Collaborate and Leverage Evidence in African American Rural Network (Co-LEARN)
Implementation of Heart Matters Evidence-based Program
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The research team will use a non-randomized, propensity-matched-controlled design to evaluate the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy under NCT02707432 -- in improving cardiovascular health outcomes when scaled in multiple rural, eastern North Carolina counties and implemented by community-based facilitators.
This study aims to recruit 210 participants, 70 of whom will be propensity-score-matched with participants from NCT02707432. Propensity-score-matching will allow for flexibility in recruitment, statistical rigor, and resource efficiency. The research team hypothesizes that matched participants in the present study will show significant improvements in health outcomes (systolic blood pressure, diastolic blood pressure) compared to the matched NCT02707432 controls.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Gaurav Dave, MBBS, DrPH
- Phone Number: (919) 843-8271
- Email: gaurav_dave@med.unc.edu
Study Contact Backup
- Name: Kristen Witkemper, MPH
- Phone Number: (336) 686 2970
- Email: kristen_witkemper@med.unc.edu
Study Locations
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North Carolina
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Enfield, North Carolina, United States, 27823
- A Better Chance, A Better Community
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Nashville, North Carolina, United States, 27856
- The Mercer Foundation, Inc.
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Rocky Mount, North Carolina, United States, 27801
- Marks Chapel Baptist Church
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Rocky Mount, North Carolina, United States, 27801
- Thorne's Chapel Missionary Baptist Church
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Rocky Mount, North Carolina, United States, 27801
- Truth Tabernacle Ministries
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Rocky Mount, North Carolina, United States, 27804
- Girls Making the Grade
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Spring Hope, North Carolina, United States, 27882
- Carolina Hierarchy of Needs
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Stantonsburg, North Carolina, United States, 27883
- St. James United Holy Church
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Warrenton, North Carolina, United States, 27537
- Warren County Health Department
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Identify as Black or African American
- Reside in rural, eastern North Carolina
- Self-report at least one cardiovascular disease risk factor, such as pre-diabetes, pre-hypertension or stage one hypertension, obesity, or family history of early heart disease
Exclusion Criteria:
- Evidence of active or unstable cardiovascular disease
- Cognitive impairment that limits informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Intervention Group
This group will receive the Heart Matters intervention, delivered by community-based facilitators.
All participants consenting to the present study will be assigned to this arm.
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Heart Matters is a lifestyle modification intervention guided by the theory of planned behavior.
Designed to mitigate cardiovascular disease risk factors, the program strives to help participants consume nutritious foods, engage in a more active lifestyle, lose weight and lower their systolic or diastolic blood pressure.
Lifestyle modifications can include weight loss, a reduction in percent calorie fat consumption and total sodium intake, improving diet and increasing physical activity, and reducing daily alcoholic beverage consumption.
Other Names:
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Active Comparator: Propensity-matched Control Group (Retrospective)
This group received the Heart Matters intervention, delivered by researchers, under NCT02707432.
|
Heart Matters is a lifestyle modification intervention guided by the theory of planned behavior.
Designed to mitigate cardiovascular disease risk factors, the program strives to help participants consume nutritious foods, engage in a more active lifestyle, lose weight and lower their systolic or diastolic blood pressure.
Lifestyle modifications can include weight loss, a reduction in percent calorie fat consumption and total sodium intake, improving diet and increasing physical activity, and reducing daily alcoholic beverage consumption.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Mean change from Baseline, Systolic Blood Pressure
Time Frame: Baseline, 12 Months
|
Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.
Reporting will compare participants in the present study with propensity-score-matched controls.
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Baseline, 12 Months
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Mean change from Baseline, Diastolic Blood Pressure
Time Frame: Baseline, 12 Months
|
Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.
Reporting will compare participants in the present study with propensity-score-matched controls.
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Baseline, 12 Months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants with Personal History of Cardiovascular Disease
Time Frame: Baseline
|
Personal history of cardiovascular disease is measured via self-report at baseline using an adapted item from My Personal Health Record (MyPHR).
Personal history of cardiovascular disease is defined as history of diabetes, heart surgery, high blood cholesterol, high blood pressure, pain or pressure in chest, palpitations, stroke, or other heart condition (including heart attack).
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Baseline
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Number of Participants with Family History of Cardiovascular Disease
Time Frame: Baseline
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Family history of cardiovascular disease is measured via self-report using an adapted item from the Women's Health Initiative.
Family history of cardiovascular disease is defined as having a parent, full-blooded sibling, or child who has ever had a heart condition, such as heart attack, high blood pressure, or stroke.
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Baseline
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Mean Body-mass Index
Time Frame: Baseline, 6 Months, 12 Months
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Body-mass index (BMI) will be calculated as weight (pounds) * 703 / height^2 (inches).
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Baseline, 6 Months, 12 Months
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Mean Weight in Pounds
Time Frame: Baseline, 6 Months, 12 Months
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Weight will be measured via a digital scale.
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Baseline, 6 Months, 12 Months
|
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Mean Waist Circumference in Centimeters
Time Frame: Baseline, 6 Months, 12 Months
|
Waist circumference will be measured using inelastic tape.
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Baseline, 6 Months, 12 Months
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Mean Total Cholesterol in mg/dL
Time Frame: Baseline, 6 Months, 12 Months
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Total cholesterol is measured via blood sample using a Cholestech LDX analyzer.
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Baseline, 6 Months, 12 Months
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Mean High-density Lipoprotein (HDL) Cholesterol in mg/dL
Time Frame: Baseline, 6 Months, 12 Months
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HDL cholesterol is measured via blood sample using a Cholestech LDX analyzer.
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Baseline, 6 Months, 12 Months
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Mean Low-density Lipoprotein (LDL) Cholesterol in mg/dL
Time Frame: Baseline, 6 Months, 12 Months
|
LDL cholesterol is measured via blood sample using a Cholestech LDX analyzer.
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Baseline, 6 Months, 12 Months
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Mean Blood Triglycerides in mg/dL
Time Frame: Baseline, 6 Months, 12 Months
|
Blood triglycerides are measured via blood sample using a Cholestech LDX analyzer.
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Baseline, 6 Months, 12 Months
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Mean Glycated Hemoglobin (A1C) Score
Time Frame: Baseline, 6 Months, 12 Months
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A1C is measured via blood sample using A1CNow+ test kits.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Smoking Status
Time Frame: Baseline, 6 Months, 12 Months
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Smoking status is measured via self-report using excerpted items from wave 1 of the Population Assessment of Tobacco and Health Study.
Reporting will include number of participants endorsing ever having smoked a cigarette and (among participants who have endorse ever having smoked) numbers of participants endorsing now smoking every day, some days, or not at all.
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Baseline, 6 Months, 12 Months
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Mean Healthy Days
Time Frame: Baseline, 6 Months, 12 Months
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Healthy Days measured via self report using the Center for Disease Control (CDC)'s 4-item Healthy Days Core Module (HRQOL-4) with a look-back period of 30 days.
HRQOL-4 scores can range from 0 to 30, with 30 indicating maximum number of healthy days.
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Baseline, 6 Months, 12 Months
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Mean Heart Disease Fact Questionnaire Score
Time Frame: Baseline, 6 Months, 12 Months
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Heart disease knowledge is measured via self-report using the 25-item Heart Disease Fact Questionnaire (HDFQ).
HDFQ scores can range from 0 to 25, with higher scores indicating greater knowledge of heart disease.
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Baseline, 6 Months, 12 Months
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Mean University of Rhode Island Change Assessment Score
Time Frame: Baseline, 6 Months, 12 Months
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Readiness for behavioral change is measured via self-report using the 32-item University of Rhode Island Change Assessment (URICA).
URICA scores can range from -2 to +14, with higher scores indicating greater levels of readiness to change.
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Baseline, 6 Months, 12 Months
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Mean Perceived Stress Scale Score
Time Frame: Baseline, 6 Months, 12 Months
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Perceived stress is measured via self-report using the 10-item Perceived Stress Scale (PSS).
PSS scores can range from 0 to 40, with higher scores indicating higher levels of perceived stress.
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Baseline, 6 Months, 12 Months
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Mean Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) Score
Time Frame: Baseline, 6 Months, 12 Months
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Alcohol use is measured via self-report using the 3-item Alcohol Use Disorders Identification Test - Consumption (AUDIT-C).
AUDIT-C scores can range from 0 to 12, with higher scores indicating greater of drinking quantity and/or frequency.
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Baseline, 6 Months, 12 Months
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Mean Minutes of Light, Moderate, and Vigorous Leisure-Time Physical Activity
Time Frame: Baseline, 6 Months, 12 Months
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Minutes of light, moderate, and vigorous leisure-time physical activity is measured via self-report using an English-language version of Registre Gironí del Cor (REGICOR) with a look-back period of one month.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Sweetened Fruit Drinks
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of sweetened fruit drinks is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of 100% Pure Fruit Juice
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of 100% pure fruit juice is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Soda
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of soda is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Water
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of water is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Fruit
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of fruit is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Vegetables (Excluding Potatoes)
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of vegetables (excluding potatoes) is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Frozen and Fast Food
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of frozen and fast food is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Processed Meat
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of processed meat is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Whole Grains
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of whole grains is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Candy, Desserts, and Chocolate
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of candy, desserts, and chocolate is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Chips
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of chips is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Sugary Cereals
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of sugary cereals is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Fish
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of fish is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Nuts and Seeds
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of nuts and seeds is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Number of Participants by Categorical Frequency of Dietary Intake of Eggs
Time Frame: Baseline, 6 Months, 12 Months
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Dietary intake of eggs is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days.
Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.
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Baseline, 6 Months, 12 Months
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Mean Systolic Blood Pressure in mmHg
Time Frame: Baseline, 6 Months
|
Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.
|
Baseline, 6 Months
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Mean Diastolic Blood Pressure in mmHg
Time Frame: Baseline, 6 Months
|
Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.
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Baseline, 6 Months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Gaurav Dave, MBBS, DrPH, University of North Carolina, Chapel Hill
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
- 21-1366
- 5R01HL157255 (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
- ANALYTIC_CODE
- CSR
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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