Adopting a Physically Active Lifestyle Through Organized Walk Events Among Joslin Clinic Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Joslin Diabetes Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Joslin Clinic patients
- 18 years or older
- A1C between 7.5% - 12.0%
- Received physician clearance indicating safe to participate in the walk club events
- Reside within Boston and Greater Boston Area
- Ability to communicate in English and/or Chinese
- Agree to participate in the intervention walk club for 6 consecutive weeks
Exclusion Criteria:
- Pregnant or breast feeding
- Unstable angina or myocardial infarction within 1 month prior to screening
- Unstable gait, severe neuropathy, or deformed foot.
- Enrolled in another investigational study within 1 month prior to screening for this study
- On medications such as prednisone that will affect blood glucose
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group Walk First
Participants attend a weekly walking group session from weeks 1-6 and are not required to attend from weeks 7-12.
|
weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
|
|
Experimental: Individual Walk First
Participants are not required to attend a weekly group walking sessions from weeks 1-6 and attend a weekly walking group session from weeks 7-12.
|
weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in steps/day
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in BMI
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in Blood Pressure
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in Waist Circumference
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Hip Circumference
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in Physical Activity Pattern
Time Frame: Baseline, Week 6, Week 12
|
Baseline, Week 6, Week 12
|
|
Change in Food Consumption
Time Frame: Baseline, Week 6, Week 12
|
Baseline, Week 6, Week 12
|
|
Change in Fructosamine
Time Frame: Baseline, Week 6, Week 12
|
Baseline, Week 6, Week 12
|
|
Change in Pulse
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in Height
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in Weight
Time Frame: Baseline, Week 3, Week 6, Week 9, Week 12
|
Baseline, Week 3, Week 6, Week 9, Week 12
|
|
Change in A1c
Time Frame: Baseline, Week 12
|
Baseline, Week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: William Hsu, MD, Joslin Diabetes Center
Publications and helpful links
General Publications
- Tudor-Locke C, Bassett DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1-8. doi: 10.2165/00007256-200434010-00001.
- Manson JE, Hu FB, Rich-Edwards JW, Colditz GA, Stampfer MJ, Willett WC, Speizer FE, Hennekens CH. A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med. 1999 Aug 26;341(9):650-8. doi: 10.1056/NEJM199908263410904.
- Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P. The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002 May;22(4 Suppl):73-107. doi: 10.1016/s0749-3797(02)00434-8.
- Lowe B, Kroenke K, Grafe K. Detecting and monitoring depression with a two-item questionnaire (PHQ-2). J Psychosom Res. 2005 Feb;58(2):163-71. doi: 10.1016/j.jpsychores.2004.09.006.
- American Diabetes Association. Executive summary: Standards of medical care in diabetes--2012. Diabetes Care. 2012 Jan;35 Suppl 1(Suppl 1):S4-S10. doi: 10.2337/dc12-s004. No abstract available.
- Tudor-Locke C, Bell RC, Myers AM, Harris SB, Ecclestone NA, Lauzon N, Rodger NW. Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes. Int J Obes Relat Metab Disord. 2004 Jan;28(1):113-9. doi: 10.1038/sj.ijo.0802485.
- Ford ES, Herman WH. Leisure-time physical activity patterns in the U.S. diabetic population. Findings from the 1990 National Health Interview Survey--Health Promotion and Disease Prevention Supplement. Diabetes Care. 1995 Jan;18(1):27-33. doi: 10.2337/diacare.18.1.27.
- Hays LM, Clark DO. Correlates of physical activity in a sample of older adults with type 2 diabetes. Diabetes Care. 1999 May;22(5):706-12. doi: 10.2337/diacare.22.5.706.
- Tudor-Locke CE, Bell RC, Meyers AM. Revisiting the role of physical activity and exercise in the treatment of type 2 diabetes. Can J Appl Physiol. 2000 Dec;25(6):466-92. doi: 10.1139/h00-031.
- Kang M, Marshall SJ, Barreira TV, Lee JO. Effect of pedometer-based physical activity interventions: a meta-analysis. Res Q Exerc Sport. 2009 Sep;80(3):648-55. doi: 10.1080/02701367.2009.10599604. No abstract available.
- Merom D, Rissel C, Phongsavan P, Smith BJ, Van Kemenade C, Brown WJ, Bauman AE. Promoting walking with pedometers in the community: the step-by-step trial. Am J Prev Med. 2007 Apr;32(4):290-7. doi: 10.1016/j.amepre.2006.12.007. Epub 2007 Feb 15.
- Januszewski AS, Karschimkus C, Davis KE, O'Neal D, Ward G, Jenkins AJ. Plasma 1,5 anhydroglucitol levels, a measure of short-term glycaemia: assay assessment and lower levels in diabetic vs. non-diabetic subjects. Diabetes Res Clin Pract. 2012 Jan;95(1):e17-9. doi: 10.1016/j.diabres.2011.09.032. Epub 2011 Oct 22.
- Barrett-Connor E. Nutrition epidemiology: how do we know what they ate? Am J Clin Nutr. 1991 Jul;54(1 Suppl):182S-187S. doi: 10.1093/ajcn/54.1.182S.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- CHS 2012-12
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