MedPath

Behavioral CVD Prevention Using Informatics

Not Applicable
Completed
Conditions
Health Behavior
Interventions
Behavioral: Counseling
Behavioral: feedback report
Registration Number
NCT02752464
Lead Sponsor
Boston Medical Center
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?

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
105
Inclusion Criteria
  • Willing to wear an accelerometer
  • 18-65 years old
  • Public housing resident with no plans to move in next 6 months
  • Body mass index ≥25
  • Open to making changes to diet & physical activity habits
Exclusion Criteria
  • Currently enrolled in a comprehensive weight loss program or a research study whose primary outcome is weight loss
  • Primary language spoken is a language other than Spanish or English
  • Not willing to participate in study protocols, including wearing the accelerometer, not willing to have study staff send text messages

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Feedback report plus peer counselingCounselingFeedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report
Feedback reportfeedback reportFeedback report Participants receive a brief printed feedback report
Feedback report plus peer counselingfeedback reportFeedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report
Primary Outcome Measures
NameTimeMethod
Weight-objective measurement12 weeks

Weight in pounds will be measured objectively with a digital scale

Secondary Outcome Measures
NameTimeMethod
Diet, fruits and vegetables, self-reported via questionnaire12 weeks

Servings of fruits and vegetables will be measured via the Primescreen dietary screener instrument

Diet, sugar sweetened beverages, self-reported via questionnaire12 weeks

Fluid ounces of sugar sweetened beverages will be measured via the BEV-Q questionnaire

Diet, fast food, self-reported via questionnaire12 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

Internal motivation, self-reported via questionnaire12 weeks

Perceptions of internal motivation to change diet and physical activity will be measured by a brief questionnaire

Physical activity, objectively measured12 weeks

Minutes of light to moderate physical activity will be measured via accelerometers (Actigraphs)

Physical activity, self-reported12 weeks

Minutes of light to moderate physical activity will be measured via a questionnaire (IPAQ)

Self-efficacy for eating a healthful diet, self-reported via questionnaire12 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 questionnaire12 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 questionnaire12 weeks

Perceptions of social support from a variety of sources will be measured via a brief questionnaire

Feasibility, number of counseling sessions completed12 weeks

Number of counseling sessions completed in-person and over the phone will be tallied and reported

Feasibility, acceptability of intervention12 weeks

Perceptions of acceptability of both the brief feedback report and the counseling sessions will be asked in open- and closed-ended questions

Trial Locations

Locations (1)

Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

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