- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03484364
Engaging Native Hawaiian/Pacific Islanders and Activating Communities to Take Steps (ENACTS) (ENACTS)
Our Specific Aims are:
- At the individual level, to compare within-person change in BP and secondary outcomes between the intervention and control groups.
- At the family level, to evaluate ENACTS' effects on BP and secondary outcomes as within-person change in family members who provide primary support, and as mean change in other adult family members who are not directly engaged in the intervention.
- At the policy level, to evaluate the intervention's ability to influence grocery store policy on clearly identifying foods that are low in sodium or high in potassium, some of which might not be easily identified with existing labels (e.g., fresh produce). ENACTS combines empirically supported elements of existing programs, thus increasing its probability of success. It aligns with the American Heart Association's call for multilevel prevention.
Study Overview
Detailed Description
This study adapts an existing educational intervention to address self-management of hypertension in NHPIs. The multilevel 6-month intervention - "Engaging NHPIs and Activating Communities to Take Steps" (ENACTS) - will use peer-facilitated, self-care BP education delivered weekly for 8 weeks emphasizing healthy diet, traditional NHPI foods, adherence to medication, and encouragement to increase physical activity and stop smoking; with text messaging to boost adherence. ENACTS will be implemented as a randomized controlled trial at 3 community sites serving NHPIs in the Puget Sound area of Washington. 270 NHPI adults (90 per site) with a self-reported physician diagnosis of hypertension and elevated BP measured at enrollment will be randomized to either ENACTS or usual care.
The primary outcome is change in systolic BP. Secondary outcomes are food purchasing behaviors (online ordering, grocery receipts); medication adherence; social support; smoking cessation; and GIS data on daily energy expenditure. The study will use a Geographic Information Systems (GIS) mobile phone app to track participants. Outcomes will be measured at baseline, weekly, at 8 weeks, and at 6 months. The study will also examine change in household food purchasing patterns, enhanced family support for BP control, and BP improvement among family members. A subset of intervention participants and family members will be invited to participate in a program that uses personal photographs for narrative art projects to promote labeling of healthy foods by local retail outlets.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Denise A Dillard
- Phone Number: 2067088633
- Email: denise.dillard@wsu.edu
Study Contact Backup
- Name: Odile Madesclaire
- Phone Number: 2067088617
- Email: odile.madesclaire@wsu.edu
Study Locations
-
-
Washington
-
Seattle, Washington, United States, 98101
- Recruiting
- National Recruitment via Facebook and Internet
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Self-reported physician diagnosis of hypertension and/or type 2 diabetes confirmed by a prescription for an anti-hypertensive medication and/or type 2 diabetes medication;
- Self-reported NHPI race;
- *Age 18 years and older at enrollment;
- Measured systolic BP ≥ 140 mmHg on enrollment; measured baseline fasting glucose >125
- reliable internet access
- computer or Smartphone
- current email address
- *Ability to understand written and spoken English; and
- *Ability and willingness to follow all study protocols.
Exclusion Criteria:
- Pregnant or planning on becoming pregnant throughout the course of the study;
- Currently undergoing dialysis or treatment for a terminal illness;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Group
The ENACTS intervention is four peer-facilitated educational classes delivered over 8 weeks focused on hypertension self-management.
|
Peer-facilitated, self-care BP education delivered every other week for 8 weeks emphasizing healthy diet, traditional NHPI foods, adherence to medication, and encouragement to increase physical activity and stop smoking, with text messaging to boost adherence.
$50 of groceries every other week (4 times) over 8 weeks.
Other Names:
|
No Intervention: Waitlist Group
Usual care and $50 in groceries every other week for 8 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Systolic Blood Pressure
Time Frame: 6 months
|
Automatic blood pressure
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Eating Behaviors
Time Frame: 6 months
|
24 hour dietary recall
|
6 months
|
Food Purchasing
Time Frame: 6 months
|
Grocery receipts
|
6 months
|
Medication Adherence
Time Frame: 6 months
|
Hill Bone High Blood Pressure Compliance Scale
|
6 months
|
Social Support
Time Frame: 6 months
|
Family care climate questionnaire
|
6 months
|
Tobacco Use
Time Frame: 6 months
|
National Health Interview Survey
|
6 months
|
Daily Energy Expenditure
Time Frame: 6 months
|
International Physical Activity Questionnaire (IPAQ)
|
6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: denise dillard, Washington State University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- U54MD011240 127687
- U54MD011240 (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
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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