Pilot Evaluation of an Interactive Health Game

Study Overview
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Brief Summary
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Broad, diverse, and innovative efforts are needed to address the growing dual public health challenges of obesity and diabetes, especially for those at increased risk like minority older adults. The emerging field of health games offers an innovative opportunity to reach populations to provide healthy eating and physical activity messages. Little research has focused on the use of health games specifically tailored for older adults. This study builds upon a health game designed to provide knowledge, facilitate movement, enhance motivation, and encourage healthy eating (HE) and physical activity (PA) behaviors in youth. This study will adapt, implement, and evaluate the feasibility, acceptability, adherence, and preliminary outcomes of the game among overweight/obese African American older adults.

Official Title
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Pilot Evaluation of an Interactive Health Game Designed to Promote Healthy Eating and Physical Activity on Older Adults.

Conditions
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Health Behavior, Health Attitude

Intervention / Treatment
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* Behavioral: Healthy eating workshop and interactive health game
* Behavioral: Healthy eating workshop


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 50 and 65 years Overweight or obese (25kg/m2 ≤ BMI < 40kg/m2) African American/Black by self-report Risk factors for diabetes (based on adapted ADA risk test) Exclusion Criteria: Adults with cognitive impairments, based on the adapted Mental Status Questionnaire (MSQ). Health conditions that preclude participation in physical activity program, based on the Exercise Assessment and Screener for You (EASY) physical activity screener. Already diagnosed with diabetes by self-report Currently engaging in vigorous physical activity Non-English speaking Does not meet inclusion criteria

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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 |
| --- | --- |
| Active Comparator: Control<br>This group will participate in a health education workshop with weekly sessions (control group) | Behavioral: Healthy eating workshop<br>* The intervention sessions will be weekly for 6 weeks and will involve participation in health education workshop. Sessions may last up to 2 hours and will be held at designated times/days at a Chicago Church.<br>|
| Experimental: Game<br>This group will participate in the health education workshop plus the interactive health game (intervention group). | Behavioral: Healthy eating workshop and interactive health game<br>* The intervention sessions will be weekly for 6 weeks and will involve participation in health education workshop and interactive health game. Sessions may last up to 2 hours and will be held at designated times/days at a Chicago Church.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eating habits | Eating habits will be assessed using the Visually-Enhanced Food Behavior Checklist. | 6 weeks | 
| Physical activity patterns | Physical activity patterns will be assessed using the short version of the International Physical Activity Questionnaire (IPAQ). | 6 weeks | 
| Motivation | Behavioral motivation questions will include Stage of change and confidence items to assess motivation (i.e., readiness) or achievement of behavioral goals. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight | Weight will be measured using a digital scale | 6 weeks | 
| Adherence | Adherence will be measured by a count of the sessions attended. | 6 weeks | 
| Short International Physical Activity Questionnaire | Acceptability will be measured using this survey | 6 weeks | 
| MPP Acceptability Survey | This survey is about the participants experiences using MyPlatePicks (MPP) game | 6 weeks | 
| MPP stages of change survey | acceptability will be measured using this survey | 6 week s |