Rural Libraries Promoting Walking and Walkability in Their Rural Communities

Phase 1

Active, not recruiting

• Conditions: Physical Activity
• Interventions: Other: Walking only (Step It Up!); Other: Combined (Step It Up! plus Civic Engagement)

• Registration Number: NCT05677906
• Lead Sponsor: Oregon Health and Science University

Brief Summary

The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.

Detailed Description

The goals of this study are:

1. Increase the capacity of rural libraries to deliver evidence-based health promotion programs

2. Compare the effects of a group-based walking program with a combined group-based plus civic engagement program on physical activity, cardiovascular fitness and collective efficacy among rural residents.

3. Evaluate program implementation

Study Timeline

• Study First Submitted: 2022-12-07
• Study First Submitted QC: 2022-12-28
• Study First Posted: 2023-01-10
• Study Start: 2023-04-25
• Status Verified: 2023-12
• Last Update Submitted: 2024-01-11
• Last Update Posted: 2024-01-16
• Primary Completion: 2025-09-30
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 331

Inclusion Criteria

• Age 18 or older
• Inactive (defined as engaging in physical activity <3 days per week)
• Ability to walk for at least 20 minutes
• Living within the rural community served by the local library
• Ability to travel to the local library/location of walking group.

Exclusion criteria:

• Participation/intention to participate in other lifestyle modification pro-gram(s)
• Cognitive impairment
• Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Combined (Step It Up! plus Change Club)	Combined (Step It Up! plus Civic Engagement)	A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community
Walking only (Step It Up!)	Walking only (Step It Up!)	A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes.
Combined (Step It Up! plus Change Club)	Walking only (Step It Up!)	A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community

Primary Outcome Measures

Name	Time	Method
Cardio respiratory fitness	Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months.	Participants will be asked to complete a six-minute walk test to measure cardiorespiratory fitness. The distance walked in 6 minutes will be recorded.
Physical activity	Change from baseline physical activity at 6 months, 12 months, and 24 months.	Participants will be asked to wear an accelerometer for \>10 hours/day for seven days at the wrist to measure physical activity. An accelerometer is a small device worn at the wrist that records acceleration, the change in velocity of a participant over time.
Collective Efficacy	Change from baseline collective efficacy at 6 months, 12 months, and 24 months	Participants will be asked to complete a survey regarding collective-efficacy, the Collective Efficacy Scale (Sampson and colleagues, 1997), which measures how well communities work together to make things happen.

Secondary Outcome Measures

Name	Time	Method
Weight	Change from baseline weight at 6 months, 12 months, and 24 months.	Researchers will measure the weight of participants in pounds.
Hip circumference	Change from baseline hip circumference at 6 months, 12 months, and 24 months.	Researchers will measure the hip circumference of participants in inches.
Height	Baseline	Researchers will measure the height of participants in inches.
Resting heart rate	Change from baseline resting heart rate at 6 months, 12 months, and 24 months.	Researchers will measure resting heart rate of participants by using heart rate monitor.
Blood pressure	Change from baseline blood pressure at 6 months, 12 months, and 24 months.	Researchers will measure the both diastolic and systolic blood pressure of participants using a sphygmomanometer.

Trial Locations

Locations (1)

Oregon Health & Science University; 🇺🇸 Portland, Oregon, United States