Adherence to Canada’s 24-Hour Movement Guidelines (24HMG) is low among post-secondary students, a situation worsened by the COVID-19 pandemic. Mobile health (mHealth) offers scalable avenues for behaviour change, yet its feasibility in this population and context is untested. To assess the feasibility, acceptability, and potential impact of a theory-driven mHealth intervention designed to promote adherence to the 24HMG behaviours (i.e. moderate-to-vigorous intensity physical activity [MVPA], sedentary behaviour, and sleep). A multicentre, single-arm proof-of-concept study was conducted in Fall 2021 at Queen’s University (Ontario) and the University of British Columbia. Eligible first-year students who self-reported <150 min/week of MVPA and low-to-average mental well-being were enrolled in a 6-week in-app content journey (12 short articles, four weekly push notifications) plus campus-specific resource packs and received a Fitbit Inspire 2 to track movement behaviours. Feasibility metrics (i.e. recruitment, retention, device adherence), acceptability (i.e. in-app engagement, satisfaction surveys, interviews), and preliminary outcomes (i.e. movement behaviours; 24HMG awareness and knowledge; 24HMG capability, opportunity, motivation) were analysed using descriptive statistics, multilevel modelling, and inductive content analysis. Of the 303 students screened, 77 were eligible for participation and 68 enrolled in the study (Mage = 18.1 ± 0.3 years; 72
The prevalence of depressive symptoms among university students in Ethiopia is high, with most students not able to access culturally tailored support including psychological interventions. Untreated depressive symptoms negatively affect students’ health, social life, and academic performance. A culturally adapted version of Interpersonal Psychotherapy for Ethiopia (IPT-E) has shown to be acceptable and feasible for students with mental distress, but to be implemented at scale, still requires rigorous evaluation. Thus, the primary objective is to investigate the feasibility components (consent rate, recruitment rate, retention rate attrition rate, fidelity, and data completeness), acceptability (satisfaction gained from the intervention, IPT-E), design, and procedures to plan a fully powered randomized controlled trial. The design is a two-group feasibility pilot randomized controlled trial. Forty-four participants will be included in the study, with 22 participants randomly assigned to each of the treatment and control groups and assessed at baseline and 9-week timepoints. Through advertisement, students who need mental health interventions and who fulfill the eligibility criteria of IPT-E at the baseline data collection will be randomly assigned to the treatment and waitlist control groups with an equal probability of assignment to each group. Demographic charactersitics of the participants and the quantitative feasibility and acceptability of IPT-E data will be summarized through descriptive statistics (frequency, percentage, mean, and standard deviation). The clinical outcomes are secondary objectives of the study and will be analyzed using independent t-test (mean and standard deviation). This analysis will be used only to inform parameter estimation for a full future Randomized Controlled Trial (RCT). The qualitative data will be transcribed into Amharic with back-translation into English and analyzed using thematic analysis. To proceed with the main RCT, the results will mainly depend upon the progression criteria of feasibility components mentioned in the protocol. The decision will use a traffic light system that consisted of “green” indicates to proceed without changes, “amber” indicates to continue the full-scale RCT study with amendments, and the “red” shows not to continue (stop). The overall objective of the planned trial is to investigate the feasibility, acceptability, fidelity, procedures, appropriateness, benefits, limitations, facilitators, and barriers to receiving IPT-E for university students with depressive symptoms. Appropriate to the context, feasible and acceptable IPT-E results will inform researchers to conduct a large-scale RCT in the future that will be used to minimize the burden of depressive symptoms among university students. The trial was prospectively registered with a protocol number of PACTR202511612887270 on 13 November 2025.
Informed by an evidence review and qualitative interviews and guided by the Behaviour Change Wheel (BCW) and person-based approach (PBA), we developed the first culturally appropriate physical activity (PA) promotion strategies for older Chinese adults in the UK. This study aims to assess the feasibility and acceptability of the culturally appropriate PA promotion intervention and study procedures among older Chinese adults in the UK. This was a two-arm randomised controlled feasibility trial. Thirty adults aged 60 and over, who self-identified as Chinese, lived in the UK, and did not meet the World Health Organization (WHO) PA recommendations, were recruited and randomised to receive either the culturally appropriate PA promotion strategies or the standard WHO PA guideline leaflet. The trial lasted from September 2024 to September 2025. The intervention was delivered over 12 weeks, with an additional 6-week follow-up period. Primary outcomes were feasibility metrics (recruitment, retention, adherence, data completeness, fidelity, safety, and acceptability). Secondary outcomes included subjective and objective PA levels, the brief COM-B questionnaire, measures of physical function, and quality of life. Data were collected at baseline, 12 weeks, and 18 weeks post-randomisation. Statistical and qualitative analyses were conducted to evaluate primary and secondary outcomes and compare findings against the predefined progression criteria. Thirty participants were recruited within the planned timeframe. All participants completed the trial, resulting in a retention rate of 100
Significant disparities in hypertension outcomes experienced by African Americans are only partially ameliorated by existing lifestyle interventions, which largely fail to leverage family level strengths or address family level stress. Given African Americans living with hypertension regularly report friends, family, or kin as key to their disease self-management efforts, family-based interventions that are integrated into usual primary care and also address environmental barriers to self-management may be a particularly culturally attuned approach that is accessible and efficacious. We aim to evaluate the feasibility and acceptability of Walk Together, a community-informed dyadic intervention to promote hypertension self-management among African American primary care patients with uncontrolled hypertension via a single-arm pilot trial. We will recruit African American, English-speaking primary care patients (18–75 years) with an essential hypertension diagnosis and 2 past-year clinic-based blood pressure measurements of > 130/ > 80 mmHg (n = 30). Patients with a diagnosed severe psychiatric condition, current suicidality, cognitive impairment, or prior engagement in an onsite hypertension clinic will be excluded. Patients will self-identify an English-speaking family support person (aged 18–75) who is involved in their daily care and helps them manage their hypertension to participate with them (n = 30). All enrolled patient participants will receive a home blood pressure monitor and a cellular-enabled study iPad. Patients and family support persons will participate in four dyadic study sessions across 2 months to promote hypertension knowledge, maximize family support, address family stress, and target environmental barriers to self-management via preexisting healthcare system resources. The primary outcomes of the trial will be feasibility, including accrual (recruitment 30 dyads in 11 months), adherence (proportion of dyads completing four intervention components and proportion completing post-treatment assessments), and attrition (> 20
