Behavioral CVD Prevention Using Informatics
Study Details
Study Description
Brief Summary
Overweight/obesity is strongly linked to mortality from multiple chronic diseases, including cardiovascular disease, diabetes, and obesity-related cancers.The successful management of overweight/obesity requires management of nutrition and physical activity over time. For racial/ethnic minority and low-income populations, who face both higher prevalence of obesity and chronic diseases compared to others, interventions promoting behavioral change are a national health priority. From the available range of behavioral change intervention strategies, there is a growing knowledge base that documents the efficacy of peer support interventions for improving self-care, quality of life, and behavioral change. In this study, the investigators will examine the following research question: What is the preliminary efficacy and degree of implementation and acceptability of an intervention approach in which peer counselors provide evidenced-based counseling about nutrition and physical activity behaviors for weight management to public housing residents using a computer-assisted program called CuesWeight?
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Feedback report plus peer counseling Feedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report |
Behavioral: Counseling
Up to 12 sessions of behavioral counseling using motivational interviewing techniques focused on diet and physical activity behaviors over a 12 week period. Counselors will be guided in their sessions by a computer program called CuesWeight. Participants also receive text messages to enable participants to track their behaviors; this information is relayed to the counselors to inform the counseling sessions.
Behavioral: feedback report
All participants receive a brief printed feedback report displaying their current levels of nutrition and physical activity behaviors and tips for meeting recommended guidelines.
|
| Active Comparator: Feedback report Feedback report Participants receive a brief printed feedback report |
Behavioral: feedback report
All participants receive a brief printed feedback report displaying their current levels of nutrition and physical activity behaviors and tips for meeting recommended guidelines.
|
Outcome Measures
Primary Outcome Measures
- Weight-objective measurement [12 weeks]
Weight in pounds will be measured objectively with a digital scale
Secondary Outcome Measures
- Diet, fruits and vegetables, self-reported via questionnaire [12 weeks]
Servings of fruits and vegetables will be measured via the Primescreen dietary screener instrument
- Diet, sugar sweetened beverages, self-reported via questionnaire [12 weeks]
Fluid ounces of sugar sweetened beverages will be measured via the BEV-Q questionnaire
- Diet, fast food, self-reported via questionnaire [12 weeks]
Number of visits to fast food restaurants will be measured via a 1-item question asking participants how often they go to fast food restaurants
- Physical activity, objectively measured [12 weeks]
Minutes of light to moderate physical activity will be measured via accelerometers (Actigraphs)
- Physical activity, self-reported [12 weeks]
Minutes of light to moderate physical activity will be measured via a questionnaire (IPAQ)
- Internal motivation, self-reported via questionnaire [12 weeks]
Perceptions of internal motivation to change diet and physical activity will be measured by a brief questionnaire
- Self-efficacy for eating a healthful diet, self-reported via questionnaire [12 weeks]
Perceptions of self-efficacy (or confidence) to change diet behaviors in a variety of situations will be measured by a brief questionnaire
- Self-efficacy for doing physical activity, self-reported via questionnaire [12 weeks]
Perceptions of self-efficacy (or confidence) to change physical activity behaviors in a variety of situations will be measured by a brief questionnaire
- Social support, self-reported via questionnaire [12 weeks]
Perceptions of social support from a variety of sources will be measured via a brief questionnaire
- Feasibility, number of counseling sessions completed [12 weeks]
Number of counseling sessions completed in-person and over the phone will be tallied and reported
- Feasibility, acceptability of intervention [12 weeks]
Perceptions of acceptability of both the brief feedback report and the counseling sessions will be asked in open- and closed-ended questions
Eligibility Criteria
Criteria
Inclusion Criteria:
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Willing to wear an accelerometer
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18-65 years old
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Public housing resident with no plans to move in next 6 months
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Body mass index ≥25
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Open to making changes to diet & physical activity habits
Exclusion Criteria:
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Currently enrolled in a comprehensive weight loss program or a research study whose primary outcome is weight loss
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Primary language spoken is a language other than Spanish or English
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Not willing to participate in study protocols, including wearing the accelerometer, not willing to have study staff send text messages
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Boston Medical Center | Boston | Massachusetts | United States | 02118 |
Sponsors and Collaborators
- Boston Medical Center
- American Heart Association
Investigators
- Principal Investigator: Lisa M Quintiliani, PhD, Boston Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H-34964
- 14SDG20050015