Clinical trial NCT05540509: Active Moms Project: Physical Activity Intervention for Low-Income Mothers
Official title: Active Moms: A Feasibility Study of a Community-Based and Home-Based Physical Activity Intervention for Low-Income, Ethnic-Minority Mothers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Inactivity
Keywords: physical activity
community
home
intervention
ethnic minority
mothers
Lead sponsor: California State University, Long Beach
Sponsor class: OTHER
First posted: 2022-09-14
Enrollment: 30
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: prospective, convergent mixed-methods, randomized group design
Primary purpose: PREVENTION

Brief summary: Despite the health benefits of physical activity, increasing regular physical activity levels among low-income, ethnic-minority mothers has remained a significant challenge. The current mixed-methods feasibility study explored the impact that a three-month community-based (CBI) and a home-based intervention (HBI) had on improving physical activity and fitness levels, as well as psychosocial outcomes (self-efficacy and social support) among low-income, ethnic-minority mothers. These results support the efficacy of CBIs and HBIs in improving PA and fitness levels and have important implications for improving health outcomes among low-income, ethnic-minority mothers.

Detailed description: Despite the health benefits of physical activity, increasing regular physical activity levels among low-income, ethnic-minority mothers has remained a significant challenge. Yet, few studies have examined the feasibility of implementing interventions to address physical activity barriers often experienced by this population. The current mixed-methods feasibility study explored the impact that a three-month community-based (CBI) and a home-based intervention (HBI) had on improving physical activity and fitness levels, as well as psychosocial outcomes (self-efficacy and social support) among low-income, ethnic-minority mothers. Thirty mothers were randomized to either a three-month community-based intervention (CBI) or a home-based intervention (HBI) and completed pre- and post-intervention assessments of physical activity (self-report, accelerometer), fitness (cardiorespiratory, muscle endurance and strength, flexibility), self-efficacy, and social support. Post-intervention focus groups were also conducted. Through formative research, this pilot work will develop and empirically test a CBI and HBI among low-income mothers for use in local community centers. The results of the proposed work have substantial public health implications and are expected to advance the investigator's understanding of how low-income mothers effectively use these intervention modalities to adopt healthy behaviors and produce change that can positively impact their health, as well as that of their children. Further, the proposed research will yield two physical activity interventions that can be readily delivered in community settings, are scalable, and are relatively low cost. Finally, these results will help identify those subgroups of mothers that may do particularly well (or poorly) with these innovative approaches to physical activity adoption and maintenance. This has important implications for the tailoring of physical activity programs to individual needs and preferences.

Eligibility criteria: Inclusion Criteria:

* 18 years of age or older
* a mother of a young child (\<10 years of age)
* fluent in either Spanish or English
* Sedentary (i.e., not engaging in 90 minutes or more of moderate or vigorous physical activity per week)

Exclusion Criteria:

* Not medically cleared by a doctor or by a medical history screener to engage in moderate-intensity physical activity
* Currently pregnant

Primary outcomes:
measure: Change in Physical Activity from baseline to 3 months post-intervention
timeFrame: Self-reported and fitbit physical activity assessments were conducted at baseline and at one, two, and three months post-intervention.
measure: Change in Cardiorespiratory Fitness from baseline to 3 months post-intervention
timeFrame: Cardiorespiratory fitness assessments were conducted at baseline and at one, two, and three months post-intervention.
measure: Change in Muscle Endurance from baseline to 3 months post-intervention
timeFrame: Muscle endurance assessments were conducted at baseline and at one, two, and three months post-intervention.
measure: Change in Flexibility from baseline to 3 months post-intervention
timeFrame: Flexibility assessments were conducted at baseline and at one, two, and three months post-intervention.
Secondary outcomes:
measure: Change in Physical Activity Self-Efficacy from baseline to 3 months post-intervention
timeFrame: Physical Activity Self-efficacy assessments were conducted at baseline and at one, two, and three months post-intervention.
measure: Change in Fitness Self-Efficacy from baseline to 3 months post-intervention
timeFrame: Fitness Self-efficacy assessments were conducted at baseline and at one, two, and three months post-intervention.
measure: Change in Social Support from baseline to 3 months post-intervention
timeFrame: Social support assessments were conducted at baseline and at one, two, and three months post-intervention.
Other outcomes:
Locations:
Study officials:
affiliation: California State University, Long Beach
name: Guido Urizar, PhD
role: PRINCIPAL_INVESTIGATOR
References: