Total Health Improvement Program Research Project
Total Health Improvement Program Research Project (A Community Lifestyle Medicine Course and Ability to Improve Health in All Classes of Socioeconomic Status)
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Little is known about effective strategies to reduce inequalities in non-communicable diseases (NCDs) and their underlying behaviors. McGill et al did a systematic review of the socioeconomic inequalities in promoting healthy eating. They found that upstream interventions with policy changes on price (fiscal measures such as taxes, subsidies, or economic incentives) reduced socioeconomic inequalities compared to downstream interventions such as cooking lessons, tailored nutritional education/counseling or nutrition education in the school curriculum appear likely to widen inequalities.
Douglas County's average income is $44,023 (compared to the median annual income of $60,336 across the entire United States) and the 5th poorest county in the state. 17% of the population is in poverty, higher than the national average of 13.4%.
The Complete Health Improvement Program (CHIP) is a premier lifestyle intervention that has been offered for more than 25 years and has been shown in over 25 peer-reviewed publications to benefit chronic disease. The Complete Health Improvement Program (CHIP) is a premier lifestyle intervention that has been offered for more than 25 years and has been shown in over 25 peer-reviewed publications to benefit chronic disease. CHIP was initially offered in Douglas County 5 years ago and found to benefit participants but there were concerns that it was widening inequalities due to the cost of the class. A similar program named Total Health Improvement Program (THIP) was designed and offered to the community for free through the partnership of a non-profit organization called UC-VEG.
The purpose of this study is to determine the effectiveness of the 13-week community-based nutrition education THIP program to assist participants with the adoption of a plant-based diet, increase physical activity and increase positive psychology. Research has shown plant-based diets to be safe and effective for weight management or reduction, cholesterol management, hypertension and diabetes management, and overall health and longevity. The primary objectives are to assess the effectiveness of the program in improving physical and emotional well-being and to assess if there are differences in outcomes based on a participant's socioeconomic status.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Oregon
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Roseburg, Oregon, États-Unis, 97471
- Better Living Center
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Speak English
- 18 years of age or older
- Prepared to engage in the Total health Improvement Program (THIP) weekly educational classes (13 weeks)
- Willing to participate in the pre and post questionnaire
- Able to participate in the lab work at weeks 2 and 12
- Have at least one chronic disease including cardiovascular disease, hyperlipidemia, hypertension, obesity (BMI >30), diabetes, or pre-diabetes (A1C>5.7%)
- Able to provide their own meals (whole foods diet)
- Has not attended the THIP program in the last year
Exclusion Criteria:
- Non English Speakers
- Less than 18 years of age
- Unwilling to engage in the Total health Improvement Program (THIP) weekly educational classes (13 weeks)
- Unwilling to participate in the pre and post questionnaire
- Not able to participate in the lab work at weeks 2 and 12
- Do not have at least one chronic disease including cardiovascular disease, hypertension, diabetes or pre-diabetes (A1C>5.7%)
- Unable to provide their own meals (whole foods diet)
- Has attended the THIP program in the last year
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change from Baseline - Global Health Score
Délai: 12 weeks
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Change in global health score as measured by the validated SF-20 survey.
The survey is scored for limitations in physical and role functioning (a higher score value indicates better functioning, for mental health (a higher score value indicates better health) and for pain (a higher score value indicates more pain).
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12 weeks
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Correlation of Global Health Scores to Social Determinants of Health
Délai: 12 weeks
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The primary analysis will be to determine if changes in SF-20 score are correlated with scores from the PCS3 Socioeconomic Survey to determine the relationship, if any, between socioeconomic status and changes in global health.
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12 weeks
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change from Baseline - Weight
Délai: 12 Weeks
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The participants will be weighed at week 2 (baseline) and week 12.
The data will be analyzed to determine effectiveness of the Total Health Improvement Program.
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12 Weeks
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Change from Baseline - Abdominal Circumference
Délai: 12 Weeks
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The participants will have there abdominal circumference measured at week 2 (baseline) and week 12.
The data will be analyzed to determine effectiveness of the Total Health Improvement Program.
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12 Weeks
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Change from Baseline - HbA1C
Délai: 12 Weeks
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The participants will have blood draws at week 2 (baseline) and week 12 and results will be compared to determine effectiveness of the Total Health Improvement Program. .
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12 Weeks
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Change from Baseline - Total Cholesterol
Délai: 12 Weeks
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The participants will have blood draws at week 2 (baseline) and week 12 and results will be compared to determine effectiveness of the Total Health Improvement Program. .
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12 Weeks
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Change from Baseline - Triglycerides
Délai: 12 Weeks
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The participants will have blood draws at week 2 (baseline) and week 12 and results will be compared to determine effectiveness of the Total Health Improvement Program. .
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12 Weeks
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Change from Baseline - LDL Cholesterol
Délai: 12 Weeks
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The participants will have blood draws at week 2 (baseline) and week 12 and results will be compared to determine effectiveness of the Total Health Improvement Program. .
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12 Weeks
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Change from Baseline - HDL Cholesterol Ratio
Délai: 12 Weeks
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The participants will have blood draws at week 2 (baseline) and week 12 and results will be compared to determine effectiveness of the Total Health Improvement Program. .
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12 Weeks
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Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Heidi Beery, MD, Pacific Northwest University of Health Science
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 2019-019
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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