Physical Activity
Conditions
Keywords
physical activity, prevention, health disparities, behavior, community based intervention
Brief summary
The purpose of this study it to determine if a promotora-led intervention that takes a comprehensive, multi-level, community-based approach to promoting physical activity (PA) is effective among a particularly underserved segment of Latinas. We hypothesize that Latinas in the promotora-led PA Intervention will significantly increase minutes per week of moderate-to-vigorous physical activity (MVPA) compared to Latinas in the attention-control group.
Interventions
BEHAVIORALHealth education
Group health education sessions delivered by a promotora approximately 90 minutes in length. In the PA arm, health education incorporates at least 30 minutes group exercise.
BEHAVIORALTelephone Counseling
Brief (10 minute) telephone counseling calls delivered by promotoras using motivational interviewing techniques. The counseling calls will emphasize behavior change strategies, including self-monitoring, goal setting, reinforcement, problem solving, stimulus control, and enlisting social support.
OTHERNewsletter
Educational, motivational and informational newsletters tailored for each community and hand-delivered by promotoras to participant homes.
OTHEREnvironmental Change
Create a site atmosphere that promotes PA and increases the number of PA program offerings.
Sponsors
National Heart, Lung, and Blood Institute (NHLBI)
University of South Carolina
The University of Texas Health Science Center, Houston
Texas A&M University
Texas Tech University Health Sciences Center, El Paso
University of Maryland
The University of Texas Health Science Center at San Antonio
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* women ages 18-64 years * self-identify as Hispanic * have a personal telephone * reside within and intend to stay in the specified areas over the entire study period * understand Spanish * do not currently meet national PA recommendations
Exclusion criteria
* currently pregnant or plan to become pregnant * insulin dependent diabetic * uncontrolled hypertension * undergoing therapy for life-threatening illnesses (chemotherapy or radiation therapy) * positive (risk) responses on the PA Readiness Questionnaire (PAR-Q) and subsequent physician disapproval
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Moderate-to-vigorous physical activity (MVPA) | 16 weeks | Minutes per week of MVPA is assessed a baseline and immediate post-intervention (16 weeks) using accelerometry. The primary outcome is the amount of change between baseline and immediate post-intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Physical Fitness | 16 weeks | The 2-minute step in place test will be used to assess the amount of change in cardiorespiratory fitness (steps/minute) between baseline and immediate post-intervention (16 weeks). |
| Weight maintenance (Percent Body Fat) | 16 weeks | Weight maintenance is defined as a change in % body fat less than ± 3% of baseline. |
| Weight maintenance (Body Mass Index) | 16 weeks | Weight maintenance is defined as a change in body mass index (kg/m2) less than ± 3% of baseline. |
| Weight maintenance (Waist Circumference) | 16 weeks | Weight maintenance is defined as a change in waist circumference less than ± 3% of baseline. |
| Change from baseline Moderate-to-vigorous physical activity (MVPA) | 40 weeks | Minutes per week of MVPA is assessed a baseline and 24 weeks post-intervention (40 weeks) using accelerometry. The amount of change between baseline and 24 weeks post-intervention will be used to determine if the behavior was maintained. |
Countries
United States
Outcome results
None listed