Behavioral Cardiovascular Disease Prevention Using Informatics
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Boston Medical Center
- Enrollment
- 105
- Locations
- 1
- Primary Endpoint
- Weight-objective measurement
Study Overview
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?
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Feedback report plus peer counseling
Feedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report
Intervention: Counseling (Behavioral)
Feedback report plus peer counseling
Feedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report
Intervention: feedback report (Behavioral)
Feedback report
Feedback report Participants receive a brief printed feedback report
Intervention: feedback report (Behavioral)
Outcomes
Primary Outcomes
Weight-objective measurement
Time Frame: 12 weeks
Weight in pounds will be measured objectively with a digital scale
Secondary Outcomes
- Self-efficacy for doing physical activity, self-reported via questionnaire(12 weeks)
- Self-efficacy for eating a healthful diet, self-reported via questionnaire(12 weeks)
- Feasibility, number of counseling sessions completed(12 weeks)
- Feasibility, acceptability of intervention(12 weeks)
- Diet, fruits and vegetables, self-reported via questionnaire(12 weeks)
- Diet, sugar sweetened beverages, self-reported via questionnaire(12 weeks)
- Diet, fast food, self-reported via questionnaire(12 weeks)
- Internal motivation, self-reported via questionnaire(12 weeks)
- Physical activity, objectively measured(12 weeks)
- Physical activity, self-reported(12 weeks)
- Social support, self-reported via questionnaire(12 weeks)
Investigators
Lisa M. Quintiliani
Assistant Professor
Boston Medical Center