Obesity Prevention
Conditions
Keywords
Obesity, Latina
Brief summary
The goal of this clinical trial is to test a new web-based promotora de salud/ community health worker (CHW) training. This training is designed to provide CHWs with the knowledge and skills to effectively implement a healthy living intervention for Latinas. The main question it aims to answer is: o Do CHWs who complete the web-based healthy living training have higher self-efficacy in implementing core lifestyle intervention learning components for obesity interventions in Hispanics than CHWs who do not? Participants will: * Complete a baseline survey asking about self-efficacy related to implementing core lifestyle intervention learning components, knowledge, health behaviors, and skill mastery. * Be randomized to receive the new web-based training or to a standard CHW training designed by Health and Human Services. The new web-based training provides promotores with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Promotores will build their skillset through interactive quizzes, exercises, video role-playing scenarios, and interactive tools. * Complete follow-up surveys at 3 months and 6 months after the baseline survey. This survey will ask the same questions as the baseline survey and will include additional questions regarding satisfaction with training and behavior application. Researchers will compare participants who receive the new web-based training to participants who utilize the HHS training. The goal is to see whether the new web-based training increases self-efficacy among CHWs to effectively implement core lifestyle learning components for obesity interventions in Hispanics.
Interventions
BEHAVIORALComadres Saludables
Comadres Saludables is a web-based healthy living training for community health workers aimed at addressing obesity in Latinas. Comadres Saludables will combine both theory and evidence-based practices to provide participants with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Participants (CHWs) will build their skillset through interactive quizzes, exercises, and video role-playing scenarios. Additionally, Comadres Saludables allows participants to utilize interactive mHealth tools to enhance implementation with Hispanic women. Participants will access the training for three months.
BEHAVIORALControl
Participants will access the web-based HHS Promoting Healthy Choices and Community Changes that includes a variety of content via text, audio, and video. The information is designed to educate CHWs on how to implement health interventions for positive community change. They are asked to review it for three months.
Sponsors
ISA Associates, Inc.
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age and old * Comfortable speaking, reading, and writing English OR Spanish * Female * Access to a computer that has internet * Not Pregnant * Have a community health worker certification through the state of TX OR have worked over 6 moths as a community health worker and meets core competencies for CHWs * Provides services to Hispanic populations
Exclusion criteria
* Less than 18 years of age and old * Not comfortable speaking, reading, and writing English OR Spanish * Male * Does not have access to a computer that has internet * Pregnant * Does not have a community health worker certification through the state of TX OR have not worked over 6 moths as a community health worker and does not meet core competencies for CHWs * Does not provide services to Hispanic populations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Self-Efficacy in Core Lifestyle Intervention Learning Components at Week 12 | Baseline and 12-weeks post baseline | This Self-Efficacy scale was created specifically for this study. A scale of 19 items includes a list of evidence-based components to a healthy living intervention and asks participants their confidence in implementing these components. They provide a response ranging from '0-Not at all Confident' to '6-Extremely Confident'. An average score was taken across all 19 items with a minimum average score of 0 indicating no confidence at all and 6 indicating extreme confidence. Higher scores are favorable and indicate high self-efficacy in implementing a lifestyle intervention. |
| Change in Self-Efficacy in Core Lifestyle Intervention Learning Components at Week 24 | Baseline and 24 weeks post baseline | This Self-Efficacy scale was created specifically for this study. A scale of 19 items includes a list of evidence-based components to a healthy living intervention and asks participants their confidence in implementing these components. They provide a response ranging from '0-Not at all Confident' to '6-Extremely Confident'. An average score was taken across all 19 items with a minimum average score of 0 indicating no confidence at all and 6 indicating extreme confidence. Higher scores are favorable and indicate high self-efficacy in implementing a lifestyle intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Obesity Intervention Knowledge Questionnaire at 12 Weeks | Baseline and 12-Weeks post baseline | This Obesity Intervention Knowledge scale was created specifically for this study. A scale of 19 items includes a list of statements related to nutrition, physical activity, and habits to living a healthy lifestyle. Participants are asked whether the statement is 'True' or 'False' to assess their overall knowledge on healthy living. The scale is scored by assessing the number of percent items answered correctly, with a minimum percent correct score of 0% indicating no correct responses to 100% correct responses. Higher scores are favorable and indicate high obesity intervention knowledge. |
| Change in Obesity Intervention Knowledge Questionnaire at 24 Weeks | Baseline and 24-Weeks post baseline | This Obesity Intervention Knowledge scale was created specifically for this study. A scale of 19 items includes a list of statements related to nutrition, physical activity, and habits to living a healthy lifestyle. Participants are asked whether the statement is 'True' or 'False' to assess their overall knowledge on healthy living. The scale is scored by assessing the number of percent items answered correctly, with a minimum percent correct score of 0% indicating no correct responses to 100% correct responses. Higher scores are favorable and indicate high obesity intervention knowledge. |
| Change in Self-Report Skill Mastery at 12 Weeks | Baseline and 12 weeks post baseline | This Self-Report skill mastery measure was created specifically for this study. This measure is comprised of 15 items. Participants review a case study and then self-report their level of skill mastery of each of the components related to implementing a healthy living intervention. They provide a response ranging from '0-Strongly Disagree' to '4-Strongly Agree' for each question. An average score was taken across all 15 items with a minimum average score of 0 indicating they strongly disagree they have skill mastery to 4 indicating they strongly agree they have skill mastery for implementing the healthy living intervention. Higher scores are favorable and indicate high skill mastery. |
| Change in Self-Report Skill Mastery at 24 Weeks | Baseline and 24 weeks post baseline | This Self-Report skill mastery measure was created specifically for this study. This measure is comprised of 15 items. Participants review a case study and then self-report their level of skill mastery of each of the components related to implementing a healthy living intervention. They provide a response ranging from '0-Strongly Disagree' to '4-Strongly Agree' for each question. An average score was taken across all 15 items with a minimum average score of 0 indicating they strongly disagree they have skill mastery to 4 indicating they strongly agree they have skill mastery for implementing the healthy living intervention. Higher scores are favorable and indicate high skill mastery. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDebra M Rios, DrPH
ISA Associates
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 44.61 years STANDARD_DEVIATION 10.33 |
| Race/Ethnicity, Customized Race/Ethnicity American Indian/Alaskan Native | 1 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Asian | 0 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Black/African American | 8 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Hispanic/Latino | 142 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Native Hawaiian/Other Pacific Islander | 0 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Other | 0 Participants |
| Race/Ethnicity, Customized Race/Ethnicity White | 3 Participants |
| Self-Efficacy in Core Lifestyle Intervention Learning Components | 4.9 units on a scale STANDARD_DEVIATION 1.06 |
| Sex: Female, Male Female | 80 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 80 | 0 / 80 |
| other Total, other adverse events | 0 / 80 | 0 / 80 |
| serious Total, serious adverse events | 0 / 80 | 0 / 80 |
Outcome results
None listed