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Completed

NCT Number: NCT07136818

From Blueprint to Practice: An Innovative Dynamic 9-Box Grid Improves Exercise Participation and Aerobic Capacity in Graduate Students

This study aims to develop and validate an innovative dynamic 9-square grid management model to improve aerobic capacity (AC) and physical activity participation among graduate students. The model integrates real-time exercise volume (quantified via smart wearable devices) and aerobic capacity (assessed by 12-minute run tests) into a two-dimensional grid, stratifying participants into five tiers for differentiated interventions.

Using a 2 × 3 mixed-design (feedback frequency: weekly vs. monthly; time points: baseline/mid/post-intervention), 32 healthy graduate students are randomized into two groups:

Weekly feedback (dynamic position updates + tailored optimization strategies).

Monthly feedback (position updates at monthly intervals).

Key components include:

Multimodal assessment: Objective exercise metrics (Huawei Band 6), AC (12-min run), psychological scales (Exercise Identity Scale, Self-Efficacy for Exercise Scale).

Tiered intervention: Customized strategies based on grid positioning (e.g., "Star Talent" optimization vs. "Urgent Attention" support).

Primary outcomes: Changes in AC, total exercise volume (TEV), exercise identity, and self-efficacy.

The study seeks to determine whether weekly dynamic feedback outperforms monthly feedback in sustaining behavioral change and enhancing physiological adaptation. Ethical approval was obtained from Anqing Normal University (AQNU2024110).

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Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hainan Normal University

Haikou, Hainan, 571158, China

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Graduate students aged between 18 and 30 years.
  • Completion of the Physical Activity Readiness Questionnaire (PAR-Q) to confirm readiness for exercise.
  • Completion of a sociodemographic questionnaire (including age, gender, and education level).
  • Confirmation of absence of exercise contraindications (e.g., conditions that may prevent safe participation in physical activity).
  • Confirmation of absence of cardiovascular disease.
  • Confirmation of absence of recent lower-limb injuries (occurring within the past 3 months or less).
  • Confirmation of absence of chest pain symptoms.
  • Ability to provide written informed consent for voluntary participation.

Exclusion criteria

  • Presence of exercise contraindications identified through the PAR-Q or clinical evaluation.
  • History or diagnosis of cardiovascular disease (e.g., heart conditions, stroke, or related disorders).
  • Recent lower-limb injuries (e.g., fractures, sprains, or surgeries) within the past 3 months.
  • Experience of chest pain symptoms (e.g., angina or discomfort during physical exertion).
  • Inability to complete the required questionnaires or assessments due to cognitive or language barriers.
  • Presence of any uncontrolled chronic condition that could interfere with exercise participation, as determined by the researchers during screening.

Treatment and study plan

Dynamic 9-Square Grid Health Management with Weekly Feedback

Behavioral

A dual-axis management system categorizing participants into a 3x3 grid based on aerobic capacity (12-min run test) and total exercise volume (smart-device tracked). Includes weekly personalized feedback, tiered exercise prescriptions, and goal recalibration. Arm 1 receives updates every 7 days.

Dynamic 9-Square Grid Health Management with Monthly Feedback

Behavioral

Identical grid framework as Arm 1 (aerobic capacity + exercise volume assessment), but with monthly (30-day) feedback cycles. Participants receive delayed optimization strategies and tier adjustments once per calendar month, simulating conventional health programs."

Primary outcomes

  1. Change in Aerobic Capacity (12-min run distance)

    Time frame: Baseline, Week 5 (mid-intervention), Week 9 (post-intervention).

    Description: Distance run in meters during standardized 12-minute field test.

    Measurement Tool: GPS-tracked outdoor run (Keep App + Huawei Band 6).

Secondary outcomes

  1. Exercise Self-Efficacy (SEE-C Scale)

    Time frame: Timeframe: Baseline and Week 9.

    Description: Confidence in maintaining exercise habits (0-90 scale).

    Measurement Tool: Chinese Self-Efficacy for Exercise Scale (Cronbach's α=0.75).

Sponsors and collaborators

Lead sponsor

Hainan Normal University

Other

Registry information

Official study title

From Blueprint to Practice: an Innovative Dynamic 9-Box Grid for Enhancing Exercise Adherence and Aerobic Capacity in Graduate Students

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Aug 22, 2025
Registry last updated
Aug 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.