Let's move with Leon: a randomised controlled trial of a UK digital intervention to improve physical activity in people with a musculoskeletal condition

Webb, Justin and Stewart, Duncan (2023) Let's move with Leon: a randomised controlled trial of a UK digital intervention to improve physical activity in people with a musculoskeletal condition. Public Health, 217. pp. 125-132. ISSN 0033-3506

Abstract

Objective:
This paper present a real-world evaluation of a digital intervention, ‘Let’s Move with Leon’, designed to improve physical activity and health-related quality of life in people with a musculoskeletal condition.

Study design:
A pragmatic randomised controlled trial.

Methods:
After randomisation and withdrawals were removed, 184 participants were assigned to receive the digital intervention with 185 assigned to a control group. Self-reported physical activity was the primary outcome. Health-related quality of life, the number of days completing strength-based exercises per -week, the capability, opportunity, and motivation to be active, and step count were secondary outcomes. Outcomes were assessed over 4, 8 and 13-weeks.

Results:
Significant improvements were seen for self-reported physical activity at 13 weeks, reported strength days at 8 weeks, perceptions of physical capability and automatic motivation to be active at 4 and 8 weeks. No improvements were seen in step count or health-related quality of life over the control group.

Conclusion:
Digital interventions such as ‘Let’s Move with Leon’ have the potential to increase physical activity in people with a musculoskeletal condition, however, improvements are likely to be small. Small improvements in physical activity may not be enough to improve HRQoL.

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