Health Behavior
Conditions
Brief summary
This pilot study will test the feasibility and acceptability of an enhanced individual-level intervention delivered to 4th-6th graders to increase rates of walking to/from school. Up to 8 youth who do not already walk to school will be enrolled into the intervention. The theoretically-based intervention content will be delivered over 6 weeks through family-based telephone coaching sessions, ongoing short message service (SMS) text messaging, and activities and content on the study website.
Interventions
BEHAVIORALSupport for walking to school
5 modules that address psychosocial skills, with ongoing text messaging.
Sponsors
University of Kansas Medical Center
University of Kansas
Children's Mercy Hospital Kansas City
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
Yes
Inclusion criteria
* Parents of children enrolled at Benjamin Banneker school * Parents/child dyads who completed the Phase 1 survey OR respond to recruitment attempts and express interest in walking to school. Included parent/child dyads will be: Those who do not participate in LINC program both before and after school 4+ days per week (child); Those who live within the school boundary and south of Meyer Blvd (i.e., close enough to an existing walking school bus route) or are willing to drop off and/or pick up the child at a place along an existing walking school bus route (i.e., remote drop off).
Exclusion criteria
* Children not enrolled at Benjamin Banneker school * Those who participate in LINC program both before and after school 4+ days per week (child); Those who do not live within the school boundary and south of Meyer Blvd (i.e., close enough to an existing walking school bus route) or are not willing to drop off and/or pick up the child at a place along an existing walking school bus route (i.e., remote drop off). * We will exclude each of the following special populations: Adults unable to consent Prisoners Wards of the state Pregnant women may be included, but only in such capacity as parents of other children enrolled at Benjamin Banneker school
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of Intervention: Satisfaction Questionnaire | at 6 weeks, immediately after completion of the intervention | Acceptability and preferences related to intervention content will be measured using a questionnaire developed for this study (satisfaction questionnaire). Families (both parent and child responding together) will respond to 5 items asking about satisfaction with the intervention components. Items are rated on a 10-pt scale (minimum:1- maximum:10), with higher values indicating greater satisfaction. They will respond to two additional open-ended questions asking which aspects of the intervention they liked most and least. These qualitative items will be summarized. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of Walking to School | up to 6 weeks | Number of walking trips to/from school per week (0 to 10) will be assessed using a daily (Mon-Fri) tracking questionnaire completed through RedCap. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Psychosocial Intervention Text messaging and health coaching over the telephone to address goal setting, monitoring, motivation, problem solving, and related skills, delivered over 6 weeks.
Support for walking to school: 5 modules that address psychosocial skills, with ongoing text messaging. | 18 |
| Total | 18 |
Baseline characteristics
| Characteristic | Psychosocial Intervention | — |
|---|---|---|
| Age, Categorical <=18 years | 18 Participants | — |
| Age, Categorical >=65 years | 0 Participants | — |
| Age, Categorical Between 18 and 65 years | 0 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment United States | 18 participants | — |
| Sex: Female, Male Female | 6 Participants | — |
| Sex: Female, Male Male | 12 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 18 |
| other Total, other adverse events | 0 / 18 |
| serious Total, serious adverse events | 0 / 18 |
Outcome results
Primary
Acceptability of Intervention: Satisfaction Questionnaire
Acceptability and preferences related to intervention content will be measured using a questionnaire developed for this study (satisfaction questionnaire). Families (both parent and child responding together) will respond to 5 items asking about satisfaction with the intervention components. Items are rated on a 10-pt scale (minimum:1- maximum:10), with higher values indicating greater satisfaction. They will respond to two additional open-ended questions asking which aspects of the intervention they liked most and least. These qualitative items will be summarized.
Time frame: at 6 weeks, immediately after completion of the intervention
Population: The satisfaction questionnaire was completed by the families (parent and child responding together). Of the 14 participant families, 13 were successfully contacted to complete the questionnaire.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Psychosocial Intervention | Acceptability of Intervention: Satisfaction Questionnaire | How did you like the program overall? | 9.82 score on a scale | Standard Deviation 0.6 |
| Psychosocial Intervention | Acceptability of Intervention: Satisfaction Questionnaire | Did you like the text messages? | 9.83 score on a scale | Standard Deviation 0.58 |
| Psychosocial Intervention | Acceptability of Intervention: Satisfaction Questionnaire | How did you like the materials? | 9.33 score on a scale | Standard Deviation 1 |
| Psychosocial Intervention | Acceptability of Intervention: Satisfaction Questionnaire | How did you like the calls? | 9.33 score on a scale | Standard Deviation 1.16 |
Secondary
Frequency of Walking to School
Number of walking trips to/from school per week (0 to 10) will be assessed using a daily (Mon-Fri) tracking questionnaire completed through RedCap.
Time frame: up to 6 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Psychosocial Intervention | Frequency of Walking to School | 4.10 walking trips | Standard Deviation 2.15 |