Harmony & Health: A Culturally Adapted Mindbody Intervention to Reduce Sitting Time and Improve Psychosocial Wellbeing in Black Adults

Study Overview
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Brief Summary
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This community-based study will assess the efficacy of a culturally adapted, yoga-based intervention to reduce sitting time, increase physical activity, and improve psychosocial wellbeing among insufficiently active Black adults in the Houston area.

Detailed Description
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Primary Objectives: --The primary aim of the proposed study is to determine the efficacy of HH in reducing sitting time and increasing physical activity in insufficiently active Black adults. Hypothesis: HH participants will spend less time sitting and more time moving at post-intervention (week 9) compared to participants in the attention control group. Secondary Objectives: The secondary aims of this proposed study are to: Examine the effects of HH on psychosocial wellbeing and the association of psychosocial wellbeing with behavioral outcomes. Hypothesis: HH participants will report improved psychosocial wellbeing, including reduced stress, depressive symptoms, and negative affect and improved quality of life, which will in turn mediate intervention outcomes at post-intervention (week 9) and follow up (week 24). Evaluate the long-term benefits of the HH intervention. Hypothesis: HH participants will spend less time sitting and more time moving at follow up (week 24) compared to participants in the attention control group. An exploratory aim of the proposed study is to identify implementation facilitators and barriers using a mixed-methods approach. Implementation of HH will be evaluated using the Consolidated Framework for Implementation Research (CFIR) and the RE-AIM Framework. In-depth interviews with key informants combined with administrative and questionnaire data will be used to identify critical facilitators and barriers for implementing HH and to evaluate reach, implementation, adoption, and maintenance.

Official Title
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Harmony & Health: A Culturally Adapted Mindbody Intervention to Reduce Sitting Time and Improve Psychosocial Wellbeing in Black Adults

Conditions
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Psychosocial

Intervention / Treatment
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* Behavioral: Harmony & Health program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults ≥18 years old Self-identify as Black or African American Self-reports MVPA <90 minutes/week Self-reports sedentary time ≥6 hours/ day Body mass index [BMI] ≥25.0 kg/m2 based on self-reported height and weight (and verified at baseline) Able to pass the Physical Activity Readiness Questionnaire (PARQ) or provide physician's clearance to participate Willing to be randomized to intervention or control Comfortable participating in group-based physical activity Able to read, speak, and write in English Able to provide written informed consent without assistance Exclusion Criteria: < 18 years old Self-reports MVPA ≥90 minutes/week Self-reports sedentary time <6 hours/day Not classified as overweight or obese (BMI <25.0 kg/m2) Absolute contraindications to unassisted physical activity (e.g. acute MI, orthopedic and musculoskeletal limitations) Practicing yoga or enrolled in another program targeting physical activity, sedentary behavior, or weight loss Pregnant or planning to become pregnant in the next 6 months Planning to move from the Houston area within the next 6 months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 18 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Harmony & Health program<br>Participants will take part in the Harmony & Health program or participants will attend in-person group health education sessions 2 times a week for 8 weeks. | Behavioral: Harmony & Health program<br>* Harmony & Health program may help improve psychosocial wellbeing in participants and if improvements in physical activity and wellbeing can last after the program ends. Yoga combines gentle movements, breathing exercises, relaxation techniques, and meditation all tailored to the participant's needs.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life questionnaires |  | through study completion; an average of 6 months |