Engaging Native Hawaiian/Pacific Islanders and Activating Communities to Take Steps (ENACTS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 182
- 试验地点
- 2
- 主要终点
- Systolic Blood Pressure
研究概览
简要总结
Our Specific Aims are:
- At the individual level, to compare within-person change in BP and secondary outcomes between the intervention and control groups.
- At the family level, to evaluate ENACTS' effects on BP and secondary outcomes as within-person change in family members who provide primary support, and as mean change in other adult family members who are not directly engaged in the intervention.
- At the policy level, to evaluate the intervention's ability to influence grocery store policy on clearly identifying foods that are low in sodium or high in potassium, some of which might not be easily identified with existing labels (e.g., fresh produce). ENACTS combines empirically supported elements of existing programs, thus increasing its probability of success. It aligns with the American Heart Association's call for multilevel prevention.
详细描述
This study adapts an existing educational intervention to address self-management of hypertension in NHPIs. The multilevel 6-month intervention - "Engaging NHPIs and Activating Communities to Take Steps" (ENACTS) - will use peer-facilitated, self-care BP education delivered weekly for 8 weeks emphasizing healthy diet, traditional NHPI foods, adherence to medication, and encouragement to increase physical activity and stop smoking; with text messaging to boost adherence. ENACTS will be implemented as a randomized controlled trial at 3 community sites serving NHPIs in the Puget Sound area of Washington. 270 NHPI adults (90 per site) with a self-reported physician diagnosis of hypertension and elevated BP measured at enrollment will be randomized to either ENACTS or usual care.
The primary outcome is change in systolic BP. Secondary outcomes are food purchasing behaviors (online ordering, grocery receipts); medication adherence; social support; smoking cessation; and GIS data on daily energy expenditure. The study will use a Geographic Information Systems (GIS) mobile phone app to track participants. Outcomes will be measured at baseline, weekly, at 8 weeks, and at 6 months. The study will also examine change in household food purchasing patterns, enhanced family support for BP control, and BP improvement among family members. A subset of intervention participants and family members will be invited to participate in a program that uses personal photographs for narrative art projects to promote labeling of healthy foods by local retail outlets.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Self-reported physician diagnosis of hypertension and/or type 2 diabetes confirmed by a prescription for an anti-hypertensive medication and/or type 2 diabetes medication;
- •Self-reported NHPI race;
- •*Age 18 years and older at enrollment;
- •Measured systolic BP ≥ 140 mmHg on enrollment; measured baseline fasting glucose >125
- •reliable internet access
- •computer or Smartphone
- •current email address
- •*Ability to understand written and spoken English; and
- •*Ability and willingness to follow all study protocols.
排除标准
- •Pregnant or planning on becoming pregnant throughout the course of the study;
- •Currently undergoing dialysis or treatment for a terminal illness;
结局指标
主要结局
Systolic Blood Pressure
时间窗: 6 months
Automatic blood pressure
次要结局
- Medication Adherence(6 months)
- Tobacco Use(6 months)
- Eating Behaviors(6 months)
- Food Purchasing(6 months)
- Social Support(6 months)
- Daily Energy Expenditure(6 months)
研究者
Denise Dillard
Professor
Washington State University