A Culturally Adapted, Social Support-Based, Physical Activity Interventions for South Asian Indian Women in the United States

Study Overview
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Brief Summary
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The purpose of this study is to assess the feasibility and acceptability of a peer-based dyadic social support health coaching physical activity (PA) intervention in inactive South Asian Indian (SAI) and to explore preliminary effects of the intervention on intermediate outcomes: self-reported and objective moderate-to-vigorous physical activity (MVPA), social support, and self-efficacy .

Official Title
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A Culturally Adapted, Social Support-Based, Physical Activity Interventions for South Asian Indian Women in the United States: A Feasibility Study

Conditions
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Sedentary Behavior

Intervention / Treatment
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* Behavioral: Dyad-based Zoom health coaching
* Behavioral: Fitbit activity monitor
* Other: Electronic newsletters


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: inactive SAI (Physical activity (PA) <150 minutes/week) physically able to engage in moderate PA speak and read English; able to enroll with an eligible adult female partner who does not live in the same household willing to use the Fitbit app/device own a smartphone that is compatible with Fitbit software (up to 223.3 MB on iPhone or 165 MB on Android) 9) able and willing to send and receive text messages Blood pressure reading <160/100 mm Hg, or with medical clearance. Exclusion Criteria: SAI women with a current/planned pregnancy cannot speak and read English those participating in a PA or weight loss program those diagnosed with a physical disability that interferes with their ability to be physically active. not living in Houston, Texas

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

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: Health coaching<br> | Behavioral: Dyad-based Zoom health coaching<br>* This will be delivered by a certified nurse coach, certified in holistic nursing who will provide 6 sessions of Zoom health coaching over 12 weeks to dyads, biweekly (weeks 1, 3, 5,7, 9 &11) for 45 minutes<br>Behavioral: Fitbit activity monitor<br>* Participants will be instructed to use the Fitbit to monitor their partners' PA in addition to their own. All participants will be instructed to friend their health coach to enable real-time monitoring of PA to inform coaching zoom calls. The Fitbit will provide feedback on steps, active minutes, and calories burned. Participants will be asked to wear the device on most days and while they sleep.<br>Other: Electronic newsletters<br>* Newsletters will be sent twice monthly during months 1-3 via email or text with an online link. Newsletters will be designed to share educational PA-related information from publicly available resources. Newsletters will also contain tips for overcoming barriers to PA ,finding time to exercise, low-cost ways to be active and being active with kids.Newsletters will also contain links to brief exercise routines that participants can do in their homes and information on low cost/free exercise classes in the community, which may help to overcome perceived access barriers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility as assessed by the percentage of participants enrolled in the study |  | 12 weeks | 
| Feasibility as assessed by the percentage of participants who complete the study |  | 12 weeks | 
| Feasibility as assessed by the number of participants who complete all the assessments | Assessments include counseling calls ,use of Fitbit, receipt and review of newsletters | 12 weeks | 
| Feasibility as assessed by the number of participants who adhere to treatment | Treatment adherence will be calculated as the proportion of intervention sessions attended. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in physical activity as assessed by the Godin Leisure-Time Exercise Questionnaire | This is a self reported questionnaire with 3 questions. A score of 24 units or more indicates participant is active and score of less than 14 units show participant is insufficiently active or sedentary. | Baseline, 12 weeks | 
| Change in physical activity as assessed by the values on a fitbit |  | Baseline, 12 weeks | 
| Change in self-efficacy for PA as assessed by the Self-efficacy for physical activity (SEPA) scale | This is a five item questionnaire and is scored on a five point Likert-scale, ranging from not confident to extremely confident. | Baseline, 12 weeks | 
| Change in PA-related social support as assessed by the Social Support for Physical Activity Survey | This is a 26 item questionnaire and each is scored from 1(one) to 6(very often) a higher number indicating more social support | Baseline, 12 weeks | 
| Change in PA-related autonomy support as assessed by the Climate Questionnaire (autonomy support) | This is a 12 item questionnaire (first 6 about partner and the next 6 about participant ) Response options are on a 7-point scale (1=not at all true, 4=somewhat true, 7=very true) | Baseline, 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physical activity, social support