The LEARN Study for CVD Prevention
Study Details
Study Description
Brief Summary
The investigator is testing a virtual environment to address prevention of HIV-related comorbidities.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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N/A |
Detailed Description
The primary aims of this study are to test the feasibility, acceptability and preliminary effects of a VE to address prevention of HIV-related comorbidities. A waitlist control feasibility clinical trial will be conducted. We will assign (N=80) eligible participants and ensure balanced allocation to intervention and control groups over the intervention period. We hypothesize that the VE will be feasible and acceptable to persons living with HIV, and that they will apply their VE learning to real-life situations and health behaviors for prevention of HIV-related comorbidities.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Immediate Intervention Group Participants will enter an online game and learn about how to prevent cardiovascular and metabolic conditions. |
Behavioral: Gaming in a virtual environment
To address the primary outcomes of feasibility and acceptability of the VE, we will capture process data using a computer-based virtual environment and self-report measures using an online survey.
|
Other: Waitlist Control Group Participants will enter an online game at a later date after the immediate intervention group and learn about how to prevent cardiovascular and metabolic conditions. |
Behavioral: Gaming in a virtual environment
To address the primary outcomes of feasibility and acceptability of the VE, we will capture process data using a computer-based virtual environment and self-report measures using an online survey.
|
Outcome Measures
Primary Outcome Measures
- Acceptability/Feasibility {change over 3 timepoints} [Baseline and Month 3 & 6]
Based on Technology Acceptance Model, using the same unit of measure, we will examine Perceived Usefulness (Cronbach's alpha 0.98) and Perceived Ease of Use (Cronbach's alpha 0.94) with an online 7-point Likert scale.
Secondary Outcome Measures
- Cardiovascular health {change over 3 timepoints} [Baseline and Month 3 & 6]
Life's Simple 7, based on 4 modifiable health behaviors, provides scores (range, 0 to 14) based on smoking, diet, physical activity, body mass index, blood pressure, total cholesterol, and fasting glucose.
- Physical Activity {change over 3 timepoints} [Baseline and Month 3 & 6]
International Physical Activity Questionnaire - Short Form will assess intensity of physical activity and sitting time using a 7-item, open-ended measure. Cronbach's alpha 0.80.
- Tobacco and E-cigarette use {change over 3 timepoints} [Baseline and Month 3 & 6]
BRFSS - self report measure questions that pertain to Tobacco use and E-cigarette use (7 questions). kappa statistic 0.81-0.92.
- Food consumption {change over 3 timepoints} [Baseline and Month 3 & 6]
Food Frequency Questionnaire - Reports how frequently individuals consume foods in 16 categories. Multifactor Screener has demonstrated correlations of 0.5-0.8 with estimated true intake.
Eligibility Criteria
Criteria
Inclusion Criteria:
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identify as an ethnic/racial minority with HIV
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identify as gay, same-gender-loving, or MSM
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able to read and understand English
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access to a computer capable of downloading and running the VE software
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no medical history of serious cardiovascular or cognitive complications
Exclusion Criteria:
Anything outside of inclusion parameters, including history of:
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myocardial infarction (MI)
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congestive heart failure (CHF)
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coronary artery bypass graft (CABG)
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cerebral vascular accident (CVA)
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cognitive impairment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Yale University | Orange | Connecticut | United States | 06477 |
Sponsors and Collaborators
- Yale University
- National Heart, Lung, and Blood Institute (NHLBI)
Investigators
- Principal Investigator: S. Raquel Ramos, PhD, MBA, MSN, FNP-BC, Yale University School of Nursing
Study Documents (Full-Text)
None provided.More Information
Publications
- Ramos SR, O'Hare OM, Hernandez Colon A, Kaplan Jacobs S, Campbell B, Kershaw T, Vorderstrasse A, Reynolds HR. Purely Behavioral: A Scoping Review of Nonpharmacological Behavioral and Lifestyle Interventions to Prevent Cardiovascular Disease in Persons Living With HIV. J Assoc Nurses AIDS Care. 2021 Sep-Oct 01;32(5):536-547. doi: 10.1097/JNC.0000000000000230. Review.
- Ramos SR, Warren R, Shedlin M, Melkus G, Kershaw T, Vorderstrasse A. A Framework for Using eHealth Interventions to Overcome Medical Mistrust Among Sexual Minority Men of Color Living with Chronic Conditions. Behav Med. 2019 Apr-Jun;45(2):166-176. doi: 10.1080/08964289.2019.1570074.
- 2000031403
- 1K01HL145580-01A1