Active and Healthy Brotherhood: A Program for Chronic Disease Self-Management for Black Men

Study Overview
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Brief Summary
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This study will test ways to improve health behaviors using an intervention that has been specially designed for African-American men. The program, called Active & Healthy Brotherhood (AHB), will provide information on basic health, and healthy eating, physical activity, stress management, and how to get medical care when needed.The AHB intervention will be compared to a control group that will receive basic health information in videos and brochures.

Conditions
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Chronic Disease, Obesity, Hypertension, Diabetes, Self Care, Medication Adherence

Intervention / Treatment
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* Behavioral: Active and Healthy Brotherhood (AHB)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AA (based on self-report) self-reported male aged at least 21 years non-institutionalized (i.e., community-dwelling, not living in assisted living facilities, nursing homes, etc.) at high risk for developing chronic disease (e.g., not meeting current guidelines for PA and/or F&V intake; current smoker; diagnosed with high cholesterol) or currently diagnosed with diabetes, hypertension, or cardiovascular disease residents of Forsyth County, NC (or surrounding areas and able to attend group sessions in Forsyth County). Exclusion Criteria: have had a cardiovascular procedure (e.g., heart surgery), heart attack, heart failure, stroke in the last 6 months have cognitive, visual, auditory, physical functional (e.g., unable to walk unassisted), or language impairment precluding participation in group discussion, learning activities, or data collection. currently achieve >150 min/wk of moderate intensity PA or >75 min/wk of vigorous intensity PA AND currently consume > 9 servings of F&V daily. are currently enrolled in a chronic disease management program. are unwilling to accept randomization assignment or planning to move from local area in <2 years. are currently receiving chemotherapy/radiation treatments. Participants will be required to obtain approval from a health care provider prior to participation in the study if they: are unable to participate in moderate PA due to physical limitations as indicated by positive (risk) responses on the PA Readiness Questionnaire (PAR-Q) and/or physician disapproval on the PAR Medical Examination. have BP>180/>110 and/or HbA1C>12 and/or triglycerides >500. have health conditions that could preclude changes to diet (e.g., irritable bowel syndrome, celiac disease)

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Active and Healthy Brotherhood (AHB)<br>16-week behavioral intervention | Behavioral: Active and Healthy Brotherhood (AHB)<br>* Participants will attend group sessions led by trained group facilitators. The group sessions will be  16 weekly meetings of  90 minutes duration for 4 months. AHB participants will also engage in experiential learning opportunities. Following the intensive intervention phase, during months 5 and 6, participants will receive three structured, individual phone calls with the group facilitator.<br>|
| No Intervention: Control<br>Usual care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change activity behavior (minutes per week in Total physical activity (PA) and light, moderate, vigorous PA). | Minutes per week in Total physical activity (PA) and light, moderate, vigorous PA | baseline, 6 months, 12 months | 
| Change sedentary behavior (minutes per week of sedentary behavior). | Minutes per week of sedentary behavior | baseline, 6 months, 12 months | 
| Change dietary intake (Fruit and vegetable servings, % fat, sodium and fiber intake). | Fruit and vegetable servings, % fat, sodium and fiber intake | baseline, 6 months, 12 months | 
| Change stress management. | Identification of issues and strategies that affect stress management | baseline, 6 months, 12 months | 
| Change help-seeking behaviors (Medication adherence and doctor/ER visits). | Medication adherence and doctor/ER visits | baseline, 6 months, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change blood pressure. |  | baseline, 6 months, 12 months | 
| Change body weight. |  | baseline, 6 months, 12 months | 
| Change blood glucose. |  | baseline, 6 months, 12 months | 
| Change HbA1c. |  | baseline, 6 months, 12 months |