{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T18:24:07Z","timestamp":1773685447734,"version":"3.50.1"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009128","name":"Research for Patient Benefit Programme","doi-asserted-by":"publisher","award":["NIHR207157"],"award-info":[{"award-number":["NIHR207157"]}],"id":[{"id":"10.13039\/501100009128","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000770","name":"The University of Manchester","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000770","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>\n                    Patients with psoriasis are less physically active than age-matched controls, due to psoriasis-specific barriers; significantly limiting their ability to benefit from health-promoting levels of physical activity. We co-designed an exercise intervention, with patients, which in proof-of-concept studies, led to significantly improved psoriasis; reduced cardiovascular disease\/metabolic syndrome risk and enhanced wellbeing\/psychosocial functioning. This suggested increased physical activity may improve health outcomes for those with psoriasis. However, individuals remained sedentary for prolonged periods, which also has a detrimental effect on health. We therefore developed a new intervention \u2013 MOVE SMART \u2013 to increase light-intensity physical activity and interrupt sedentary behaviour. This randomised controlled clinical trial (RCT) will assess the feasibility and acceptability of MOVE SMART. Utilising a decentralised, two-arm, trial design, people with Type 1 psoriasis with\/without stable psoriatic arthritis, (n\u2009=\u200960) will be recruited from across the UK, and randomised to intervention (MOVE SMART with \u201cStandard Care\u201d, n\u2009=\u200930) or control (\u201cStandard Care\u201d, n\u2009=\u200930). The intervention group will follow MOVE SMART for 12-weeks, followed by activities of their own choice during weeks 13\u201324. MOVE SMART will prompt 2-minutes of light-intensity physical activity, following 30-minutes of continuous sedentary behaviour, during daytime waking hours. The study comprises of three Workstreams. In Workstream-1 participants will use wearable devices to allow monitoring of physical behaviour and adherence to MOVE SMART. A blood pressure monitor and body weight scales will be posted to participants for use throughout the study and functional capacity will be measured by video-link. At baseline, week-12 and \u221224 all participants will complete self-assessment of the extent\/impact of psoriasis and wellbeing. Capillary blood will be collected using home-sampling kits. In Workstream-2 acceptability of the intervention will be evaluated and the trial design will be finalised in Workstream-3. The study is registered at\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.isrctn.com\" xlink:type=\"simple\">www.isrctn.com<\/jats:ext-link>\n                    (ISRCTN 17400289).\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0343922","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T17:28:00Z","timestamp":1773682080000},"page":"e0343922","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Study protocol for a feasibility randomised controlled trial of MOVE SMART\u2014An intervention to increase physical activity, reduce sedentary behaviour and improve health outcomes in patients with psoriasis"],"prefix":"10.1371","volume":"21","author":[{"given":"Gladys","family":"Onambele-Pearson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7262-0693","authenticated-orcid":true,"given":"Ben","family":"Ives","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishani","family":"Khosla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozemarijn","family":"Witkam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Moorhead","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Bedson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russ","family":"Cowper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girvan","family":"Burnside","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1538-445X","authenticated-orcid":true,"given":"Helen S.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"pone.0343922.ref001","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1139\/h2012-024","article-title":"Standardized use of the terms \u201csedentary\u201d and \u201csedentary behaviours\u201d","volume":"37","author":"Sedentary Behaviour Research Network","year":"2012","journal-title":"Appl Physiol Nutr Metab"},{"issue":"10051","key":"pone.0343922.ref002","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1016\/S0140-6736(16)30370-1","article-title":"Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women","volume":"388","author":"U Ekelund","year":"2016","journal-title":"Lancet"},{"key":"pone.0343922.ref003","article-title":"Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis","volume":"366","author":"U Ekelund","year":"2019","journal-title":"BMJ"},{"key":"pone.0343922.ref004","author":"World Health Organization","year":"2025"},{"issue":"3","key":"pone.0343922.ref005","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.pcad.2020.03.009","article-title":"Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people","volume":"63","author":"D Jim\u00e9nez-Pav\u00f3n","year":"2020","journal-title":"Prog Cardiovasc Dis"},{"issue":"6","key":"pone.0343922.ref006","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1249\/MSS.0000000000000861","article-title":"Prevalence of Physical Activity Is Lower among Individuals with Chronic Disease","volume":"48","author":"CA Brawner","year":"2016","journal-title":"Med Sci Sports Exerc"},{"issue":"5","key":"pone.0343922.ref007","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.jamda.2018.12.012","article-title":"Can Physical Activity Offset the Detrimental Consequences of Sedentary Time on Frailty? A Moderation Analysis in 749 Older Adults Measured With Accelerometers","volume":"20","author":"A Ma\u00f1as","year":"2019","journal-title":"J Am Med Dir Assoc"},{"issue":"6","key":"pone.0343922.ref008","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1111\/bjd.18979","article-title":"What are the barriers to physical activity in patients with chronic plaque psoriasis?","volume":"183","author":"L Auker","year":"2020","journal-title":"Br J Dermatol"},{"issue":"2","key":"pone.0343922.ref009","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/ced.14872","article-title":"Physical activity is important for cardiovascular health and cardiorespiratory fitness in patients with psoriasis","volume":"47","author":"L Auker","year":"2022","journal-title":"Clin Exp Dermatol"},{"issue":"9583","key":"pone.0343922.ref010","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0140-6736(07)61128-3","article-title":"Pathogenesis and clinical features of psoriasis","volume":"370","author":"CE Griffiths","year":"2007","journal-title":"Lancet"},{"issue":"3","key":"pone.0343922.ref011","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1111\/bjd.15021","article-title":"Incidence, prevalence and mortality of patients with psoriasis: a U.K. population-based cohort study","volume":"176","author":"DA Springate","year":"2017","journal-title":"Br J Dermatol"},{"issue":"1","key":"pone.0343922.ref012","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1185\/03007995.2010.540996","article-title":"A psoriasis-specific model to support decision making in practice - UK experience","volume":"27","author":"K Freeman","year":"2011","journal-title":"Curr Med Res Opin"},{"issue":"1","key":"pone.0343922.ref013","first-page":"5","article-title":"Developing an aerobic exercise intervention for patients with psoriasis to support lifestyle behaviour change and improve health outcomes","volume":"48","author":"R Sheppard","year":"2023","journal-title":"Clin Exp Dermatol"},{"key":"pone.0343922.ref014","doi-asserted-by":"crossref","DOI":"10.1093\/bjd\/ljad113.362","article-title":"Can an aerobic exercise intervention for patients with psoriasis improve health outcomes and support lifestyle behaviour change?","volume":"188","author":"R Sheppard","year":"2023","journal-title":"Br J Dermatol"},{"issue":"8","key":"pone.0343922.ref015","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.3390\/nu12082431","article-title":"Displacing Sedentary Behaviour with Light Intensity Physical Activity Spontaneously Alters Habitual Macronutrient Intake and Enhances Dietary Quality in Older Females","volume":"12","author":"D Grant","year":"2020","journal-title":"Nutrients"},{"issue":"23","key":"pone.0343922.ref016","doi-asserted-by":"crossref","first-page":"24081","DOI":"10.18632\/aging.202265","article-title":"Minimizing sedentary behavior (without increasing medium-to-vigorous exercise) associated functional improvement in older women is somewhat dependent on a measurable increase in muscle size","volume":"12","author":"D Grant","year":"2020","journal-title":"Aging (Albany NY)"},{"key":"pone.0343922.ref017","doi-asserted-by":"crossref","first-page":"574595","DOI":"10.3389\/fphys.2020.574595","article-title":"The Effects of Displacing Sedentary Behavior With Two Distinct Patterns of Light Activity on Health Outcomes in Older Adults (Implications for COVID-19 Quarantine)","volume":"11","author":"D Grant","year":"2020","journal-title":"Front Physiol"},{"key":"pone.0343922.ref018","doi-asserted-by":"crossref","first-page":"179","DOI":"10.2147\/CLEP.S151613","article-title":"Replacing sedentary time with physical activity: a 15-year follow-up of mortality in a national cohort","volume":"10","author":"I-M Dohrn","year":"2018","journal-title":"Clin Epidemiol"},{"issue":"6","key":"pone.0343922.ref019","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1136\/bjsports-2017-097563","article-title":"How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies","volume":"53","author":"SFM Chastin","year":"2019","journal-title":"Br J Sports Med"},{"key":"pone.0343922.ref020","article-title":"SPIRIT 2025 statement: updated guideline for protocols of randomised trials","volume":"389","author":"A-W Chan","year":"2025","journal-title":"BMJ"},{"key":"pone.0343922.ref021","year":"2025"},{"key":"pone.0343922.ref022"},{"key":"pone.0343922.ref023"},{"issue":"1","key":"pone.0343922.ref024","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s40814-021-00770-x","article-title":"Determining sample size for progression criteria for pragmatic pilot RCTs: the hypothesis test strikes back!","volume":"7","author":"M Lewis","year":"2021","journal-title":"Pilot Feasibility Stud"},{"issue":"4","key":"pone.0343922.ref025","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1161\/01.STR.30.4.841","article-title":"Carotid plaque, intima media thickness, cardiovascular risk factors, and prevalent cardiovascular disease in men and women: the British Regional Heart Study","volume":"30","author":"S Ebrahim","year":"1999","journal-title":"Stroke"},{"issue":"8","key":"pone.0343922.ref026","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International physical activity questionnaire: 12-country reliability and validity","volume":"35","author":"CL Craig","year":"2003","journal-title":"Med Sci Sports Exerc"},{"key":"pone.0343922.ref027","doi-asserted-by":"crossref","first-page":"408","DOI":"10.3389\/fphys.2019.00408","article-title":"Influence of Habitual Physical Behavior - Sleeping, Sedentarism, Physical Activity - On Bone Health in Community-Dwelling Older People","volume":"10","author":"G Onambele-Pearson","year":"2019","journal-title":"Front Physiol"},{"issue":"7","key":"pone.0343922.ref028","doi-asserted-by":"crossref","first-page":"465","DOI":"10.7326\/M17-0212","article-title":"Patterns of Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults: A National Cohort Study","volume":"167","author":"KM Diaz","year":"2017","journal-title":"Ann Intern Med"},{"issue":"3","key":"pone.0343922.ref029","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.7857","article-title":"Participants\u2019 Perceptions on the Use of Wearable Devices to Reduce Sitting Time: Qualitative Analysis","volume":"6","author":"M Takemoto","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"issue":"6","key":"pone.0343922.ref030","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1111\/1523-1747.ep12384205","article-title":"Patient measurement of psoriasis disease severity with a structured instrument","volume":"102","author":"AB Fleischer","year":"1994","journal-title":"J Invest Dermatol"},{"issue":"3","key":"pone.0343922.ref031","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1111\/j.1365-2230.1994.tb01167.x","article-title":"Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use","volume":"19","author":"AY Finlay","year":"1994","journal-title":"Clin Exp Dermatol"},{"key":"pone.0343922.ref032","author":"L Cordingley","year":"2022"},{"issue":"3","key":"pone.0343922.ref033","first-page":"469","article-title":"Evaluation of an existing screening tool for psoriatic arthritis in people with psoriasis and the development of a new instrument: the Psoriasis Epidemiology Screening Tool (PEST) questionnaire","volume":"27","author":"GH Ibrahim","year":"2009","journal-title":"Clin Exp Rheumatol"},{"issue":"11","key":"pone.0343922.ref034","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.3899\/jrheum.080182","article-title":"RAPID3 (Routine Assessment of Patient Index Data 3), a rheumatoid arthritis index without formal joint counts for routine care: proposed severity categories compared to disease activity score and clinical disease activity index categories","volume":"35","author":"T Pincus","year":"2008","journal-title":"J Rheumatol"},{"issue":"3","key":"pone.0343922.ref035","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1007\/s11136-020-02688-y","article-title":"Psychometric properties of the EQ-5D-5L: a systematic review of the literature","volume":"30","author":"Y-S Feng","year":"2021","journal-title":"Qual Life Res"},{"issue":"2","key":"pone.0343922.ref036","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research","volume":"28","author":"DJ Buysse","year":"1989","journal-title":"Psychiatry Res"},{"issue":"5","key":"pone.0343922.ref037","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1177\/00045632211004995","article-title":"The use of whole blood capillary samples to measure 15 analytes for a home-collect biochemistry service during the SARS-CoV-2 pandemic: A proposed model from North West London Pathology","volume":"58","author":"S Ansari","year":"2021","journal-title":"Ann Clin Biochem"},{"key":"pone.0343922.ref038","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s11556-019-0231-4","article-title":"The difference in sleep, sedentary behaviour, and physical activity between older adults with \u201chealthy\u201d and \u201cunhealthy\u201d cardiometabolic profiles: a cross-sectional compositional data analysis approach","volume":"16","author":"DJ Ryan","year":"2019","journal-title":"Eur Rev Aging Phys Act"},{"key":"pone.0343922.ref039","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1080\/13645579.2020.1805550","article-title":"The online survey as a qualitative research tool","volume":"24","author":"V Braun","year":"2021","journal-title":"Int J Soc Res Methodol"},{"issue":"3","key":"pone.0343922.ref040","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/1612197X.2019.1655779","article-title":"Qualitative research in six sport and exercise psychology journals between 2010 and 2017: An updated and expanded review of trends and interpretations","volume":"19","author":"KR McGannon","year":"2019","journal-title":"Int J Sport Exerc Psychol"},{"key":"pone.0343922.ref041","author":"World Health Organization","year":"2018"},{"key":"pone.0343922.ref042","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s40814-016-0105-8","article-title":"CONSORT 2010 statement: extension to randomised pilot and feasibility trials","volume":"2","author":"SM Eldridge","year":"2016","journal-title":"Pilot Feasibility Stud"},{"issue":"1","key":"pone.0343922.ref043","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00403-010-1080-1","article-title":"Definition of treatment goals for moderate to severe psoriasis: a European consensus","volume":"303","author":"U Mrowietz","year":"2011","journal-title":"Arch Dermatol Res"},{"key":"pone.0343922.ref044","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic Analysis: A Practical Guide","author":"V Braun","year":"2022"},{"issue":"5","key":"pone.0343922.ref045","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1080\/2159676X.2020.1840423","article-title":"Developing the craft: reflexive accounts of doing reflexive thematic analysis","volume":"13","author":"LR Trainor","year":"2021","journal-title":"Qual Res Sport Exerc Health"},{"key":"pone.0343922.ref046","volume-title":"Psoriasis: resolution WHA67.9","author":"World Health Organization","year":"2014"},{"issue":"2","key":"pone.0343922.ref047","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/ced.14407","article-title":"Research priorities and identification of a health-service delivery model for psoriasis from the UK Psoriasis Priority Setting Partnership","volume":"46","author":"D Ismail","year":"2021","journal-title":"Clin Exp Dermatol"},{"issue":"8","key":"pone.0343922.ref048","doi-asserted-by":"crossref","first-page":"2716","DOI":"10.1093\/rheumatology\/keac676","article-title":"The top 10 research priorities in psoriatic arthritis: a James Lind Alliance Priority Setting Partnership","volume":"62","author":"L Hailey","year":"2023","journal-title":"Rheumatology (Oxford)"},{"key":"pone.0343922.ref049","article-title":"National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study","volume":"369","author":"R Parisi","year":"2020","journal-title":"BMJ"},{"issue":"4","key":"pone.0343922.ref050","article-title":"Assessing Multiple Factors Affecting Minority Participation in Clinical Trials: Development of the Clinical Trials Participation Barriers Survey","volume":"14","author":"K Allison","year":"2022","journal-title":"Cureus"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0343922","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T17:28:07Z","timestamp":1773682087000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0343922"}},"subtitle":[],"editor":[{"given":"Alejandro","family":"Torrado Pacheco","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,3,16]]},"references-count":50,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,16]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0343922","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,16]]}}}