Using Grassroots Wellness Coaching to Enhance Reach and Sustainability of Behavioral Weight Management

Study Overview
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Brief Summary
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African American adults that live in economically disadvantaged areas are at an increased risk for obesity and cardiometabolic disease. The treatment program being tested in this research study aims to address these factors and increase outcomes for the study population. The purpose of this research study is to find out about the feasibility and acceptability of using house chats (HC) as a model for a weight loss program in a real-world, community-based setting.

Official Title
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Using Grassroots Wellness Coaching to Enhance Reach and Sustainability of Behavioral Weight Management

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Wellness Engagement Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 and older Resident of Petersburg, VA Interested in engaging community members in healthy lifestyle changes (e.g., walking, small changes to eating) and willing to engage in these behaviors her/himself Exclusion Criteria: A diagnosis of type 1 diabetes mellitus. Currently being treated for cancer. Medical conditions that may increase risk for participating in unsupervised exercise, if medical clearance is not provided Hospitalization for depression or other psychiatric disorder within the past 12 months. Lifetime history of bipolar disorder or psychotic disorder. Currently pregnant or lactating, or planning to become pregnant within the study period. Current involvement in a weight loss program or current use of weight loss medication. Inability to speak, read and write English. Planning to move from the Petersburg area within the study period. Does not have sufficient numbers of individuals in their social network from which to recruit for the proposed study.

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Cluster randomized design
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Wellness Ambassadors will undergo training to recruit and deliver a lifestyle intervention to members of their social networks. HCL in the intervention group will deliver the intervention immediately following baseline visits and randomization. | Behavioral: Wellness Engagement Intervention<br>* Train for, recruit participants into, and lead a 12-week lifestyle intervention delivered via weekly group meetings<br>|
| No Intervention: Delayed Intervention<br>Wellness Ambassadors will undergo training to recruit and deliver a lifestyle intervention to members of their social networks. HCL in the delayed intervention group will deliver the intervention after 24 week data collection visits are complete. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility: House Chat Leaders (HCL) | The number of house chat leaders successfully recruited, trained, and retained. | 18 months | 
| Feasibility: Participants | The average number of participants recruited by the HCLs. | 18 months | 
| Feasibility: Delivery Model | The number of intervention sessions delivered; the number of planned session topics that were covered | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability: Attendance | The average number of sessions attended by participants. | 12 weeks | 
| Acceptability: Retention | The average number of HCL and participants who are retained in the program | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cardiometabolic disease