Cancer, Cardiovascular Disease, Obesity, Peer Support and Chronic Disease, Type II Diabetes
Conditions
Keywords
African American, Faith institutions, Dyads, Health disparities
Brief summary
The purpose of this study is to explore how working with a partner can influence participation in a church wellness program. There are many different types of church wellness programs. Church members are more likely to participate and achieve goals in these programs when they have peer support. The researcher would like to know what African American men and women think about working with a support partner. This information will help researchers design better church wellness programs. The participants are being asked to take part in this research because the investigators believe that it is helpful to share feelings and thoughts about experiences working with a partner to achieve health goals. This knowledge will be used to create church wellness programs that will help African American men and women prevent disease and live healthier lives.
Interventions
BEHAVIORALPeer Support Dyad Intervention
Phase I: At baseline and at post-intervention, participant height, weight, BMI, fruit and vegetable intake and exercise habits will be measured. Participants will complete surveys and meet each week to learn about nutrition and exercise. Phase II: Dyads will attend a communication training session to discuss 1) benefits of working with a partner; 2) supportive communication tips; and 3) expected activities for the next 8 weeks, including filling out daily logs. After the training session, the dyads will work together to achieve their health goals. The dyads will return to the church for two check in sessions. At these sessions, participants will turn in their logs, and be weighed. At the end of the intervention, BMI will be reassessed, and surveys and interviews will be completed.
Sponsors
National Institute of Nursing Research (NINR)
Duke University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* The inclusion criteria will be churches with mostly African American members. * Participant criteria will be: ages \>=18 or older who identify as African American * Attend church at least once per week * Speak, read and write English * Willing to complete study activities and assessments * Able to engage in moderate physical activity. (e.g., walking - based on their own activity level and assessment).
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility as Measured by Retention | Baseline to week 18 | Retention will be calculated from the number of participants who continue to Phase II out of the number who complete Phase I (\>50% attendance), and the attrition rate. |
| Number of Participants Who Agreed That Program Component Was Acceptable | Measured at Week 18 | Measured by ten item feasibility survey, scored based on 5-point Likert scale administered at week 18, the last week of the program. Feasibility was measured on a scale of 1-5, where 1=strongly disagree that program component was acceptable or feasible, and 5=strongly agree that program component was acceptable or feasible) |
| Health Educators' Perceptions of Feasibility as Measured by Semi-structured Interviews | Measured at Week 18 | Reported as number of health educators who found the program to be feasible. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goal Attainment as Measured by BMI (Body Mass Index) | Week 18 | Mixed models will be used to assess changes in participant BMI pre and post intervention. |
| Goal Attainment as Measured by Days Per Week That Participants Exercised for 30 Minutes or More | Week 18 | A mixed model using intraclass correlation will be used to assess changes in physical activity at weeks 1 and 18 pre and post intervention. |
| Goal Attainment as Measured by Weight in Pounds | Week 18 | A mixed model using intraclass correlation will be used used to assess changes in participant weight pre and post intervention. |
| Goal Attainment as Measured by Number of Participants Consuming 7 or More Fruits and Vegetables Per Day | Week 18 | A mixed model using intraclass correlation will be used to assess changes in participant fruit and vegetable intake pre and post intervention. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| African American Church Members Peer Support Dyad Intervention: Phase I: At baseline and at post-intervention, participant height, weight, BMI, fruit and vegetable intake and exercise habits will be measured. Participants will complete surveys and meet each week to learn about nutrition and exercise.
Phase II: Dyads will attend a communication training session to discuss 1) benefits of working with a partner; 2) supportive communication tips; and 3) expected activities for the next 8 weeks, including filling out daily logs. After the training session, the dyads will work together to achieve their health goals. The dyads will return to the church for two check in sessions. At these sessions, participants will turn in their logs, and be weighed. At the end of the intervention, BMI will be reassessed, and surveys and interviews will be completed. | 80 |
| Total | 80 |
Baseline characteristics
| Characteristic | African American Church Members |
|---|---|
| Age, Categorical <=18 years | 1 Participants |
| Age, Categorical >=65 years | 35 Participants |
| Age, Categorical Between 18 and 65 years | 44 Participants |
| Age, Continuous | 64 years STANDARD_DEVIATION 11.8 |
| Body Mass Index (BMI) | 32.9 kg/m^2 STANDARD_DEVIATION 7.2 |
| Days of Physical Activity | 3.1 days STANDARD_DEVIATION 2.1 |
| Fruit and Vegetable Intake | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 80 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Region of Enrollment United States | 80 Participants |
| Sex: Female, Male Female | 67 Participants |
| Sex: Female, Male Male | 13 Participants |
| Weight | 198 pounds STANDARD_DEVIATION 51.2 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 80 |
| other Total, other adverse events | 0 / 80 |
| serious Total, serious adverse events | 0 / 80 |
Outcome results
Primary
Feasibility as Measured by Retention
Retention will be calculated from the number of participants who continue to Phase II out of the number who complete Phase I (\>50% attendance), and the attrition rate.
Time frame: Baseline to week 18
Population: Participants who completed Phase I (\>50% attendance).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| African American Church Members | Feasibility as Measured by Retention | 62 Participants |
Primary
Health Educators' Perceptions of Feasibility as Measured by Semi-structured Interviews
Reported as number of health educators who found the program to be feasible.
Time frame: Measured at Week 18
Population: Health educators who were interviewed.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| African American Church Members | Health Educators' Perceptions of Feasibility as Measured by Semi-structured Interviews | 4 Participants |
Primary
Number of Participants Who Agreed That Program Component Was Acceptable
Measured by ten item feasibility survey, scored based on 5-point Likert scale administered at week 18, the last week of the program. Feasibility was measured on a scale of 1-5, where 1=strongly disagree that program component was acceptable or feasible, and 5=strongly agree that program component was acceptable or feasible)
Time frame: Measured at Week 18
Population: Participants who completed the study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| African American Church Members | Number of Participants Who Agreed That Program Component Was Acceptable | 61 Participants |
Secondary
Goal Attainment as Measured by BMI (Body Mass Index)
Mixed models will be used to assess changes in participant BMI pre and post intervention.
Time frame: Week 18
Population: Participants who completed the study.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| African American Church Members | Goal Attainment as Measured by BMI (Body Mass Index) | 32 kg/m^2 | Standard Deviation 6.8 |
p-value: <0.05Mixed Models Analysis
Secondary
Goal Attainment as Measured by Days Per Week That Participants Exercised for 30 Minutes or More
A mixed model using intraclass correlation will be used to assess changes in physical activity at weeks 1 and 18 pre and post intervention.
Time frame: Week 18
Population: Participants who completed the study.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| African American Church Members | Goal Attainment as Measured by Days Per Week That Participants Exercised for 30 Minutes or More | 4.5 days | Standard Deviation 2.2 |
p-value: <0.05Mixed Models Analysis
Secondary
Goal Attainment as Measured by Number of Participants Consuming 7 or More Fruits and Vegetables Per Day
A mixed model using intraclass correlation will be used to assess changes in participant fruit and vegetable intake pre and post intervention.
Time frame: Week 18
Population: Participants who completed the study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| African American Church Members | Goal Attainment as Measured by Number of Participants Consuming 7 or More Fruits and Vegetables Per Day | 6 Participants |
Secondary
Goal Attainment as Measured by Weight in Pounds
A mixed model using intraclass correlation will be used used to assess changes in participant weight pre and post intervention.
Time frame: Week 18
Population: Participants who completed the study.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| African American Church Members | Goal Attainment as Measured by Weight in Pounds | 189 pounds | Standard Deviation 44.5 |
p-value: <0.05Mixed Models Analysis