Promoting Physical Activity in Rural Populations

Study Overview
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Brief Summary
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The purpose of the study is to test a multilevel intervention's impact on increasing physical activity among rural residents. It is expected that participants who participate in more of the intervention (e.g., all levels) will increase their physical activity more than the control group and individuals who participate in less of the intervention (e.g., one level of the intervention).

Detailed Description
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The study will test the independent and moderating effects of a multilevel intervention and the community environment on physical activity among rural residents. The multilevel intervention consists of community, interpersonal, and intrapersonal aspects. The community level intervention consists of community events. The interpersonal level intervention consists of walking group formation. The intrapersonal level intervention consists of cues provided by short message service messages (i.e., text messaging). A dose response relationship is expected in the intervention communities.

Official Title
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Multilevel Approaches for Promoting Physical Activity in Rural Populations

Conditions
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Physical Activity

Intervention / Treatment
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* Behavioral: Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults (18+) No cognitive impairments Able to physically active Willing to complete telephone survey at three time points Located in targeted communities in southeast Missouri Exclusion Criteria: Participants not located in targeted communities

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multilevel Intervention<br>Participants will receive the multilevel intervention consisting of community events, walking group formation, and short messaging service. | Behavioral: Intervention<br>* Participants in the intervention arm may receive community events, partake in walking groups, and receive short messaging service.<br>|
| No Intervention: Control<br>Does not receive the multilevel intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in objective physical activity measured by accelerometer and global positioning device measured at baseline and 18-month follow-up | Participants will wear an accelerometer and global positioning device to measure physical activity. | The change in physical activity will be assessed between baseline and 18-month follow-up. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in subjective physical activity measured by the Global Physical Activity Questionnaire at baseline and 18-month follow-up | The Global Physical Activity Questionnaire measures time spent in vigorous and moderate intensity physical activity in the domains of work, travel, and recreation. Participants will answer yes or no to their involvement in a given intensity (e.g., vigorous or moderate) in a given domain (e.g., work, travel, recreation). If the participant answers 'yes' they will be asked on how many days do they partake in the activity, and for how many hours and/or minutes do they partake in the activity. A higher score equates to more physical activity. The range is from 0 minutes per week (i.e., no moderate physical activity in a week) to over 150 minutes per week (i.e., meeting recommendations) for moderate physical activity, and 0 minutes per week (i.e., no vigorous physical activity in a week) to over 75 minutes per week (i.e., meeting recommendations). | Each participant will complete questionnaire via a telephone survey at baseline and 18-month follow-up. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Physical Activity, Rural, Cancer Prevention