PAthway To Health (PATH): Fostering Culturally Appropriate Physical Activities in Indigenous Communities (PATH)
PAthway To Health (PATH): Fostering Culturally Appropriate Physical Activities Using Digital Technology in Indigenous Communities
調査の概要
詳細な説明
Background: Promoting an active lifestyle is a priority identified by the communities served by KDC Health. Statistics Canada estimates obesity in one in four adults based on 2007-2009 data, with higher prevalence among Indigenous people compared to non-Aboriginal population (between 26% and 36% among adults living off-reserve and on-reserve, respectively). Furthermore, Indigenous people also report higher prevalence of obesity associated complications, including diabetes, cardiovascular disease, and arthritis. The association between physical inactivity and obesity suggests that increasing physical activity is important.
KDC Health offers a variety of free programs to community members, however, the use of these services has been low. KDC Health has previously partnered with the CIHR-funded IMPAKT project, and has expressed a strong interest in developing an intervention to improve health and wellness in the communities.
Objectives:
- To determine whether the PATH program can improve physical activity participation in the communities served by KDC Health.
- To assess the effect of this program on reducing sedentary time, and increasing the use of health promotion and wellness services offered by KDC Health
- To assess the correlation of physical activity levels and the secondary outcome measures among individuals who are living in the same household.
Methods: The investigators will conduct a community-based proof-of-concept randomized controlled trial (RCT) with 60 eligible participants. Only 1 member per household will be enrolled. If more than 1 member is interested, they will select 1 person by consensus or by a random draw.
After obtaining the baseline measures, participants will be randomly assigned to the 'Now Group' (target=30) or 'Later Group' (target=30).
The Now Group will participate in a brief education session held at the KDC Health Centre, use a wearable physical activity tracker (Fitbit Flex), and physical activity mentoring by a KDC Health Staff (the Activity Mentors). The Activity Mentors have received training for the project from the Principal Investigator. In Month 1-2, participants will meet with their Activity Mentor once every 2 weeks to review their physical activity status, activity goals, and the health programs available at the Centre. In Month 3-4, they will continue to use Fitbit Flex but will no longer have regular meetings with the Activity Mentor.
The Later Group will receive intervention two months later (i.e., Month 3-4).
The primary outcome measure will be the time spent in moderate/vigorous physical activity. In addition, time spent in sedentary behaviours will be recorded. Participants will wear a SenseWear Mini accelerometer for 7 days at baseline, 2 months, and 4 months. Secondary outcome measures include sedentary time measured with SenseWear Mini, health status that will be measured using the SF-36 (a generic measure of health-related quality of life), and body weight. Participants' use of KDC Health programs and their motivation to be physically active will also be recorded.
At the end of the program, participants will be interviewed for 30 minutes in person about their opinion on the intervention. Interviews will focus on 1) barriers/facilitators to being physically active, 2) their experience with the intervention, and 3) the nature of activities they engage in.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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British Columbia
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Richmond、British Columbia、カナダ、V6X 2C7
- Arthritis Research Canada
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria: Participants are eligible if they:
- Are a person from KDC Health Member Nations
- Are 19 years or older
- Have no health condition that prevents them from being physically active
- Are able to participate in a 4-month project -
Exclusion Criteria: Participants are not eligible to participate if they:
- Do not meet the criteria above
- Use medication that may impair activity tolerance (e.g., beta blockers),
- Are unable to provide informed consent -
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:ヘルスサービス研究
- 割り当て:ランダム化
- 介入モデル:クロスオーバー割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:Now Group - PATH Program
The Now Group will receive the PATH program.
They will participate in a brief education session, use a wearable physical activity tracker, and physical activity mentoring by an Activity Mentors.
In Month 1 and 2, participants will meet with their Activity Mentor once every 2 weeks to review their physical activity status, activity goals, and the health programs available at the Centre.
In Month 3 and 4, they will continue to use physical activity tracker but will no longer have regular meetings with the Activity Mentor.
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A brief education session, use of a wearable physical activity tracker, and physical activity mentoring by an Activity Mentor every 2 weeks.
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アクティブコンパレータ:Later Group
The Later Group will receive the PATH program in Month 1-2.
Intervention will be provided two months later (i.e., Month 3 and 4).
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A brief education session, use of a wearable physical activity tracker, and physical activity mentoring by an Activity Mentor every 2 weeks.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Time spent in Moderate to Vigorous Physical Activity (MVPA), measured by SenseWear Mini accelerometer
時間枠:Change from baseline in Time spent in MVPA at 2 months and 4 months
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Participants will wear a SenseWear Mini accelerometer for 7 days at baseline, and Months 2 and 4.
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Change from baseline in Time spent in MVPA at 2 months and 4 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Time spent in sedentary behaviours, measured by SenseWear Mini accelerometer
時間枠:Change from baseline in time spent in sedentary behaviours at 2 months and 4 months
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Participants will wear a SenseWear Mini accelerometer for 7 days at baseline, and Months 2 and 4.
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Change from baseline in time spent in sedentary behaviours at 2 months and 4 months
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Change in Health Status, measured by SF-36 Questionnaire
時間枠:Change from baseline health status at 2 months and 4 months
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SF-36 Questionnaire
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Change from baseline health status at 2 months and 4 months
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Change in Body weight, measured by measured with a calibrated scale
時間枠:Change from baseline body weight at 2 months and 4 months
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Measured with a calibrated scale
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Change from baseline body weight at 2 months and 4 months
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協力者と研究者
捜査官
- 主任研究者:Linda Li, PT, PhD、Arthritis Research Canada
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- H12-02526
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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PATH programの臨床試験
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University of PennsylvaniaIndependence Blue Cross完了
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Weill Medical College of Cornell UniversityNational Institute on Aging (NIA)募集
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Universitaire Ziekenhuizen KU LeuvenCHU UCL Namurまだ募集していません
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Perception Dynamics InstituteUniversity of California, San Diego; University of South Alabama引きこもった
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Children's Health積極的、募集していない
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University of NebraskaNational Institute of Nursing Research (NINR)完了
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Weill Medical College of Cornell UniversityNational Institute of Mental Health (NIMH)完了
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St Elizabeth HealthcarePATH Decision Support Software, LLC完了