Cardiovascular Health Promotion Among African-Americans by FAITH! (Fostering African-American Improvement in Total Health): Engaging the Community Through Mobile Technology-assisted Education
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mayo Clinic
- Enrollment
- 50
- Primary Endpoint
- Physical activity behavior
Study Overview
Brief Summary
Given the importance of healthy lifestyle practices to cardiovascular disease (CVD) prevention and the utility of church-based interventions in African-American adults, the investigators developed a theory-informed, strategically-planned, health and wellness intervention with Rochester, Minnesota (MN) and Twin Cities area (Minneapolis, St. Paul, MN) churches with predominately African-American congregations. The objective of the study was to partner with churches to implement a multi-component, health education program through the use of core educational sessions delivered through a digital-application accessible on demand via interactive access on computer tablets and the Internet. The overarching goal was to increase the awareness and critical importance of healthy lifestyles for CVD prevention and provide support for behavior change.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Basic Internet navigation skills, at least weekly Internet access, active email address, minimal fruit/vegetable intake (<5 servings/day), no regular physical activity program (< 30 minutes/d of moderate physical activity), able to engage in moderate physical activity (no restrictions)
Exclusion Criteria
- •Diagnosis of a serious medical condition or disability that would make participation difficult (i.e. visual or hearing impairment, mental disability that would preclude independent use of the app)
Outcomes
Primary Outcomes
Physical activity behavior
Time Frame: 28 weeks post-intervention
Change in self-reported physical activity, reported as minutes per week of moderate to vigorous physical activity
Diet self-efficacy (using Self-Efficacy and Eating Habits Survey)
Time Frame: 28 weeks post-intervention
Change from baseline self-efficacy; scale of 1-5; Healthy diet score components include the following: fruits and vegetables, ≥4.5 cups/d; fish, 2 or more 3.5-oz servings/wk; fiber-rich whole grains (≥1.1 g fiber/10 g carbohydrate), 3 or more 1-oz-equivalent servings/d; sodium, ≤1500 mg/d; and sugar-sweetened beverages, ≤450 kcal/wk. Dietary recommendations are scaled according to a 2000-kcal/d diet.
Diet (fruit/vegetable intake using adaptation of NIH Eating at America's Table Quick Food Scan Screener)
Time Frame: 28 weeks post-intervention
Change in self reported diet
Physical activity self-efficacy (using Self-Efficacy and Exercise Habits Survey)
Time Frame: 28 weeks post-intervention
Change from baseline self-efficacy. Physical activity is reported via the Self-Regulation Scale from Health Beliefs Survey, which includes 10 items, using a 5-point Likert scale (1=never to 5=always) with higher scores indicating higher PA self-regulation
Secondary Outcomes
- Fasting glucose(28 weeks post-intervention)
- Smoking (using adaptation of Global Adult Tobacco Survey)(28 weeks post-intervention)
- Fasting Cholesterol(28 weeks post-intervention)
- Intervention feasibility(28 weeks post-intervention)
- BMI(28 weeks post-intervention)
- Blood Pressure(28 weeks post-intervention)
- Cardiovascular health knowledge(28 weeks post-intervention)
- Life's Simple 7 Composite Score(28 weeks post-intervention)
Investigators
LaPrincess C. Brewer
Assistant Professor of Medicine
Mayo Clinic