Ешь, двигайся, живи Вмешательство в снижение риска хронических заболеваний в уязвимых с медицинской точки зрения сообществах
Снижение риска рака и хронических заболеваний в уязвимых с медицинской точки зрения сообществах: технико-экономическое обоснование, измеряющее поведенческие и биологические результаты вмешательства Eat Move Live
This randomized pilot research trial studies how well Eat, Move, Live (EML) works in reducing chronic disease risk in medically vulnerable communities. Obesity, unhealthy diet, and physical inactivity are linked to increased cancer risk, especially hormone-related cancer (example, breast cancer). Improving healthy lifestyle practices, namely increasing physical activity and encouraging healthy eating behaviors may reduce the risk of getting cancer and chronic disease.
Обзор исследования
Статус
Условия
Подробное описание
PRIMARY OBJECTIVES:
I. Level of exercise.
II. Reduction in barriers to exercise.
III. Level of self-reported 5-9 servings of fruits and vegetables consumption.
IV. Reduction in barriers to fruit and vegetable consumption.
V. Improvement in biologic/metabolic markers such as hemoglobin A1c, fasting plasma glucose, and body weight.
OUTLINE: Participants are randomized to 1 of 2 groups.
GROUP I: Participants complete an assessment on knowledge, attitudes, and behaviors at baseline and attend 2 weekday sessions comprised of interactive education segment that is culturally responsive, and based on the community EML program, and topics including: nutrition guideline, nutrition label reading, comparison shopping/grocery store tour, recipe modification and healthy food preparation, eating healthy on a budget, and making healthy choices outside the home (e.g., restaurants) and physical activity over 1 hour led by Certified Health Educator (CHE), a physical activity conducted by Duarte Fitness Centers instructors over 30 minutes, and cooking/taste test demonstration co-led by the CHE and local chef over 30 minutes over 12 weeks. Participants are also prescribed and encouraged to participate in 3 days a week exercise classes (for > 30 minutes) including salsa, Zumba and other aerobic exercises that are provided at Duarte Fitness Center.
GROUP II: Participants receive a fitness tracker to track their physical activity and be wait listed to receive the intervention during month 10-12.
After completion of study, participants are followed up immediately and at 3 months.
Тип исследования
Регистрация (Оцененный)
Фаза
- Непригодный
Контакты и местонахождение
Места учебы
-
-
California
-
Duarte, California, Соединенные Штаты, 91010
- City of Hope Medical Center
-
-
Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Inclusion Criteria:
- Mothers/female guardians of elementary aged students
- Self identify as Latina
- Not adherent to the standard for > five servings of fruits and vegetable and 150 minutes of physical activity
Exclusion Criteria:
- Not a parent of elementary aged student in Duarte Unified School District (DUSD)
- Does not self-identify as Latina
- Does not speak/read/write/understand English/Spanish - Diagnosed with diabetes
- Consumes 5+ servings of fruits and vegetables and is active for at least 30 minutes 5+ days per week
- Has a condition or psychological difficulties that affects day-to-day activities
- Has physical limitations and cannot participate in physical activity
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Профилактика
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: Group I (EML)
Participants complete an assessment on knowledge, attitudes, and behaviors at baseline and attend 2 weekday sessions comprised of interactive education segment that is culturally responsive, and based on the community EML program, and topics including: nutrition guideline, nutrition label reading, comparison shopping/grocery store tour, recipe modification and healthy food preparation, eating healthy on a budget, and making healthy choices outside the home (e.g., restaurants) and physical activity over 1 hour led by CHE, a physical activity conducted by Duarte Fitness Centers instructors over 30 minutes, and cooking/taste test demonstration co-led by the CHE and local chef over 30 minutes over 12 weeks. Participants are also prescribed and encouraged to participate in 3 days a week exercise classes (for > 30 minutes) including salsa, Zumba and other aerobic exercises that are provided at Duarte Fitness Center. |
Correlative studies Ancillary studies Attend healthy nutritional education session Attend EML educational session
Другие имена:
Attend exercise educational session Receive fitness tracker |
|
Активный компаратор: Group II (control)
Participants receive a fitness tracker to track their physical activity and be wait listed to receive the intervention during month 10-12. |
Correlative studies Ancillary studies Attend healthy nutritional education session Attend exercise educational session Receive fitness tracker |
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Changes in plasma glucose level measured using point of care glucometer OneTouch Ultra® 2
Временное ограничение: Baseline to up to 3 months
|
Will convert plasma glucose into binary outcome variables and evaluate the effect on intervention on these outcomes controlled for significant confounders (age, income, and education will be evaluated for confounding in the logistic regression model). Chi-square goodness of fit tests will compare percent reduction in weight between the control and intervention groups. Chi square tests will be used to determine whether participants reduced weight by 3%. Repeated ANCOVA will be used. Outcome variables will be dichotomized to fit a logistic regression modeling procedures. |
Baseline to up to 3 months
|
|
Changes in hemoglobin A1c level measured using a point of care device A1CNow®
Временное ограничение: Baseline to up to 3 months
|
Will convert hemoglobin A1c into binary outcome variables and evaluate the effect on intervention on these outcomes controlled for significant confounders (age, income, and education will be evaluated for confounding in the logistic regression model). Chi-square goodness of fit tests will compare percent reduction in weight between the control and intervention groups. Chi square tests will be used to determine whether participants reduced weight by 3%. Repeated ANCOVA will be used. Outcome variables will be dichotomized to fit a logistic regression modeling procedures. |
Baseline to up to 3 months
|
|
Changes in level of self reported 5-9 servings of fruits and vegetables using self evaluation and the daily food diary
Временное ограничение: Baseline to up to 3 months
|
Chi-square test and Logistic regression analysis will be used to determine whether the intervention significantly motivated participants to consume 7-8 servings of fruits/vegetables per day, adjusting for significant confounders (e.g., age, baseline BMI). Additionally, the Cochran Q test will be used to evaluate changes on barriers to fruit/vegetable consumption at the baseline and follow-up time points. |
Baseline to up to 3 months
|
|
Changes in reduction in barriers to exercise using self-report evaluation based on historical EML program using Likert-type scale items
Временное ограничение: Baseline to up to 3 months
|
Compliance to exercise at baseline and follow-up will be assessed using Logistic regression analysis. Additionally, the Cochran Q test will be used to evaluate changes on barriers to exercise at the baseline and follow-up time points. |
Baseline to up to 3 months
|
|
Changes in self-reports of activity tracker readings
Временное ограничение: Up to 3 months
|
Will compare baseline and follow-up exercise levels between the intervention and control groups in an independent t-tests, and compare the pre- to post-intervention change in activity tracker readings between groups with repeated measure analysis of covariance with age and baseline body mass index (BMI) as confounders. |
Up to 3 months
|
|
Reduction in barriers to fruit and vegetable consumption using self-evaluation based on historical EML program using Likert-type scale
Временное ограничение: Baseline to up to 3 months
|
Cochran Q test will be used to assess participants' barriers to fruit and vegetable consumption at different follow up period. |
Baseline to up to 3 months
|
Соавторы и исследователи
Спонсор
Соавторы
Следователи
- Главный следователь: Kimlin Ashing-Giwa, City of Hope Medical Center
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Действительный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Оцененный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- 15160
- 15160 (Другой идентификатор: City of Hope Medical Center)
- NCI-2015-01220 (Идентификатор реестра: CTRP (Clinical Trial Reporting Program))
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