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)
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Registrering (Faktiske)
Kontakter og plasseringer
Studiesteder
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Oregon
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Roseburg, Oregon, Forente stater, 97471
- Better Living Center
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Change from Baseline - Global Health Score
Tidsramme: 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
Tidsramme: 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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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change from Baseline - Weight
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
Etterforskere
- Hovedetterforsker: Heidi Beery, MD, Pacific Northwest University of Health Science
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2019-019
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