Increasing Physical Activity Among Overweight Women With Mobility Disabilities. (PEP)

Personalized Exercise Programme (PEP) I: Physician Referral Approach to Increasing Awareness and Sustainability of Physical Activity for Overweight Adults With Mobility Limitations.

This study aims to increase physical activity among overweight African-American women with mobility limitations.

Study Overview

• Status: Completed
• Conditions: Obesity
• Intervention / Treatment: Behavioral: Personalized exercise programme (PEP)

Detailed Description

Regular, sustainable physical activity can have a dramatic effect on reducing obesity and other secondary conditions and increasing quality of life. People with mobility limitations have a higher level of physical inactivity resulting from numerous personal and environmental barriers to physical activity participation. This project will evaluate the feasibility of increasing physical activity among overweight individuals with mobility limitations through physician-referrals to a personalized exercise programme at the Chicago-based National Center on Physical Activity and Disability (NCPAD).

• Study Type: Interventional
• Enrollment (Actual): 96
• Phase: Phase 2

Contacts and Locations

Study Locations

• United States
  • Illinois
    • Chicago, Illinois, United States, 60612
      • University of Illinois, Chicago

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• 18 years or older
• English speaking
• Self-reported mobility limitation
• BMI greater than or equal to 27
• Receiving care at the University of Illinois, Chicago (UIC) Medical Center
• Sedentary

Exclusion Criteria:

• did not receive physician approval to participate

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Arm 1: Physical activity awareness; The awareness group received a physician-recommendation to exercise an informational brochure, and pedometer.
Experimental: Arm 2: Lower Support; The lower support group received arm 1 plus monthly newsletter, weekly personalized exercise support via telephone.	Behavioral: Personalized exercise programme (PEP); Physician referred overweight and obese clients to 24 month personalized exercise programme at the U. of Illinois, Chicago; Other Names: PEP
Experimental: Arm 3: Higher support; The higher support group received arm 1 plus arm 2 plus a face-to-face monthly exercise support group.	Behavioral: Personalized exercise programme (PEP); Physician referred overweight and obese clients to 24 month personalized exercise programme at the U. of Illinois, Chicago; Other Names: PEP

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physical activity	Physical activity was assessed using the Physical Activity and Disability Scale (PADS), the Barriers to Physical Activity and Disbility Scale (B-PADS), (Rimmer et al 2000) and the Mobility Limitation score (Velozo et al 1999).	24 months
Body mass index (BMI)	Derived emperically	24 months
Blood lipids	Derived emperically	24 months
Weight	Derived emperically	24 months
Blood Pressure	Dervied emperically	24 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Psychosocial Health	Confirmed using the Quality of Wellbeing scale (Anderson et al 1989), and CARDIA-2 scale, an 11-item assessment (Allen et al 2001).	24 months

Collaborators and Investigators

• Sponsor: Centers for Disease Control and Prevention
• Collaborators: University of Illinois, Center on Health Promotion Research for Persons with Disabilities
• Investigators: Principal Investigator: James Rimmer, Ph.D., UIChicago

Publications and helpful links

General Publications

• Rimmer JH, Rauworth A, Wang E, Heckerling PS, Gerber BS. A randomized controlled trial to increase physical activity and reduce obesity in a predominantly African American group of women with mobility disabilities and severe obesity. Prev Med. 2009 May;48(5):473-9. doi: 10.1016/j.ypmed.2009.02.008.

Helpful Links

• PEP Toolkit consists of a Yamax SW-200 pedometer and a custom Velcro strap that allows the user to attach it in a variety of locations on either the upper or lower limbs to record activity levels in an appropriate manner

Study record dates

Study Major Dates

• Study Start: October 1, 2004
• Primary Completion (Actual): October 1, 2007
• Study Completion (Actual): October 1, 2007

Study Registration Dates

• First Submitted: September 12, 2005
• First Submitted That Met QC Criteria: September 12, 2005
• First Posted (Estimate): September 14, 2005

Study Record Updates

• Last Update Posted (Actual): July 26, 2019
• Last Update Submitted That Met QC Criteria: July 24, 2019
• Last Verified: July 1, 2019

More Information

Terms related to this study

• Keywords: obesity, mobility limitations, women, physical activity
• Additional Relevant MeSH Terms: Body Weight; Overweight; Mobility Limitation
• Other Study ID Numbers: CDC-NCBDDD-R04CCR523275; R04CCR518810 (Other Grant/Funding Number: CDC/NCBDDD/DHDD)