Tanglewood Trail Walking Program in Rural Kentucky 2019

Not Applicable

Completed

Conditions: Dietary Habits

Interventions: Behavioral: walking group led by a community organizer

Registration Number: NCT05002972

Lead Sponsor: Dawn Brewer

Brief Summary: The Tanglewood Trail Walking Program is a well established community health initiative that encourages community members to walk approximately 1 mile to the Whitesburg Farmers Market each Saturday. The study aims to determine if walking to the market with a community health coach results in healthier options being selected at the market when compared to the driving group.

Detailed Description: In the summer of 2017, community members of Whitesburg, KY were recruited to join the Tanglewood Trail Walking Program to the Whitesburg farmers market. Each Saturday, participants reported whether or not they walked the 1 mile trail to the farmers market and they reported which fruits and vegetables they purchased. Participants completed questionnaires about fruit and vegetable consumption and physical activity. Participants also provided physical and biological measurements. The ClinicalTrials.gov record for the original trial in 2017 is NCT03495648.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 63

Inclusion Criteria

ability to walk 1 kilometer

Exclusion Criteria

pregnant
institutionalized adults
impaired consent ability
prisoners

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Walking Group	walking group led by a community organizer	Subjects will participate in a walking group led by a community organizer as a means to get to a local farmer's market.

Primary Outcome Measures

Name	Time	Method
Carotenoid Levels	3 months	Subjects' carotenoid status will be measured using a carotenoid Raman Spectroscopy to determine if walking combined with a voucher for fruits and vegetables increases intake in fruits and vegetables as measured by carotenoid status.
Self-reported Fruit Intake	3 months	Subjects' self-reported fruit intake will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant self-reported fruit intake.
Self-reported Vegetable Intake	3 months	Subjects' self-reported vegetable intake will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant self-reported vegetable intake.

Secondary Outcome Measures

Name	Time	Method
HDL Cholesterol Levels	3 months	Subjects' HDL will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant HDL
Total Cholesterol Levels	3 months	Subjects' total cholesterol will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant total cholesterol.
Hours of Vigorous Exercise	3 months	Subjects will self-report the number of hours spent in vigorous exercise per week.
Knowledge of Environmental Pollutants	3 months	Participants will be asked to identify environmental pollutants from a list. Possible answers are polychlorinated biphenyls (PCBs), mercury, nitrites, all of those, none of those, or don't know. Data will be presented as the number of participants in each group that correctly identified all of those.
A1c Levels	3 months	Subjects' A1c will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant A1c.
Weight	3 months	Subjects' weight will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant weight.
Understanding of Plant-based Phytonutrients	3 months	Participants will be asked a question demonstrating their understanding of the importance of ingesting plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.
Waist Circumference	3 months	Subjects' waist circumference will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant waist circumference.
Hours of Sitting	3 months	Subjects will self-report the number of hours spent sitting per day.
Hours of Walking Per Week	3 months	Subjects will self-report the number of hours spent walking per week.
Hours of Moderate Exercise	3 months	Subjects will self-report the number of hours spent in moderate exercise per week.
Belief in the Benefit of Plant-based Nutrients	3 months	Participants will be asked a question demonstrating their appreciation of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.
LDL Cholesterol Levels	3 months	Subjects' LDL will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant LDL.
Belief in the Role of Healthy Diet in Protecting Health From Pollutants	3 months	Participants will be asked a question demonstrating their beliefs that a healthy diet might protect health from environmental pollutants. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of a healthy diet
Knowledge of Which Foods Contain Phytonutrients	3 months	Participants will be asked a question about which foods contain phytonutrients. Possible answers are meat, dairy, plant foods, all foods, or don't know. Data will be presented as the number of participants in each group that correctly identified plant foods.
Belief in the Preventative Effects of Plant-Based Nutrients	3 months	Participants will be asked a question demonstrating their beliefs of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.