Modifying Physical Activity and Sedentary Time in Filipino Faith Leaders
Condition: Physical Activity and Sedentary Behavior; Healthy Aging
Study type: Interventional

Summary: 
      The outcomes of this application will provide nursing researchers with information about ways
      to increase physical activity (PA) and decrease sedentary time (ST) in at-risk older
      Filipinos adults who are lay leaders in Filipino Catholic clubs in Hawaii. The proposed
      12-week PA/ST program will include both a group-based component (3 group discussions during
      monthly club meetings) and a personalized telephone counseling component (12 weekly calls
      from nursing students to problem solve barriers to increasing light-to-moderate physical
      activity and decreasing / breaking up sedentary time). The project will stimulate
      multidisciplinary research at our School of Nursing and School of Medicine and has the
      potential to help older at-risk Filipinos reach national guidelines for healthy levels of
      physical activity and lower the amount of time they spend sitting/being sedentary.
    

Detailed description: 
      Asian-Americans (A-As) are under-represented in chronic disease research, including lifestyle
      interventions. A-As are 42% of population in Hawaii and across the U.S. they are projected to
      more than double to 34.4 million by 2060, with a much higher proportion of older A-As
      compared to other races. Within A-As, Filipino-Americans have high rates of hypertension,
      diabetes, and chronic kidney disease, especially as they age. This is largely due to
      unhealthy diets, high BMIs, sedentary behaviors, and low physical activity (PA). Our previous
      work found Filipino seniors are under-active and spend > 8 hours a day in sedentary time
      (ST). About 90% of Filipinos in Hawaii are Catholic and previous PA interventions involving
      faith-based organizations have been shown to be culturally relevant for ethnic minorities and
      can effectively increase PA. Our innovative application focuses on changing both PA and ST in
      250 Filipino lay leaders who represent their parish within the Oahu Council of Filipino
      Catholic Clubs (OCFCCs). OCFCCs maintain Filipinos' Catholic traditions and their cultural
      heritage. This project builds on our previous research with Filipino leaders from these
      clubs, and our expertise with effective PA and ST interventions. Team includes 3 nursing
      faculty, 1 medical school faculty, a project director, and from 9-12 graduate /undergraduate
      nursing students. The students will participate in a community-engaged 3-yr research project
      relevant both to their future research efforts and their use of self-management strategies
      with patients who at-risk for chronic diseases. The investigators will develop, implement,
      and test the efficacy of a culturally tailored PA/ST intervention for under-active/sedentary
      Filipino seniors (ages: 55-75 yrs) some of who may have multiple morbidities under medical
      control. The investigators will initially strengthen our partnership with OCFCC by engaging
      council members in semi-structured meetings where key cultural and familial issues that
      hinder/facilitate PA/ST will be discussed, the project's name/logo will be created, and plans
      to facilitate clubs' engagement across 3-year project will be solidified. Specific Aims: 1)
      test the efficacy of a Light-to-Moderate PA-LMPA/ST intervention with ten OCFCC clubs (25 lay
      leaders/club; n = 250 total) that will be randomly assigned to either a 12wk LMPA/ST
      intervention consisting of 3 group discussions during club meetings plus 12 counseling calls,
      or to Delayed Treatment condition initially given health education materials and 12
      contact-matched calls on topics unrelated to PA/ST; then, the LMPA/ST intervention. 2) test
      maintenance of LMPA/ST 12 wks after LMPA/ST intervention ends. 3) analyze LMPA/ST self-report
      & accelerometer data collected at baseline, 12, 24, and 36 wks, and test demographic,
      psychosocial, environmental, and group factors as mediators/moderators of change in LMPA/ST.
      4) discuss project findings with statewide Diocesan Congress of Filipino Catholic Clubs and
      the feasibility of using lay leaders to change the LMPA/ST of their parishioners from
      churches across Hawaii via a train-the-trainer lay leader model. This project will stimulate
      community engaged/team science research at our School of Nursing and enhance students'
      research skills.
    

Intervention name(s): Light-to-Moderate Physical Activity / Sedentary Time
Intervention type(s): Behavioral
Intervention description(s): 12 weeks of telephone counseling -motivational interviewing designed to increase leisure-time physical activity and decrease amount of sitting each day
Other intervention name(s): LMPA/ST
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: cluster randomized controlled trial comparing physical activity/sedentary time intervention to delayed treatment condition
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Prevention
Keywords: physical activity; Sedentary time