Healthy Eating Education for Latinos

Study Overview
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Brief Summary
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This intervention aims to evaluate the efficacy of a pilot educational intervention with deep-structure cultural tailoring for Latino ethnic groups on diet quality compared to general, surface-level healthy-eating messages.

Official Title
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Culturally-tailored Healthy Eating Education Intervention for Latinos in Massachusetts

Conditions
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Diet, Healthy, Diet Habit, Obesity, Blood Pressure, Psychological

Intervention / Treatment
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* Behavioral: Culturally tailored healthy eating advice
* Behavioral: Standard healthy eating advice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 25-65 y/o Self-reported Hispanic/Latino heritage Able to understand and answer questions in Spanish or English Living in the Boston, MA metro area for the past 6 months and not planning to move in the next 6 months Has a cellphone with the capacity of receiving text messages and gives consent for the Study to text this number as part of the intervention Exclusion Criteria: Younger than 25y or older than 65y Not Hispanic/Latino heritage Has condition or impairment that affects mental, cognitive, or memory abilities; such as Alzheimer's disease or stroke Has been diagnosed with cancer, diabetes (type 1 or 2), heart condition, major stomach condition (examples: coronary heart disease, heart attack, stroke or stroke, allergies, or severe diet restrictions) Does not understand Spanish or English Pregnant Under the care of an institution Living in another state outside of Massachusetts or planning to move in less than 6 months No cellphone with text capabilities (or cannot be used to receive texts from the Study)

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 65 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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Intervention group consisting of culturally-tailored healthy eating advice through daily text messages for 2 months (delivery phase). A reinforcement phase of 2-months will follow to repeat the text messages. | Behavioral: Culturally tailored healthy eating advice<br>* Culturally-tailored education includes strategies for healthy eating, preferences for traditional healthy foods, recommendations for limiting unhealthy traditional foods, portion sizes, etc.<br>|
| Active Comparator: Control<br>Control group consisting of general healthy eating advice through daily text messages for 2 months (delivery phase). A reinforcement phase of 2-months will follow to repeat the text messages. | Behavioral: Standard healthy eating advice<br>* Standard healthy eating education includes strategies, foods, portions, and cooking and eating tips for general dietary recommendations<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in diet quality score | Determine the change in score of short diet quality screener (range 18-54; from lowest to highest quality) | 4 months | 
| Changes in diet habits | Determine the change in the frequency of dietary behaviors (percent) | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in diet satisfaction: diet satisfaction scale | Determine the change in the score of the Diet Satisfaction Questionnaire (DSat-45) (range 45-225; from lowest to highest satisfaction) and its summed seven subscales (ranges 5-40 | 4 months | 
| Changes in attitude for eating: attitudes scale | Determine the change in the score of the attitudes scale (range 0-20; with positive and negative subscales for more attitudes towards healthy eating) | 4 months | 
| Changes in reasons for eating: reasons scale | Determine the change in the score of the reasons scale (range 0-15; fewer to more reasons to eat healthy) | 4 months |