Clinical trial NCT05677906: Rural Libraries Promoting Walking and Walkability in Their Rural Communities
Official title: Rural Libraries Promoting Walking and Walkability in Their Rural Communities
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: PHASE1
PHASE2
Conditions: Physical Activity
Keywords: rural populations
physical activity promotion
Lead sponsor: Oregon Health and Science University
Sponsor class: OTHER
Collaborators: name: Texas A&M University
name: University of North Carolina, Greensboro
First posted: 2023-01-10
Enrollment: 331
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.

Detailed description: The goals of this study are:

1. Increase the capacity of rural libraries to deliver evidence-based health promotion programs
2. Compare the effects of a group-based walking program with a combined group-based plus civic engagement program on physical activity, cardiovascular fitness and collective efficacy among rural residents.
3. Evaluate program implementation

Eligibility criteria: Inclusion Criteria:

* Age 18 or older
* Inactive (defined as engaging in physical activity \<3 days per week)
* Ability to walk for at least 20 minutes
* Living within the rural community served by the local library
* Ability to travel to the local library/location of walking group.

Exclusion criteria:

* Participation/intention to participate in other lifestyle modification pro-gram(s)
* Cognitive impairment
* Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)

Primary outcomes:
measure: Physical activity
timeFrame: Change from baseline physical activity at 6 months, 12 months, and 24 months.
measure: Cardio respiratory fitness
timeFrame: Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months.
measure: Collective Efficacy
timeFrame: Change from baseline collective efficacy at 6 months, 12 months, and 24 months
Secondary outcomes:
measure: Height
timeFrame: Baseline
measure: Hip circumference
timeFrame: Change from baseline hip circumference at 6 months, 12 months, and 24 months.
measure: Resting heart rate
timeFrame: Change from baseline resting heart rate at 6 months, 12 months, and 24 months.
measure: Weight
timeFrame: Change from baseline weight at 6 months, 12 months, and 24 months.
measure: Blood pressure
timeFrame: Change from baseline blood pressure at 6 months, 12 months, and 24 months.
Other outcomes:
Locations:
city: Portland
country: United States
facility: Oregon Health & Science University
state: Oregon
Study officials:
affiliation: Oregon Health & Science University School of Nursing
name: Cynthia K Perry, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lenstra N. The role of public librarians in supporting physical activity: challenging the "Jacks of All Trades but Masters of None" librarian syndrome. Advances in Library Administration and Organization. 2018;39:185-205.
citation: Perry CK, Campbell LP, Currier J, Farris PE, Wenzel ES, Medysky ME, Zell A, McDonell M, Shannon J, Winters-Stone K. An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors. Prev Chronic Dis. 2020 Dec 10;17:E156. doi: 10.5888/pcd17.200231.
citation: Seguin RA, Sriram U, Connor LM, Silver AE, Niu B, Bartholomew AN. A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project. Am J Health Promot. 2018 Sep;32(7):1591-1601. doi: 10.1177/0890117117748122. Epub 2018 Feb 1.