Promoting Physical Activity in Rural Communities

January 5, 2024 updated by: Ross Brownson, Washington University School of Medicine

Multilevel Approaches for Promoting Physical Activity in Rural Communities

The purpose of the study is to test a multilevel intervention's impact on increasing physical activity among rural residents. It is expected that participants who participate in more of the intervention (e.g., all levels) will increase their physical activity more than the control group and individuals who participate in less of the intervention (e.g., one level of the intervention).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The study will test the independent and moderating effects of a multilevel intervention and the community environment on physical activity among rural residents. The multilevel intervention consists of community, interpersonal, and intrapersonal aspects. The community level intervention consists of community events. The interpersonal level intervention consists of walking group formation. The intrapersonal level intervention consists of cues provided by short message service messages (i.e., text messaging). A dose response relationship is expected in the intervention communities.

Study Type

Interventional

Enrollment (Actual)

1241

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Missouri
      • Saint Louis, Missouri, United States, 63130
        • Washington University in St. Louis

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Adults (18+)
  • No cognitive impairments
  • Able to physically active
  • Willing to complete telephone survey at three time points
  • Located in targeted communities in southeast Missouri

Exclusion Criteria:

  • Participants not located in targeted communities

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Multilevel Intervention
Participants will receive the multilevel intervention consisting of community events, walking group formation, and short messaging service.
Behavioral: Intervention
Participants in the intervention arm may receive community events, partake in walking groups, and receive short messaging service.
No Intervention: Control
Does not receive the multilevel intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Objective Physical Activity Measured by Accelerometer Measured at Baseline and 18-month Follow-up
Time Frame: Baseline and 18-month follow-up
  • Participants will wear an accelerometer to measure physical activity.
  • The outcome measure will measure the weekly minutes of moderate to vigorous physical activity.

  • Physical activity was measured using the Freedson Adult cutpoint categories from 1998. Each count was measured every 60 seconds/per minute.

    • Sedentary: 0-99 counts per minute
    • Light: 100-1951 counts per minute
    • Moderate: 1952-5724 counts per minute
    • Vigorous: 5725-9498 counts per minute
    • Very vigorous: 9499 and up counts per minute
Baseline and 18-month follow-up

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants Who Met the Subjective Physical Activity Recommendations as Measured by the Global Physical Activity Questionnaire at Baseline and 18-month Follow-up
Time Frame: Baseline and 18-month follow-up.
  • Will use the Global Physical Activity Questionnaire to determine the number of participants who met the physical activity recommendations at baseline and at the 18-month follow-up.
  • The Global Physical Activity Questionnaire measures time spent in vigorous and moderate intensity physical activity in the domains of work, travel, and recreation. Participants will answer yes or no to their involvement in a given intensity (e.g., vigorous or moderate) in a given domain. If the participant answers 'yes' they will be asked on how many days do they partake in the activity, and for how many hours and/or minutes do they partake in the activity. A higher score equates to more physical activity. The range is from 0 minutes per week (no moderate physical activity in a week) to over 150 minutes per week (meeting recommendations) for moderate physical activity, and 0 minutes per week (no vigorous physical activity in a week) to over 75 minutes per week (meeting recommendations).
Baseline and 18-month follow-up.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Washington University School of Medicine

Collaborators

National Cancer Institute (NCI)

Investigators

  • Principal Investigator: Ross C Brownson, PhD, Washington University School of Medicine

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 17, 2018

Primary Completion (Actual)

December 24, 2022

Study Completion (Actual)

December 24, 2022

Study Registration Dates

First Submitted

September 18, 2018

First Submitted That Met QC Criteria

September 20, 2018

First Posted (Actual)

September 25, 2018

Study Record Updates

Last Update Posted (Estimated)

January 8, 2024

Last Update Submitted That Met QC Criteria

January 5, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • R01CA211323 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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