SCALE: Small Changes and Lasting Effects
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Purpose
The goal of this study is to translate basic behavioral and social science discoveries into effective behavioral interventions that reduce obesity and obesity related morbidity in Black and Latino communities. This intervention will focus on promoting small changes in eating behavior and increasing physical activity among Black and Latino participants in Harlem and the South Bronx. The desired result from these activities is individual weight loss that will be sustained years after participation in the study.
| Condition | Intervention | Phase |
|---|---|---|
|
Overweight Obesity |
Behavioral: eating strategy/physical activity/positive affect/self affirmation component Behavioral: eating strategy and physical activity goal |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | SCALE: Small Changes and Lasting Effects |
- Percent weight loss [ Time Frame: 12 months ] [ Designated as safety issue: No ]The primary goal of this project is to achieve weight loss of 7% or more over 12 months by making small sustained changes in eating behavior coupled with sustained increases in physical activity.
| Estimated Enrollment: | 312 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group 1
Subjects will be randomized to the small change eating strategy, a physical activity goal and will receive the positive affect/self affirmation component.
|
Behavioral: eating strategy/physical activity/positive affect/self affirmation component
Subjects will be randomized to the small change eating strategy, a physical activity goal and will receive the positive affect/self affirmation component.
|
|
Experimental: Group 2
Subjects will be randomized to the small change eating strategy and a physical activity goal.
|
Behavioral: eating strategy and physical activity goal
Subjects will be randomized to the small change eating strategy and a physical activity goal.
|
Detailed Description:
SCALE is a five year study (October 1, 2009 through June 30, 2014) funded by NHLBI. The study will examine the possibility and acceptance of a mindful eating intervention in African American and Latino participants. We will test whether positive thinking can protect participants against the negative impact that stress and depression can have on making positive behavior changes such as mindful eating and physical activity.
Currently, the SCALE study is in the trial phase. Among overweight or obese Black or Latino adults who live in Harlem or the South Bronx, the primary goal of this project is to achieve weight loss of 7% or more over 12 months by making small sustained changes in eating behavior coupled with sustained increases in physical activity. Participants are enrolled for 12 months and are randomized to one of two study groups.
Group 1: Will choose one of ten small change eating strategies, a physical activity goal and will receive the positive affect/self affirmation component.
Group 2: Will choose one of ten small change eating strategies and a physical activity goal
For inquiries regarding potential enrollment in this study, please contact Rosio Ramos at 646-962-5070 or email ror2023@med.cornell.edu
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Eligibility Criteria:
Black or Latino community-dwelling subjects who are 21 years or older and have a body mass index of >25 but <50 or considered to be obese or overweight are be eligible for study participation. All participants must be able to participate in physical activity and Must be fluent in English or Spanish.
Exclusion Criteria:
Subjects will be excluded if:
- Unable to provide informed consent in either English or Spanish for any reason, including cognitive impairment, psychiatric illness, drug or alcohol addiction
- Pregnant or are planning to become pregnant within the year
- Participating in another weight loss program or trial
- On medications for obesity
- Have a history of bulimia;
- history of surgery for obesity;
- Have severe comorbid diseases that can lead to unintentional weight change including cancer, HIV/AIDS, congestive heart failure.
- They live in an institutional setting (nursing home, prison or group home).
Have severe disease or are terminally ill, including stroke, myocardial infarction, coronary artery disease requiring angioplasty.
-
Contacts and Locations| United States, New York | |
| Lincoln Medical and Mental Health Center | Recruiting |
| Bronx, New York, United States, 10451 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
| East Side House Settlement | Recruiting |
| Bronx, New York, United States, 10455 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
| Iglesia Congregacion Cristiana del Bronx | Recruiting |
| Bronx, New York, United States, 10457 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
| Metropolitan Methodist Church | Recruiting |
| New York, New York, United States, 10035 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
| Abyssinian Baptist Church | Recruiting |
| New York, New York, United States, 10030 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
| Renaissance Health Care Network | Recruiting |
| New York, New York, United States, 10026 | |
| Contact: Jessica Hippolyte 646-962-5070 | |
More Information
No publications provided
| Responsible Party: | Mary E. Charlson, MD, Executive Director, Center for Integrative Medicine, Weill Cornell Medical College |
| ClinicalTrials.gov Identifier: | NCT01198990 History of Changes |
| Other Study ID Numbers: | 0908010566 |
| Study First Received: | September 8, 2010 |
| Last Updated: | March 16, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Obesity Overweight Overnutrition |
Nutrition Disorders Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013