- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04891575
Heart of the Family: A Cardiovascular Disease and Type 2 Diabetes Risk Reduction Intervention in High-Risk Rural Families
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gia Mudd, RN, PhD
- Phone Number: 8592574204
- Email: gia.mudd@uky.edu
Study Locations
-
-
Kentucky
-
Lexington, Kentucky, United States, 40503
- Recruiting
- 2201 Regency Rd.
-
Contact:
- Gia Mudd, PhD
- Phone Number: 859-257-4204
- Email: Gia.Mudd@uky.edu
-
Contact:
- Rosa Martin
- Phone Number: 8593234305
- Email: Rosa.Martin@uky.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Primary participants are rural-dwelling Hispanic and non-Hispanic adults who are at-risk for type 2 diabetes or cardiovascular disease and have a family member who is willing to participate if the primary participant is randomly selected to participate with a family member.
Inclusion criteria for the primary participant:
- Is Hispanic or non-Hispanic adult
- Is 18 years of age and older
- Is a primary Spanish or English speaker
- Has internet access
Has two or more risk factors for type 2 diabetes or cardiovascular disease including:
- clinical diagnosis of hypertension;
- clinical diagnosis of hyperlipidemia;
- clinical diagnosis of prediabetes;
- overweight or obese (body mass index ≥ 25 kg/m2);
- is a current cigarette smoker;
- male 45 years of age or older or female 55 years of age or older;
- family history in first degree relative of type 2 diabetes or cardiovascular disease; or
- is a female with a history of gestational diabetes mellitus or polycystic ovary syndrome.
- Lives in rural Kentucky
- Is willing to participate in the study for the next 12 months
Inclusion criteria for the co-participating family member if primary participant is randomly selected to participate with a family member
- Is 18 years of age and older
- Is a primary Spanish or English speaker
- Lives in the same household or in close proximity (no further than 25 miles distance) to the primary participant
- Has internet access
- Is willing to participate in the study for the next 12 months
Exclusion Criteria:
Exclusion criteria for family dyads:
Primary participant and family member participant will be excluded if they:
- Have cognitive impairment that preclude them from understanding the consent process, answering questionnaires, or participating in the intervention;
- Have a major psychiatric (e.g., schizophrenia) condition;
- Are pregnant or nursing or plan on becoming pregnant within the next year since dietary needs will be different.
Exclusion criteria that apply only to the primary participant:
- Have known coronary artery or cerebrovascular disease;
- Have a diagnosis of type 1 or type 2 diabetes;
- Have medical contraindications to participate in a lifestyle intervention that includes unsupervised physical activity and weight loss
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Active Control Arm
An index participant with 2 or more risk factors for cardiovascular disease or type 2 diabetes who is randomized to this arm will attend 8 weekly educational sessions focused on self-management of risk factors and engagement in healthy behaviors for risk reduction.
The index participant will attend the sessions as an individual and will receive standard individual-focused lifestyle modification education.
|
The participant will attend 8 sessions that provide type 2 diabetes (T2D) and cardiovascular (CVD) risk reduction and lifestyle modification education focused on CVD and T2D risk factor reduction through promotion of participant self-management.
Education will concentrate on healthy eating, physical activity, stress reduction, and other lifestyle risk reduction recommendations.
|
Experimental: Family Dyad Arm
An index participant with 2 or more risk factors for cardiovascular disease or type 2 diabetes and a co-participating family member will together attend 8 weekly educational sessions focused on self-management of risk factors and engagement in healthy behaviors for risk reduction.
The dyadic intervention sessions also incorporate family-focused throughout each session to encourage dyadic support.
|
The participant and a co-participating family member will attend 8 sessions that provide type 2 diabetes (T2D) and cardiovascular (CVD) risk reduction and lifestyle modification education focused on CVD and T2D risk factor reduction through promotion of participant self-management.
Education will concentrate on healthy eating, physical activity, stress reduction, and other lifestyle risk reduction recommendations.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in body mass index (BMI)
Time Frame: 1 year (baseline, 3 months and 12 months)
|
BMI based on measurements of weight and height and calculated as kg/m2.
|
1 year (baseline, 3 months and 12 months)
|
Change in blood pressure
Time Frame: 1 year (baseline, 3 months and 12 months)
|
Blood pressure assessed using calibrated sphygmomanometry.
|
1 year (baseline, 3 months and 12 months)
|
Change in lipid profile
Time Frame: 1 year (at baseline, 3 months and 12 months)
|
Lipid profile includes LDL-cholesterol, HDL-cholesterol and triglycerides measured using point-of-care testing obtained by fingerstick.
|
1 year (at baseline, 3 months and 12 months)
|
Change in hemoglobin A1c (HbA1c)
Time Frame: 1 year (at baseline, 3 months and 12 months)
|
HbA1c will be measured using point-of-care testing obtained by fingerstick.
|
1 year (at baseline, 3 months and 12 months)
|
Change in physical activity level
Time Frame: 1 year (at baseline, 3 months and 12 months)
|
Physical activity will be measured using the International Physical Activity Questionnaire (IPAQ) to assess the number of days in the last 7 days that the participant engaged in vigorous or moderate physical activity and confirmed by comparing responses to activity levels as determine through actigraphy.
|
1 year (at baseline, 3 months and 12 months)
|
Change in dietary intake patterns
Time Frame: 1 year (at baseline, 3 months and 12 months)
|
Dietary intake patterns will be assessed using the Vioscreen food frequency questionnaire.
|
1 year (at baseline, 3 months and 12 months)
|
Change in tobacco use
Time Frame: 1 year (at baseline, 3 months and 12 months)
|
Tobacco use will be confirmed by collection of a saliva sample to determine cotinine levels.
|
1 year (at baseline, 3 months and 12 months)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Gia Mudd, RN, PhD, University of Kentucky
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
- 60980
- 1R01NR019456-01 (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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