Efficacy Trial of Healthy Together ("Juntos")
Efficacy Trial of Healthy Together "Juntos": A Family-based Digital Lifestyle Intervention for Hispanic Adolescents and Their Parents
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sara St George, PhD
- Phone Number: 1 (305) 243-0726
- Email: healthyjuntos@med.miami.edu
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- Recruiting
- University of Miami
-
Principal Investigator:
- Sara St George
-
Contact:
- Sara St George, PhD
- Phone Number: +1 (305) 243-0726
- Email: s.stgeorge@med.miami.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Adolescent
- Lives with participating biological parent or legal guardian;
- Self-identifies as Hispanic;
- Is between the ages of 12-15years old;
- Has access to a smartphone;
- Does not meet recommendations for physical activity as determined by a validated 2-item screener;
- Does not meet recommendations for daily fruit and vegetable intake (proxy for diet quality) as determined by a validated 2-item screener;
- Exceeds recommendations for screen time (proxy for sedentary behavior) as determined by a validated 6-item screener
Parent
- Is the biological parent or legal guardian of and lives with the adolescent;
- Self-identifies as Hispanic;
- Has access to a smartphone;
Exclusion Criteria:
Adolescent
- Has BMI <5th (underweight) or ≥95th percentile (obesity);
- Has a parent-reported chronic medical condition (e.g., type 2 diabetes) that requires more intensive intervention;
- Has parent-reported responses on a physical activity readiness questionnaire (PAR-Q) that indicates a serious health issue, and a physician does not approve participation;
- Has a parent-reported cognitive or developmental delay (e.g., Down Syndrome) that may interfere with understanding program materials.
Parent
- Provides PAR-Q responses that indicate a serious health issue and a physician does not approve participation;
- Reports family plans to move out of South Florida during the study follow-up period
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Healthy Together ("Juntos")
Participants will receive the Healthy Together ("Juntos") digital intervention.
The six-month intervention includes an "intensive" phase comprised of eight modules and coaching sessions delivered in the first three months and a "maintenance phase" comprised of three modules and coaching sessions delivered in the subsequent three months.
|
Parent-adolescent dyads will log in to a secured website for six months.
The intervention will be delivered primarily through smartphones and will include didactic content on healthy lifestyle behaviors (for parents/adolescents), family behavior change content for setting weekly goals and self-monitoring health behaviors (for parents/adolescents), and positive parenting content (for parents only), all of which were developed in accordance with participant feedback based on formative intervention development work.
In addition, and to increase participant compliance/reduce attrition often observed in digital health interventions, human support ("supportive accountability") will be provided.
Specifically, each family will be assigned a "coach" who will use video conferencing software to engage in approximately weekly (during the first 3 months), and monthly (during the following 3 months) 20-30-minute sessions regarding the family's progress throughout the intervention period.
|
|
No Intervention: Control
This group will receive a digital standard of care - a list of publicly available lifestyle apps and websites that they may access at their discretion.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Body Mass Index (BMI) in adolescents
Time Frame: Baseline and up to 12 months
|
Will be measured in kg/m^2
|
Baseline and up to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Moderate-to-Vigorous Physical Activity (MVPA) in adolescents
Time Frame: Baseline and up to 12 months
|
Will be measured using an Actigraph (counts/seconds (Moderate=757-1111 counts/15-seconds and vigorous>1200 counts/15-seconds))
|
Baseline and up to 12 months
|
|
Change in Diet Quality in adolescents measured by National Cancer Institute (NCI) Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool
Time Frame: Baseline and up to 12 months
|
Healthy Eating Index scores range from 0-100, higher scores indicate a higher quality diet
|
Baseline and up to 12 months
|
|
Change in Percentage of Body Fat in adolescents
Time Frame: Baseline and up to 12 months
|
Measured in percentage
|
Baseline and up to 12 months
|
|
Change in Body Mass Index (BMI) in parents
Time Frame: Baseline and up to 12 months
|
Will be measured in kg/m^2
|
Baseline and up to 12 months
|
|
Change in Moderate-to-Vigorous Physical Activity (MVPA) in parents
Time Frame: Baseline and up to 12 months
|
Will be measured using an Actigraph (in counts/minutes (Moderate=2690-6166 - counts/minute; vigorous≥6167 counts/min))
|
Baseline and up to 12 months
|
|
Change in Diet Quality in parents measured by National Cancer Institute (NCI) Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool
Time Frame: Baseline and up to 12 months
|
Healthy Eating Index scores range from 0-100, higher scores indicate a higher quality diet
|
Baseline and up to 12 months
|
|
Change in Percentage of Body Fat in parents
Time Frame: Baseline and up to 12 months
|
Measured in percentage
|
Baseline and up to 12 months
|
|
Change in Parenting Practices measured by the Parental involvement Scale
Time Frame: Baseline and up to 12 months
|
Measured by parental involvement subscale of the Parenting Practices measure (4-point Likert scale, higher scores indicate higher parental involvement; parent and adolescent report)
|
Baseline and up to 12 months
|
|
Change in Communication measured by Parent Adolescent Communication Scale
Time Frame: Baseline and up to 12 months
|
Measured by the Parent-Adolescent Communication Scale (5-point Likert scale, higher scores indicate more positive communication; parent and adolescent report)
|
Baseline and up to 12 months
|
|
Change in Health-related Positive Parenting Practices measured by the Parenting Strategies for Eating and Activity Scale
Time Frame: Baseline and up to 12 months
|
Measured by the Parenting Strategies for Eating and Activity Scale (5-point Likert scale, higher scores indicate more use of parent strategies for heathy eating and activity; parent and adolescent report)
|
Baseline and up to 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Sara St George, PhD, University of Miami
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- 20231382
- R01CA289519 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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