Clinical trial NCT03495648: Tanglewood Trail Walking Program in Rural Kentucky 2017
Official title: Tanglewood Trail Walking Program to Increase Phytonutrient Intake and Physical Activity in a Rural Kentucky Town
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dietary Habits
Keywords: farmers market
Appalachia
physical activity
fruit and vegetable voucher program
Lead sponsor: University of Kentucky
Sponsor class: OTHER
Collaborators: name: National Institute of Environmental Health Sciences (NIEHS)
First posted: 2018-04-12
Enrollment: 123
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The Tanglewood Trail Walking Program is a well-established community health initiative that encourages community members to walk approximately 1 mile to the Whitesburg Farmers Market each Saturday. The study aims to determine if walking to the market with a community health coach results in healthier options being selected at the market.

Detailed description: In the summer of 2017, community members of Whitesburg, KY were recruited to join the Tanglewood Trail Walking Program to the Whitesburg farmers market. Each Saturday, participants reported whether or not they walked the 1-mile trail to the farmers market and they reported which fruits and vegetables they purchased. The Walking Program was held June - Sept 2017. Participants completed questionnaires about fruit and vegetable consumption and physical activity. Participants also provided physical and biological measurements.

Although originally designed to compare data among walkers and non-walkers, the protocol was changed due to participant feasibility. Data were analyzed by comparing "low engagers" - those who walked to the market fewer than three times during the program - or "high engagers" - those who walked three or more times during the program. Data were collected at baseline and 3 months.

The data for years 2019 and 2020 of the Tanglewood to Trail walking program are registered separately in ClinicalTrials.gov.

Eligibility criteria: Inclusion Criteria:

* ability to walk 1 kilometer

Exclusion Criteria:

* pregnant
* institutionalized adults
* impaired consent ability
* prisoners

Primary outcomes:
measure: Change in Carotenoid Levels Over Time
timeFrame: Baseline and 3 months
Secondary outcomes:
measure: Change in A1c
timeFrame: Baseline and 3 months
measure: Change in LDL Cholesterol
timeFrame: Baseline and 3 months
measure: Change in HDL Cholesterol
timeFrame: Baseline and 3 months
measure: Change in Total Cholesterol
timeFrame: Baseline and 3 months
measure: Change in Weight
timeFrame: Baseline and 3 months
measure: Change in Waist Circumference
timeFrame: Baseline and 3 months
measure: Change in Self-reported Activity Level
timeFrame: Baseline and 3 months
measure: Change in Self-reported Fruit and Vegetable Intake
timeFrame: Baseline and 3 months
measure: Group Cohesion
timeFrame: 3 months
measure: Understanding of Plant-based Phytonutrients
timeFrame: 3 months
measure: Belief in the Benefit of Plant-based Nutrients
timeFrame: 3 months
measure: Belief in the Preventative Effects of Plant-Based Nutrients
timeFrame: 3 months
measure: Belief in the Role of Healthy Diet in Protecting Health From Pollutants
timeFrame: 3 months
measure: Knowledge of Which Foods Contain Phytonutrients
timeFrame: 3 months
measure: Knowledge of Environmental Pollutants
timeFrame: 3 months
Other outcomes:
Locations:
city: Lexington
country: United States
facility: University of Kentucky
state: Kentucky
Study officials:
affiliation: University of Kentucky
name: Dawn Brewer, PhD
role: PRINCIPAL_INVESTIGATOR
References: