Caminemos! Trial to Increase Walking Among Sedentary Older Latinos

This study has been completed.
Sponsor:
Information provided by:
National Institute on Aging (NIA)
ClinicalTrials.gov Identifier:
NCT00183014
First received: September 13, 2005
Last updated: May 16, 2012
Last verified: May 2012

September 13, 2005
May 16, 2012
September 2005
August 2009   (final data collection date for primary outcome measure)
Number of steps per week on digital pedometer [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
Number of steps per week on digital pedometer
Complete list of historical versions of study NCT00183014 on ClinicalTrials.gov Archive Site
  • Self-reported physical activity level [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • beliefs about aging [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • self-efficacy [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • health-related quality of life [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • blood pressure [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • body mass index (BMI) [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • physical performance measures [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • hospital days [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • outpatient visits [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • restricted activity days [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • cognitive function [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
Self-reported physical activity level, beliefs about aging, self-efficacy, health-related quality of life, blood pressure, BMI, physical performance measures, hospital days, outpatient visits, restricted activity days, cognitive functio
Not Provided
Not Provided
 
Caminemos! Trial to Increase Walking Among Sedentary Older Latinos
Trial to Increase Walking Among Sedentary Older Latinos

The purpose of this study is to examine the efficacy of a multifaceted behavioral intervention aimed at raising walking levels among sedentary older Latinos.

Regular physical activity contributes to the health and quality of life of older adults, but unfortunately only 20% of men and 25% of women aged 65 years and greater meet the minimal national guidelines for physical activity. Older Latinos have higher rates of diseases that are most likely to benefit from physical activity, but have disproportionately high rates of sedentary lifestyle. To address this major public health problem, this study will implement and evaluate a multifaceted intervention to raise and sustain walking levels among older Latinos.

A total of 600 sedentary older Latinos will be recruited from community-based senior centers in the greater Los Angeles region. The specific aims of the study are to test the effect of the intervention on:

  1. the change in steps per week measured by digital pedometer from baseline to 1, 12, and 24-month follow-up;
  2. self-reported physical activity level and intervening constructs (including expectations regarding aging and self-efficacy expectations for physical activity);
  3. psychosocial health constructs, physical performance measures, and clinical health outcomes.

The core of the intervention consists of a series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory. Discussion sessions will be conducted at senior centers and led by a bilingual health educator; each session will be followed by a 1-hour exercise class aimed at increasing strength, flexibility and endurance. During the discussion sessions, the health educator will administer a structured culturally-tailored curriculum in which participants are taught to raise their expectations for physical activity with aging and not to attribute being sedentary to "old age." The 4 weekly sessions will be followed by monthly sessions for 11 months, and sessions every 2 months for the following 12 months (total intervention duration = 24 months). Participants will be randomized to 1 of 2 arms:

  1. intervention arm: receiving the discussion session and the exercise class;
  2. control arm: receiving just the exercise class with the same frequency and duration as the intervention group.
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
  • Aging
  • Sedentary Lifestyle
  • Behavioral: The Lifetime Fitness Program
    A series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months
  • Behavioral: Exercise class
    1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months
  • Experimental: 1
    discussion session and exercise class
    Interventions:
    • Behavioral: The Lifetime Fitness Program
    • Behavioral: Exercise class
  • Active Comparator: 2
    exercise class only
    Intervention: Behavioral: Exercise class
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
600
August 2009
August 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Aged 60 years or older
  • Self-identifying as Latino/Hispanic
  • Not currently participating in 20 minutes or more of physical activity 3 times a week
  • Willingness to take brief physical activity screening test and if do not pass, provide the name of a physician who has seen the patient in the recent past

Exclusion Criteria:

  • Plans to move from the area in the next 24 months
  • Unable to participate in 1-hour group discussion
  • Unable to walk
  • Physician stating that patient is not medically able to participate
  • Family member already participating
  • Substantial cognitive impairment (determined by a screening test)
Both
60 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00183014
AG0049, 5R01AG024460-02
Not Provided
Catherine Sarkisian, MD, MSPH, UCLA Division of Geriatrics
National Institute on Aging (NIA)
Not Provided
Principal Investigator: Catherine Sarkisian, MD, MSPH UCLA Division of Geriatrics
National Institute on Aging (NIA)
May 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP