Health Impact 360: Advancing Physical, Social, and Mental Health Among Marginalized Communities for Cardiovascular Health Equity (HI360)
The purpose of this clinical trial is to evaluate an evidence-based intervention, Health Impact 360, toward the promotion of cardiovascular health (CVH), including physical, mental, and social health outcomes, among adults living in marginalized communities.
Study hypotheses include:
- Participants in the Health Impact 360 intervention arm will have better CVH (i.e., a higher overall LE8 score) at the 16-week endpoint compared to the control.
- Participants in the Health Impact 360 intervention arm will report better mental health (i.e., a lower perceived stress score) at the 16-week endpoint compared to the control.
- Participants in the Health Impact 360 intervention arm will report better social support and well-being (i.e., higher emotional support and instrumental support scores and reduced social isolation) at the 16-week endpoint compared to control.
- Participants with greater intervention engagement (e.g., better session attendance) will experience greater intervention impacts across all primary and secondary outcomes relative to the minimally engaged peers.
Researchers will compare outcomes among intervention participants to outcomes among delayed intervention control participants who will be invited to participate in Health Impact 360 once all endpoint measures are collected.
Participants will:
- Engage in group-based programming twice per week for 8 weeks
- Engage in group-based programming once per week for 8 weeks
- Participate in survey-based and biometric data collection at two timepoints: baseline and 16-week endpoint
- Self-monitor their physical activity via a study-provided pedometer
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: Michelle Clayson
- Phone Number: 734-763-2003
- Email: mclayson@umich.edu
Study Locations
-
-
Michigan
-
Detroit, Michigan, United States, 48216
- Detroit Hispanic Development Corporation (DHDC)
-
Detroit, Michigan, United States, 48209
- Community Health and Social Service Centers (CHASS)
-
Detroit, Michigan, United States, 48215
- Eastside Community Network (ECN)
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- English or Spanish speaking
- Able to participate in group-based programming
Exclusion Criteria:
- All pregnant persons to prevent pregnancy-related biometric changes from biasing outcome analyses
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Health Impact 360
16-week, group-based comprehensive health program that covers all behavioral and clinical dimensions of heart health: healthy eating, physical activity, quality sleep, tobacco cessation, blood pressure, cholesterol, Hemoglobin A1c, and Body Mass Index.
|
Participants will be assigned to a team and teams will meet 1-2 times per week for sessions at a local community organization.
Sessions will be up to 2 hours long and will include two parts: (1) 30-60 minutes of activities related to physical, mental, social, financial, and community health, and (2) 60-75 minutes of group physical activity (walking), including stretches to warm up and cool down.
|
|
Other: Usual care - Wait list control
Participants that will be on the wait list will be evaluated.
These participants will be enrolled into the treatment program 16-20 weeks after the first treatment group.
|
Participants will be on this for approximately 16 weeks and be asked to complete data collection information at baseline and 16 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Cardiovascular health (CVH) based on the Life's Essential 8 score (LE8)
Time Frame: Baseline, 16 weeks
|
LE8 CVH Score will be averaged for each participant at baseline and 16 weeks on the individual LE8 metrics (i.e., scores of 0-100 for eight items).
An average score of 0 to 49 is defined as low CVH, 50 to 79 is moderate CVH, and 80 to 100 is high CVH.
|
Baseline, 16 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in mental health based on the perceived stress scale
Time Frame: Baseline, 16 weeks
|
The Perceived Stress Scale (PSS) is a 10-item scale that was developed to measure the degree to which situations in one's life are appraised as stressful.
PSS scores are obtained by reversing responses (e.g., 0 = 4, 1 = 3, 2 = 2, 3 = 1 & 4 = 0) to the four positively stated items (items 4, 5, 7, & 8) and then summing across all scale items.
Scores range from 0 to 40 with higher scores indicating a worse outcome.
|
Baseline, 16 weeks
|
|
Change in social health via the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) emotional support scale
Time Frame: Baseline, 16 weeks
|
This is a 4-item survey that participants select from never (1) - always (5).
The score range is from 4-20 with a higher score indicating more emotional support.
|
Baseline, 16 weeks
|
|
Change in social health via the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) instrumental support scale
Time Frame: Baseline, 16 weeks
|
This is a 4-item survey that participants select from never (1) - always (5).
The score range is from 4-20 with a higher score indicating more instrumental support.
|
Baseline, 16 weeks
|
|
Change in social health via the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) social isolation scale
Time Frame: Baseline, 16 weeks
|
This is a 4-item survey that participants select from never (1) - always (5).
The score range is from 4-20 with a higher score indicating greater social isolation.
|
Baseline, 16 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jennifer Garner, PhD, RD, University of Michigan
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HUM00256551
- OT2HL158287 (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 Supporting Information Type
- STUDY_PROTOCOL
- ICF
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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