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Together we Move: A Multi-component Intervention to Increase Physical Activity for Ethnic Minority Older Adults

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ClinicalTrials.gov Identifier: NCT03684070
Recruitment Status : Active, not recruiting
First Posted : September 25, 2018
Last Update Posted : July 11, 2019
Sponsor:
Collaborators:
Brandeis University
Northeastern University
Information provided by (Responsible Party):
Carina Katigbak, Boston College

Brief Summary:

The benefits of physical activity (PA) for healthy aging are well known; however < 16% of U.S. older adults meet the federal recommendations for moderate to vigorous PA (MVPA). Asian Americans (AA) are a fast-growing segment of the older adult U.S. population and are likely to have limited English proficiency, lower-incomes, and low PA levels. Older AA adults are under represented in clinical trials and as a result, evidence-based PA programs remain inaccessible. Similarly, while the number of PA interventions for older adults incorporating technology to promote and sustain behavior change is increasing, the applicability and efficacy of these approaches for AA is poorly understood. Thus, there is a critical need to develop and test innovative PA interventions for this at-risk group.

The primary objective of this study is to evaluate if a culturally and linguistically adapted community-based walking program enhanced with a cognitive behavioral intervention delivered via WeChat - a widely used Chinese social networking application - (enhanced walking) improves physical activity compared with walking only. Secondary objectives are to identify participant experiences in engaging in this platform to improve PA, and gain insights into the scalability of the intervention for future pivotal trials. The proposed research is a randomized, controlled trial that will recruit 60 community-dwelling Chinese older adults. The primary outcomes are PA (measured by FitBit step counts over time, and proportion meeting federal recommendations for moderate physical activity (MPA)). Secondary outcomes include patient-reported outcomes, and patient-reported experience measures. We aim to evaluate the acceptability of this enhanced program, and determine the feasibility of WeChat as a platform for increasing PA. The primary outcome will be analyzed using mixed effects ANOVA, and latent growth curve modeling. Secondary outcomes will be analyzed using linear regression. Semi-structured interviews will be conducted with participants upon program completion to identify contextual factors influencing application use, and thematic analysis will be used to examine relationships between these key factors.

Results from this study will provide information about the applicability of mobile technology in supporting PA improvement among older Chinese, and valuable insight on contextual factors influencing application effectiveness, which will inform the potential for adoption and scale.


Condition or disease Intervention/treatment Phase
Physical Activity Sedentary Lifestyle Behavioral: Self-Monitoring, peer support and motivational prompts Behavioral: Self-monitoring Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Together we Move: A Multi-component Intervention to Increase Physical Activity for Ethnic Minority Older Adults
Actual Study Start Date : May 18, 2019
Estimated Primary Completion Date : September 10, 2019
Estimated Study Completion Date : October 1, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Enhanced Walking
FitBit + Lifestyle counseling/education session(8 weeks) + WeChat motivational messages and peer interaction
Behavioral: Self-Monitoring, peer support and motivational prompts
The intervention compares the effect of technologically delivered motivational messages, and peer support upon daily step counts.

Active Comparator: Walking Only
FitBit + Lifestyle counseling/education session(8 weeks)
Behavioral: Self-monitoring
Self-monitoring of data from wearable step count tracker




Primary Outcome Measures :
  1. Physical Activity [ Time Frame: Through study completion, and average of 12 weeks ]
    Step counts as measured through FitBit tracker


Secondary Outcome Measures :
  1. Self-efficacy for physical activity [ Time Frame: Through study completion, and average of 12 weeks ]
    Self-Efficacy for Exercise (Resnick & Jenkins, 2000)

  2. Qualitative Feedback [ Time Frame: 4 weeks post-study completion ]
    Semi-structured interviews



Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • self-identify as Chinese/Chinese American
  • can communicate in Mandarin or English
  • reside in Boston
  • smartphone owners (iPhone or Android) with data plan
  • no falls within last 6 months

Exclusion Criteria:

  • + cognitive impairment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03684070


Locations
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United States, Massachusetts
Boston College
Chestnut Hill, Massachusetts, United States, 02467
Sponsors and Collaborators
Boston College
Brandeis University
Northeastern University
Investigators
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Principal Investigator: Carina Katigbak, PhD Boston College

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Responsible Party: Carina Katigbak, Assistant Professor, Boston College
ClinicalTrials.gov Identifier: NCT03684070     History of Changes
Other Study ID Numbers: 19.001.01
First Posted: September 25, 2018    Key Record Dates
Last Update Posted: July 11, 2019
Last Verified: July 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: All collected de-identified IPD will be shared within research consortium, but will not be available to external researchers.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Carina Katigbak, Boston College:
Older adults
Asian Americans
Chinese
behavior change