registry (first posted 15 Apr 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Changes in Sedentary Screen Time (time frame: Baseline to 16 weeks). 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 NCT04464993, which also lists 3 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 15 Apr 2025.

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