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Computer-Based Physical Activity Advice for Ethnic Minority Aging Adults

This study has been completed.
Sponsor:
Collaborator:
Northeastern University
Information provided by (Responsible Party):
Abby C King, Stanford University
ClinicalTrials.gov Identifier:
NCT01144767
First received: June 14, 2010
Last updated: December 8, 2015
Last verified: December 2015
  Purpose
Despite the recognized health benefits of a physically active lifestyle, mid-life and older low-income and ethnic minority adults, including Hispanic Americans, are among the least active and understudied groups in the U.S. This research aims to develop and evaluate a bi-lingual physical activity promotion program, applying easy to use state-of-the-art computer technology, which is tailored to the preferences and needs of mid-life and older Latino adults. Such computer-based programs represent a potentially low-cost means for reaching the large proportion of low-income and ethnic minority Americans who are under-active.

Condition Intervention
Communication
Health Behavior
Sedentary Lifestyle
Behavioral: Computer-generated advisor
Behavioral: Comparison control condition

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Prevention
Official Title: Computer-Based Physical Activity Advice for Ethnic Minority Aging Adults

Resource links provided by NLM:


Further study details as provided by Stanford University:

Primary Outcome Measures:
  • Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    self-report questionnaire to assess frequency and quantity of physical activity

  • steps per day measured by accelerometry [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    objective measure of physical activity collected by accelerometer monitor


Secondary Outcome Measures:
  • physical activity self-efficacy [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    self-report questionnaire of perceived confidence to engage in physical activity under a variety of circumstances

  • physical activity decisional balance [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    self-report questionnaire of perceived pros and cons of engaging in physical activity

  • Computer Attitude Scale [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    self-report questionnaire of perceived confidence and anxiety around computers and technology

  • Working Alliance Inventory [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    self-report questionnaire of perceptions and attitudes about the working relationship with the advisor


Enrollment: 40
Study Start Date: November 2008
Study Completion Date: April 2010
Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Computer-generated advisor
Participants receive sessions with a computer-generated adviser who will provide tailored advice and encouragement to engage in physical activity.
Behavioral: Computer-generated advisor
Weekly sessions with a computer generated advisor who offers advice, feedback and guidance on physical activity
Active Comparator: Comparison control condition
Participants will receive live, group sessions on health topics unrelated to physical activity.
Behavioral: Comparison control condition
Weekly/biweekly sessions with a group facilitator to receive health education and information.

Detailed Description:

During Phase 1 of this study, the computer program will be adapted to better help Latino older adults to increase physical activity levels. Researchers will conduct focus groups and/or individual interviews to obtain participants feedback used to tailor the program to be appropriate for this population.

During Phase 2, the computer-generated adviser program will be tested to see if it is effective in promoting an increase in physical activity (primarily walking) levels among Latino older adults.

Participants will be randomly assigned to use the computer-generated adviser or to the wait list control group. Participants in the embodied conversational agent (computer-generated adviser) group receive an initial session with a staff health educator to review the expectations and content of this walking program. They will learn how to log onto the computer and interact with the computer adviser using a touch-screen. Participants will interact with the computer adviser at least 3 times per week to report past physical activity (primarily walking) completed, review obstacles (or barriers) to walking, and to set future walking goals. They are also asked to wear a pedometer.

Participants assigned to the wait list will receive an initial session with a staff health educator to review the expectations and content of this program. They will attend a monthly interactive class-based group session lead by a health educator that will cover health-related topics relevant for the older adult such as nutrition, stress management, and brain health. At the end of their involvement with this group they can decide if they want to use the computer adviser program.

Participants of both groups complete physical activity and computer-related questionnaires at the beginning (at 2 months) and at the end of the study (4 months).

  Eligibility

Ages Eligible for Study:   55 Years and older   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:1. Spanish or English-speaking Latino men or women 2. Greater than or equal to 55 years of age 3. No plans to move within the next year 4. Inactive (have not engaged in moderate-intensity or more vigorous physical activity, > 3 days per week for at least 20 min per day) within last 6-months 5. Able to participate in study intervention and assessments at the community-based location 6. Willing to be randomly assigned to either study arm (Year 02)

Exclusion Criteria:1. Any medical condition or disorder that would limit participation in moderate intensity physical activity (such as sustained walking), including life-threatening disorders, myocardial ischemia, and major functional disabilities in the orthopedic area 2. Not stable on their medications, including hormone replacement therapy, for 3 months 3. Severe depressive symptomatology (score > 16 on the 18-item Spanish version of the Center for Epidemiologic Studies Depression Scale [CES-D]); English version used when indicated 4. Gross levels of dementia (score< 23 on the Folstein Mini-Mental State Exam) 5. Inability to complete a face-to-face training session with the embodied conversational agent (ECA) program

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01144767

Locations
United States, California
Stanford University School of Medicine
Stanford, California, United States, 94305
Sponsors and Collaborators
Stanford University
Northeastern University
Investigators
Principal Investigator: Abby C King Stanford University
  More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Abby C King, Professor, Stanford University
ClinicalTrials.gov Identifier: NCT01144767     History of Changes
Other Study ID Numbers: SU-04262010-5762  10894 
Study First Received: June 14, 2010
Last Updated: December 8, 2015
Health Authority: United States: Institutional Review Board

ClinicalTrials.gov processed this record on September 27, 2016