Reducing Cardiovascular Disease Risk in Perimenopausal Latinas
Reducing Cardiovascular Disease Risk in Perimenopausal Latinas: Pilot Study of a Multi-Component Intervention
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina at Chapel Hill
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age 40-60 years
- self-identify as Hispanic/Latina
- understand spoken English or Spanish
- perimenopausal or early postmenopausal (menstrual bleeding in the past 3 months, but timing have varied in past year; no menstrual bleeding in the past 3-11 months; last menstrual cycle 12-24 months ago)
- intact uterus and at least one ovary
- not currently pregnant
- no hormone therapy or oral contraceptives in the past 3 months
- consent to join the study
Exclusion Criteria:
- heart murmur
- congenital heart disease
- family history of sudden death
- difficulty exercising
- history of CVD (heart attack, stroke, coronary heart disease)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Education, Physical Activity, and Stress Management Program
Classes for the intervention group will be run by a bilingual interventionist and will last 120 minutes weekly for 12 weeks and then monthly for 3 months.
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Twelve weekly classes for one hour focused on CVD risk factor education using the Su Corazón Su Vida curriculum and coping skills training followed by a 45 minute exercise class and 15 minute stress management session.
Then they will return for one hour for continued support, a forty-five minute exercise class, and fifteen minute stress management session.
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Active Comparator: Wait-list Control
Data in the wait-list control group will be collected at the same time intervals as the intervention group.
After Time 3 data collection, they will be offered the Phase I intervention (12 weekly sessions).
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The wait-list control group will receive 12 weekly one hour education and coping skills training sessions followed by a 45 minute exercise class and a 15 minute stress management session.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Mean Systolic and Diastolic Blood Pressure (mm/Hg) From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Blood pressure will be measured in the right arm using a digital monitor.
Participants will be seated comfortably with feet flat on the floor in a chair with back supported and the right arm resting on a table.
The patient should be seated for 3-5 minutes without talking or moving around before recording the first blood pressure reading.
Blood pressure will be repeated twice with the average computed.
If it is not possible to measure blood pressure in the right arm, the left arm will be used and noted in the participant record.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Mean Systolic and Diastolic Blood Pressure From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
|
Blood pressure will be measured in the right arm using a digital monitor.
Participants will be seated comfortably with feet flat on the floor in a chair with back supported and the right arm resting on a table.
The patient should be seated for 3-5 minutes without talking or moving around before recording the first blood pressure reading.
Blood pressure will be repeated twice with the average computed.
If it is not possible to measure blood pressure in the right arm, the left arm will be used and noted in the participant record.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in Mean Arterial Stiffness From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Arterial stiffness will be measured by carotid-femoral pulse wave velocity and pulse wave analysis using the Vicorder® System (Skidmore Medical, Bristol, UK).
Pulse wave velocity will be repeated twice with the average computed.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Changes in Mean Fasting Lipids (Total Cholesterol) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Venous blood draw: A certified Research Assistant or Registered Nurse will perform a fasting blood draw.
The participant will sit in a stationary chair with their arm of choice placed for the blood draw flat on the table, on top of the BloodBloc™ pad.
The fasting blood sample will be analyzed by using the Cholestech LDX™ System at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Changes in Mean Fasting Lipids (Triglycerides) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
|
Venous blood draw: A certified Research Assistant or Registered Nurse will perform a fasting blood draw.
The participant will sit in a stationary chair with their arm of choice placed for the blood draw flat on the table, on top of the BloodBloc pad.
The fasting blood sample will be analyzed by using the Cholestech LDX™ System at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Changes in Mean Fasting Lipids (HDL Cholesterol) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)]
|
Venous blood draw: A certified Research Assistant or Registered Nurse will perform a fasting blood draw.
The participant will sit in a stationary chair with their arm of choice placed for the blood draw flat on the table, on top of the BloodBloc pad.
The fasting blood sample will be analyzed by using the Cholestech LDX™ System at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)]
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Changes in Mean Fasting Lipids (LDL Cholesterol) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
|
LDL Cholesterol will be computed at Time 1 and Time 3. Venous blood draw: A certified Research Assistant or Registered Nurse will perform a fasting blood draw.
The participant will sit in a stationary chair with their arm of choice placed for the blood draw flat on the table, on top of the BloodBloc pad.
The fasting blood sample will be analyzed by using the Cholestech LDX™ System at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Changes in Mean Fasting Glucose From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
|
Venous blood draw: A certified Research Assistant or Registered Nurse will perform a fasting blood draw.
The participant will sit in a stationary chair with their arm of choice placed for the blood draw flat on the table, on top of the BloodBloc pad.
The fasting blood sample will be analyzed by using the Cholestech LDX™ System at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time for Recruitment
Time Frame: Baseline
|
This will be defined as time (days) from initial contact with research staff to randomization into the study.
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Baseline
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Change in Mean Weight (Kg) From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Weight will be measured twice using a digital scale placed on a hard, flat surface.
The measurement will be recorded to the nearest 0.1-kg.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Mean Weight (Kg) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Weight will be measured twice using a digital scale placed on a hard, flat surface.
The measurement will be recorded to the nearest 0.1-kg.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in Mean Body Mass Index (BMI) From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Participant weight and height will be used to calculate BMI.
Calculation of BMI in kilograms divided by meters squared.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Mean Body Mass Index (BMI) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Participant weight and height will be used to calculate BMI.
Calculation of BMI in kilograms divided by meters squared.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in Mean Adiposity (Waist Circumference) From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Waist circumference will be measured at the level of the umbilicus in centimeters using a measuring tape.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Mean Adiposity (Waist Circumference) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Waist circumference will be measured at the level of the umbilicus in centimeters using a measuring tape.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in Proportion of Participants Meeting Recommended Intake of Fruits, Vegetables and Fish (Food Behavior Checklist) Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in proportion of participants meeting American Heart Association-recommended intake of each of the following: fruits, vegetables, and fish based on completing the Food Behavior Checklist.
The Food Behavior Checklist asks participants to indicate the number of daily servings consumed for each category..
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Proportion of Participants Meeting Recommended Intake of Fruits, Vegetables and Fish (Food Behavior Checklist) Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in proportion of participants meeting American Heart Association-recommended intake of each of the following: fruits, vegetables, and fish based on completing the Food Behavior Checklist.
The Food Behavior Checklist asks participants to indicate the number of daily servings consumed for each category.
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Baseline (Time 1), Time 3 (6 month after completion of intervention, approximately 12 months)
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Change in Health Behaviors (Accelerometer Measurement for 7 Days) From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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The participant will wear an accelerometer for 7 days total.
This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.
The proportion of participants across categories will be reported.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Health Behaviors (Accelerometer Measurement for 7 Days) From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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The participant will wear an accelerometer for 7 days total.
This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.
The proportion of participants across categories will be reported.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Change in Median Eating Self-Efficacy Questionnaire From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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This is a 25-item questionnaire asking how much difficulty the participant has with controlling her eating in social situations and every day.
The range of scores go from 1 to 7 with 1 being no difficulty controlling eating to 4 moderate difficulty controlling eating to 7 the most difficulty controlling eating.
The 25 questions are added to produce a total score (0-175).
A lower score equals less difficulty controlling eating and a higher score equals more difficulty controlling eating.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Median Eating Self-Efficacy Questionnaire From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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This is a 25-item questionnaire asking how much difficulty the participant has with controlling her eating in social situations and every day.
The range of scores go from 1 to 7 with 1 being no difficulty controlling eating to 4 moderate difficulty controlling eating to 7 the most difficulty controlling eating.
The 25 questions are added to produce a total score (0-175).
A lower score equals less difficulty controlling eating and a higher score equals more difficulty controlling eating.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Change in Mean Exercise Self-Efficacy Questionnaire From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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This is a 9-item questionnaire asking how much confidence the participant has doing particular exercises.
The range of scores go from 0 to 10 with 0 being she is not confident at all (low self-efficacy) and and 10 being that she is certain she can do it (high self-efficacy).
The numbers are summed for a total score (0-90) with higher scores indicating greater exercise self-efficacy.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Mean Exercise Self-Efficacy Questionnaire From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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This is a 9-item questionnaire asking how much confidence the participant has doing particular exercises.
The range of scores go from 0 to 10 with 0 being she is not confident at all (low self-efficacy) and and 10 being that she is certain she can do it (high self-efficacy).
The numbers are summed for a total score (0-90) with higher scores indicating greater exercise self-efficacy.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Change in Mean Sleep Quality Questionnaire From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months) ]
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This is a 4-item question questionnaire previously used in studies during the menopause transition.
Each question is scored from 0 to 4, with 0 being indicating no difficulty with sleep in the past two weeks and 4 indicating five or more times a week of difficulty sleeping.
The numbers are summed for a total score (0-16).
A lower number indicates that the participant does not have difficulty sleeping and a higher number means that the participant has a lot of difficulty sleeping.
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months) ]
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Change in Mean Sleep Quality Questionnaire From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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This is a 4-item question questionnaire previously used in studies during the menopause transition.
Each question is scored from 0 to 4, with 0 being indicating no difficulty with sleep in the past two weeks and 4 indicating five or more times a week of difficulty sleeping.
The numbers are summed for a total score (0-16).
A lower number indicates that the participant does not have difficulty sleeping and a higher number means that the participant has a lot of difficulty sleeping.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Change in Median High-Sensitivity C-Reactive Protein From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Serum high-sensitivity C-reactive protein levels will by obtained by from a fasting blood sample and at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Change in Mean Hair Cortisol Levels From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Cortisol will be obtained from hair samples and analyzed using a standard laboratory protocol at the Biobehavioral Laboratory in the School of Nursing at the University of North Carolina at Chapel Hill.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Number of Eligible Women That Agree to Participate in the Study
Time Frame: Baseline
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This will be defined as a number of women that agree to participate in the study out of the total women screened for the study.
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Baseline
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Mean Proportion of Group Sessions Participants Attend
Time Frame: Time 2 (Intervention completion, approx. 6 months)
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The attendance rate will be defined as the proportion of group sessions the participant attends.The mean proportion of sessions that participants attended out of the total of 15 sessions offered is reported.
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Time 2 (Intervention completion, approx. 6 months)
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Number of Participants at Post-intervention (Time 2) and Study Completion (Time 3)
Time Frame: Time 2 (Intervention completion, approx. 6 months) and Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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The retention rate will be defined as the percentage of participants remaining in the study at post-intervention and at study completion.
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Time 2 (Intervention completion, approx. 6 months) and Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Proportion of Participants That Attend at Least 80% of the Intervention Session (12-15 Sessions).
Time Frame: Time 2 (Intervention completion, approx. 6 months)
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A Research Assistant will assess fidelity of the intervention fidelity by keeping an attendance log.
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Time 2 (Intervention completion, approx. 6 months)
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Number of Participants That Would Recommend the Study to a Friend or Relative.
Time Frame: Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Participants will be asked: "If a friend or relative were to be asked to take part in the study, how likely would you be to recommend that they participate?"
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Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Proportion of Participants Reporting Vasomotor Symptoms From Baseline (Time 1) to Time 2
Time Frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Participants will report experiencing any vasomotor symptoms (night sweats, hot flashes) in the past two weeks
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Baseline (Time 1), Time 2 (Intervention completion, approximately 6 months)
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Change in Proportion of Participants Reporting Vasomotor Symptoms From Baseline (Time 1) to Time 3
Time Frame: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Participants will report experiencing any vasomotor symptoms (night sweats, hot flashes) in the past two weeks.
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Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 12 months)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Yamnia I Cortes, PhD, University of North Carolina, Chapel Hill
Publications and helpful links
General Publications
- Cortes YI, Duran M, Marginean V, Harris LK, Cazales A, Santiago L, Mislan MD, Perreira KM. Lessons Learned in Clinical Research Recruitment of Midlife Latinas During COVID-19. Menopause. 2022 Jul 1;29(7):883-888. doi: 10.1097/GME.0000000000001983.
- Cortes YI, Berry DC, Perreira KM, Stuebe A, Stoner L, Giscombe CW, Crandell J, Santiago L, Harris LK, Duran M. A multi-component, community-engaged intervention to reduce cardiovascular disease risk in perimenopausal Latinas: pilot study protocol. Pilot Feasibility Stud. 2021 Jan 6;7(1):10. doi: 10.1186/s40814-020-00756-1.
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 19-2756
- K23MD014767 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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