{
  "abstract": "Objectives Assess the feasibility of embedding an exercise specialist-led, mHealth-supported physical activity and exercise intervention (MOTIVATE-CEW) into a UK Complications from Excess Weight (CEW) service.Design Feasibility, single-site, parallel-group randomised controlled trial.Setting Participants were recruited from Alder Hey Children’s Hospital (AHCH) CEW service.Patients Young people (12–18 years) receiving care from the AHCH CEW service.Interventions Participants were randomised 1:1 to usual care or usual care and intervention (MOTIVATE-CEW). MOTIVATE-CEW participants codesigned a 3-month, home-delivered, personalised progressive physical activity programme supported by virtual counselling sessions from an exercise specialist and biofeedback from wearable technologies.Main outcome measures The primary outcomes were recruitment rate, retention and adherence to purposeful exercise. Exploratory clinical data on effectiveness were collected at baseline and post-intervention (3 months).Results n=72 young people aged over 12 years were registered with the AHCH CEW service and approached to participate. n=25 were ultimately randomised (age 15±1; 52% female; 84% white), giving a recruitment rate of 27%. Retention at 3 months was 88%. Over the 3-month intervention, heart rate monitor data suggested MOTIVATE-CEW participants completed more exercise sessions (MOTIVATE-CEW 2±2 sessions/week; usual care 0±0 sessions/week; d=1.04) and exercised for longer (MOTIVATE-CEW 80±102 min/week; usual care 8±20 min/week; d=0.99) than usual care. At 3 months, 33% of MOTIVATE-CEW participants were still exercising compared with 8% in usual care.Conclusions The MOTIVATE-CEW intervention showed promising effects on exercise behaviour. Good reach and data availability suggest the study design could be feasible within future trials.Trial registration number NCT04854915.",
  "authors": [
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"
      ],
      "name": "Andrew Paul Davies"
    },
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK",
        "School of Sport Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK"
      ],
      "name": "Katie Louise Hesketh"
    },
    {
      "affiliations": [
        "Department of Paediatric Endocrinology, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK"
      ],
      "name": "Louise Jayne Apperley"
    },
    {
      "affiliations": [
        "Department of Paediatric Endocrinology, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK"
      ],
      "name": "Ellie Clarke"
    },
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"
      ],
      "name": "Anthony Crozier"
    },
    {
      "affiliations": [
        "University of Exeter Medical School, Exeter, UK"
      ],
      "name": "Catherine Russon"
    },
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"
      ],
      "name": "Victoria Sally Sprung"
    },
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"
      ],
      "name": "Helen Jones"
    },
    {
      "affiliations": [
        "School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK"
      ],
      "name": "Florence Kinnafick"
    },
    {
      "affiliations": [
        "Department of Paediatric Endocrinology, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK"
      ],
      "name": "Senthil Senniappan"
    },
    {
      "affiliations": [
        "Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"
      ],
      "name": "Matthew Cocks"
    }
  ],
  "title": "Integrating an exercise specialist supported by mHealth technology to increase exercise and physical activity adherence in a paediatric Complications from Excess Weight Service (MOTIVATE-CEW): a feasibility study",
  "uid": "ff95e711-d209-5f53-ae40-f4efc2a16e5a"
}