Primary Care-Based Physical Activity for Diabetic Latinas
9 de enero de 2020 actualizado por: Britta Larsen, University of California, San Diego
Camino a La Salud: Adapting and Testing a Primary Care-Delivered Physical Activity Intervention for Latinas With Type II Diabetes
The goal of this proposal is to test the efficacy of a primary care-delivered, print-based physical activity intervention for Latinas with type II diabetes.
The investigators will test the efficacy of this intervention by randomizing 80 Latinas with type II diabetes recruited through UCSD Health System primary care to either the adapted web-based physical activity intervention or standard of care, and assessing physical activity gains at six and 12 months.
The ultimate goal is to develop a print-based physical activity intervention for diabetic Latinas that could be widely disseminated through primary care.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Descripción detallada
Studies show that adoption of regular physical activity (PA) can greatly enhance diabetes management and prevention.
Individuals who adopt a PA routine show significant improvements in clinical markers of diabetes, including HbA1c, glucose tolerance, insulin sensitivity, weight and waist circumference, and significant reductions in medication use, and also show reductions in cardiovascular risk factors and other related co-morbidities.
Incorporation of cost-effective PA interventions into primary care for diabetes treatment could therefore enhance overall health and quality of life and significantly reduce healthcare costs.
The primary aim of this study is to conduct a small randomized trial (N=80) to test the efficacy of an individually tailored culturally adapted print-based physical activity intervention integrated into primary care to increase weekly moderate-to-vigorous physical activity in Latinas with type II diabetes, compared to those receiving standard of care.
Tipo de estudio
Intervencionista
Inscripción (Actual)
25
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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California
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La Jolla, California, Estados Unidos, 92093-0628
- University of California, San Diego
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años a 70 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Have received a physician's diagnosis of type II diabetes and are currently being seen by a primary care physician
- Currently inactive, defined as participating in at least moderate intensity physical activity for less than 60 minutes per week
Exclusion Criteria:
- Medical condition that may make exercise unsafe, including congestive heart failure, severe musculoskeletal problems or pulmonary conditions, or other conditions determined by the referring physician to preclude unsupervised exercise
- Unable to receive mailed materials (do not have a mailing address)
- Unable to engage in physical activity for at least 30 minutes
- Have a current or planned pregnancy
- Planning to move from the area within the next year
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Tailored Physical Activity Intervention
Intervention group will receive Spanish-language physical activity print intervention based on SCT and Transtheoretical Model, (TTM) that emphasizes behavioral strategies for increasing activity levels.
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The Tailored Internet intervention is based on constructs of the Transtheoretical Model (TTM) and Social Cognitive Theory (SCT).
During the 6-month intervention period, participants will receive monthly mailed questionnaires that assess current motivational readiness for physical activity and other TTM and SCT constructs (e.g., process of change, self-efficacy) and monthly logs to record their current activity.
Otros nombres:
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Comparador activo: Standard of Care Control Group
Control group will receive standard of care through the Family Medicine clinic as well as monthly questionnaires on topics other than physical activity (e.g.
diet) to complete.
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Those assigned to the control group will continue to receive standard of care through the Family Medicine clinic.
This currently entails commonly accepted medication treatment strategies, educational materials and counseling for self-management and medication adherence, screening for depression or other conditions that would impair self-management, and national and state quality of care guidelines for lab testing and control targets (HbA1c, lipids, blood pressure).
Participants in the control group will also receive monthly questionnaires on topics other than physical activity (e.g.
diet) to fill out and return in order to have the same opportunities for compensation as those in the intervention condition.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Objective Changes in Physical Activity from Baseline to 6 Months
Periodo de tiempo: Baseline, 6 Months (MO)
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The ActiGraph GT3X+ accelerometer will be the primary measure to assess objective changes in physical activity from baseline to 6 months.
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Baseline, 6 Months (MO)
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Self-Report Changes in Physical Activity from Baseline to 6 Months
Periodo de tiempo: Baseline, 6 Months (MO)
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The 7-Day Physical Activity Recall (PAR) will also assess self-reported changes in physical activity from baseline to 6 months.
The 7-Day PAR is an interviewer administered instrument that uses multiple strategies for increasing accuracy of participant recall regarding many types of activities such as time spent sleeping and moderate, hard, and very hard intensity activities.
The 7-Day PAR is used across many studies assessing physical activity and has consistently demonstrated acceptable reliability, internal consistency, and congruent validity with other objective measures of activity levels.
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Baseline, 6 Months (MO)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Objective Changes in Physical Activity from 6 Months to 12 Months
Periodo de tiempo: 6 Months (MO), 12 Months (MO)
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The ActiGraph GT3X+ accelerometer will be the primary measure to assess objective changes in physical activity from 6 to 12 months.
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6 Months (MO), 12 Months (MO)
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Self-Report Changes in Physical Activity from 6 Months to 12 Months
Periodo de tiempo: 6 Months (MO), 12 Months (MO)
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The 7-Day Physical Activity Recall (PAR) will also assess self-reported changes in physical activity from 6 to 12 months.
The 7-Day PAR is an interviewer administered instrument that uses multiple strategies for increasing accuracy of participant recall regarding many types of activities such as time spent sleeping and moderate, hard, and very hard intensity activities.
The 7-Day PAR is used across many studies assessing physical activity and has consistently demonstrated acceptable reliability, internal consistency, and congruent validity with other objective measures of activity levels.
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6 Months (MO), 12 Months (MO)
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Britta Larsen, PhD, UC, San Diego Department of Family Medicine and Public Health
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
1 de agosto de 2016
Finalización primaria (Actual)
1 de octubre de 2019
Finalización del estudio (Actual)
1 de octubre de 2019
Fechas de registro del estudio
Enviado por primera vez
5 de abril de 2016
Primero enviado que cumplió con los criterios de control de calidad
12 de abril de 2016
Publicado por primera vez (Estimar)
18 de abril de 2016
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
13 de enero de 2020
Última actualización enviada que cumplió con los criterios de control de calidad
9 de enero de 2020
Última verificación
1 de enero de 2020
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
- K01DK101650 (Subvención/contrato del NIH de EE. UU.)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
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