Tanglewood Trail Walking Program in Rural Kentucky 2020

Tanglewood Trail Walking Program to Increase Phytonutrient Intake and Physical Activity in a Rural Kentucky Town

The Tanglewood Trail Walking Program is a well established community health initiative that encourages community members to walk approximately 1 mile to the Whitesburg Farmers Market each Saturday. The study aims to determine if walking to the market with a community health coach results in healthier options being selected at the market when compared to the driving group.

Study Overview

• Status: Completed
• Conditions: Dietary Habits
• Intervention / Treatment: Behavioral: walking group led by a community organizer

Detailed Description

In the summer of 2017, community members of Whitesburg, KY were recruited to join the Tanglewood Trail Walking Program to the Whitesburg farmers market. Each Saturday, participants reported whether or not they walked the 1 mile trail to the farmers market and they reported which fruits and vegetables they purchased. Participants completed questionnaires about fruit and vegetable consumption and physical activity. Participants also provided physical and biological measurements. The ClinicalTrials.gov record for the original trial in 2017 is NCT03495648.

• Study Type: Interventional
• Enrollment (Actual): 49
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Kentucky
    • Lexington, Kentucky, United States, 40506
      • University of Kentucky

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• ability to walk 1 kilometer

Exclusion Criteria:

• pregnant
• institutionalized adults
• impaired consent ability
• prisoners

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Walking Group; Subjects will participate in a walking group led by a community organizer as a means to get to a local farmer's market.	Behavioral: walking group led by a community organizer; Subjects will walk 1 kilometer from a pre-determined point to a local farmer's market.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-reported Fruit Intake	Subjects' self-reported fruit intake will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant self-reported fruit intake.	3 months
Self-reported Vegetable Intake	Subjects' self-reported vegetable intake will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant self-reported vegetable intake.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hours of Walking Per Week	Subjects will self-report the number of hours spent walking per week.	3 months
Understanding of Plant-based Phytonutrients	Participants will be asked a question demonstrating their understanding of the importance of ingesting plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.	3 months
Belief in the Benefit of Plant-based Nutrients	Participants will be asked a question demonstrating their appreciation of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.	3 months
Belief in the Preventative Effects of Plant-Based Nutrients	Participants will be asked a question demonstrating their beliefs of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.	3 months
Belief in the Role of Healthy Diet in Protecting Health From Pollutants	Participants will be asked a question demonstrating their beliefs that a healthy diet might protect health from environmental pollutants. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of a healthy diet	3 months
Knowledge of Which Foods Contain Phytonutrients	Participants will be asked a question about which foods contain phytonutrients. Possible answers are meat, dairy, plant foods, all foods, or don't know. Data will be presented as the number of participants in each group that correctly identified plant foods.	3 months
Knowledge of Environmental Pollutants	Participants will be asked to identify environmental pollutants from a list. Possible answers are polychlorinated biphenyls (PCBs), mercury, nitrites, all of those, none of those, or don't know. Data will be presented as the number of participants in each group that correctly identified all of those.	3 months
Hours of Vigorous Exercise Per Week	Subjects will self-report the number of hours spent in vigorous exercise per week.	3 months
Hours of Moderate Exercise Per Week	Subjects will self-report the number of hours spent in moderate exercise per week.	3 months
Hours of Sitting Per Week	Subjects will self-report the number of hours spent sitting per day.	3 months

Collaborators and Investigators

• Sponsor: Dawn Brewer
• Collaborators: National Institute of Environmental Health Sciences (NIEHS)

Study record dates

Study Major Dates

• Study Start (ACTUAL): May 17, 2020
• Primary Completion (ACTUAL): September 14, 2020
• Study Completion (ACTUAL): September 14, 2020

Study Registration Dates

• First Submitted: August 10, 2021
• First Submitted That Met QC Criteria: August 10, 2021
• First Posted (ACTUAL): August 12, 2021

Study Record Updates

• Last Update Posted (ACTUAL): November 5, 2021
• Last Update Submitted That Met QC Criteria: October 6, 2021
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Keywords: physical activity; Appalachia; farmers market; fruit and vegetable voucher program
• Other Study ID Numbers: 17-0283-P2H 2020; P42ES007380 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No current plan to share data.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No