Clinical trial NCT01373307: An Intergenerational Community Based Participatory Research (CBPR) Intervention to Reduce Appalachian Health Disparities
Official title: An Intergenerational CBPR Intervention to Reduce Appalachian Health Disparities
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Overweight
Obesity
Keywords: Overweight
obesity
Appalachian
intergenerational
families
energy balance
group-randomized trial
Lead sponsor: University of Kentucky
Sponsor class: OTHER
Collaborators: name: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
First posted: 2011-06-14
Enrollment: 1250
Sex: ALL
Minimum age (years): 8
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The study purpose is to evaluate the effectiveness of a culturally appropriate, faith-placed lay health advisor intervention aimed at increasing fruit and vegetable intake and physical activity among intergenerational Appalachian individuals and families.

Detailed description: The developmental phase of this project incorporated community based participatory research (CBPR) principles to identify the needs and preferences of community members with regard to energy balance. In the intervention phase, this group-randomized trial administers and evaluates an intergenerational, culturally appropriate energy balance intervention aimed at increasing fruit and vegetable intake and increasing physical activity among participants in 6 distressed Appalachian counties. Faith institutions are recruited and randomized to treatment or wait-list control conditions, and participants are recruited and enrolled within those institutions. Focusing on Appalachian children, parents, and grandparents, local lay health advisors deliver a series of group presentations, adapted from We Can! and Media Smart Youth. In addition, the project provides culturally consonant leave-behind "booster" activities, including square dances, cooking classes, and community gardens.

Eligibility criteria: Inclusion Criteria:

* Age 8 years or above
* Able to provide informed consent/assent

Primary outcomes:
measure: Change in self-reported fruit and vegetable intake from baseline
timeFrame: Assessed approximately 4 months after baseline
measure: Change in self-reported physical activity from baseline
timeFrame: Assessed at approximately 4 months after baseline
measure: Change in body mass index (BMI) from baseline
timeFrame: Assessed at approximately 4 months after baseline
Secondary outcomes:
measure: Change in stage of readiness to change each health behavior (i.e., fruit and vegetable intake, physical activity) from baseline
timeFrame: Assessed approximately 4 months after baseline
measure: Number of visits completed
timeFrame: Approximately 4 months after baseline
measure: Retention (i.e., number of participants who complete all planned assessment timepoints)
timeFrame: Approximately one year after baseline
Other outcomes:
Locations:
city: Whitesburg
country: United States
facility: Faith Moves Mountains
state: Kentucky
Study officials:
affiliation: University of Kentucky
name: Nancy Schoenberg, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: